2型糖尿病足高危患者的足部护理行为现状及影响因素分析  

An investigation of foot care behavior in patients with high risk of type 2 diabetic foot and analysis of influencing factors

作　　者：李静[1] 张月华[1] 王美君[2] 邢秋玲[1] 

机构地区：[1]天津医科大学代谢病医院护理部,300070 [2]天津医科大学代谢病医院糖尿病足科,300070

出　　处：《中国实用护理杂志》2015年第18期1357-1360,共4页Chinese Journal of Practical Nursing

摘　　要：目的 调查2型糖尿病足高危患者的足部护理行为水平和影响因素.方法 将中文版诺丁汉足部护理评估量表应用于300例2型糖尿病足高危患者,对一般资料和足部一般情况进行单因素方差分析和多元逐步线性回归分析.结果 足部护理行为得分为（45.58±7.83）分,其中52.3％（157/300）的患者足部护理得分≤45分;性别、既往糖尿病足部护理教育史和既往糖尿病足溃疡史是影响糖尿病足高危患者足部护理行为的独立危险因素,t=3.196、3.392、2.462,均P＜ 0.05.结论 2型糖尿病足高危患者的足部护理行为水平相对较低;女性、曾接受过糖尿病足部护理教育和既往有糖尿病足溃疡史的糖尿病足高危患者足部护理行为水平相对较高.Objective To investigate the level of foot care behavior and analyse related influencing factors in patients with high risk of type 2 diabetic foot （DF）.Methods Apply the Chinese version of the Nottingham Assessment of Functional Footcare to 300 cases of patients with high risk of DF and take oneway ANOVA and multiple stepwise linear regression analysis on the general information and current foot condition.Results The score of foot care behavior was （45.58 ±7.83） scores.52.3 percents patients＆#39; scores were less than 45.Gender,previous education of diabetic foot care and history of diabetic foot ulcer were influencing factors of foot care behavior in patients with high risk of type 2 diabetic foot （t=3.196,3.392,2.462,P〈0.05）.Conclusions The current level of foot care behavior was relatively low in patients with high risk of type 2 DF.It was also approved that female patients with high risk of DF who had received diabetic foot care education and suffered from diabetic foot ulcer before score much higher on foot care behavior.

关 键 词：糖尿病 糖尿病足 足部护理行为 

分 类 号：R473.5[医药卫生—护理学]