唐山农村地区2型糖尿病患者足部护理行为执行情况调查  

A survey of foot self-care behaviors in patients with type Ⅱ diabetes mellitus in rural area of Tangshan City

作　　者：汪凤兰[1] 崔颖[1] 王晴[1] 董胜莲[1] 邢凤梅[1] 张小丽[1] 

机构地区：[1]河北联合大学护理与康复学院,河北唐山063000

出　　处：《现代预防医学》2015年第1期95-97,共3页Modern Preventive Medicine

基　　金：河北省科技厅自筹经费项目(122777110)

摘　　要：目的调查唐山农村地区2型糖尿病患者足部护理的执行情况,为针对性开展足部护理干预提供依据。方法采用整群随机抽样,从唐山市农村10县中抽取2县,在2县中各随机抽取1个镇,对镇里的2型糖尿病患者采用一般资料调查表和糖尿病自我管理行为量表进行调查。结果本次调查456例2型糖尿病患者,其足部护理行为得分为(14.17±2.99)分,处于中等偏下水平。足部护理执行情况较差的是按规定修剪指甲(得分指标为41.42%)、足部异常时的处理(得分指标为39.21%)、每日足部检查及护理(得分指标为35.92%)。结论农村地区2型糖尿病患者足部护理行为较差,急需对农村糖尿病患者开展有针对性的、系统的足部护理干预措施,增强患者足部护理意识,提高其自我管理技能。Objective To investigate the status of foot self-care behaviors in patients with type Ⅱ diabetes mellitus in rural area of Tangshan City and to provide evidences for the nursing intervention and health education. Methods Samples were taken from two towns of Tangshan City by cluster sampling. 456 patients with type Ⅱ diabetes mellitus were surveyed with the self-designed demographic data questionnaire and type Ⅱ diabetes self-care scale （2-DSCS）. Results The score of foot self-care behavior was 14.17 ：i： 2.99. The poor foot-care behaviors were nail trimming, handling the food abnormal symptoms and checking foot or protecting foot skin every day. The average score of the three aspects were 41.42%, 39.21% and 35.92%, respectively. Conclusions Patients with type lI diabetes mellitus in rural area may lack of foot self-care knowledge and proper behaviors. Systematic educational approaches on foot care should be introduced to enhance the awareness and ability of foot self-care.

关 键 词：糖尿病 农村 足部护理 

分 类 号：R195[医药卫生—卫生统计学]