中老年2型糖尿病患者并发糖尿病足的危险因素分析及防控健康教育  

Analysis of risk factors of diabetic foot in middle-aged and elderly patients with type 2 diabetes and its health education for prevention and control

作　　者：张丽[1] 杨晓春[1] 刘静雯[1] 谌贵美 ZHANG Li;YANG Xiao-chun;LIU Jing-wen;SHEN Gui-mei

机构地区：[1]广东省第二人民医院内分泌科,广州市510317

出　　处：《护理实践与研究》2020年第20期14-16,共3页Nursing Practice and Research

摘　　要：目的探讨中老年2型糖尿病患者并发糖尿病足的危险因素及其防控健康教育对策。方法选择我院2019年1—10月收治的中老年2型糖尿病患者300例,通过回顾性分析获取患者临床资料,统计并发糖尿病足的患者例数,采用多因素logistic回归分析2型糖尿病患者并发糖尿病足的危险因素,并制订防控健康教育对策。结果本组2型糖尿病患者并发糖尿病足75例,多因素logistic回归分析发现,年龄>60岁、吸烟史、合并高血压、糖尿病病程>10年、糖化血红蛋白(HbAlc)>6.5%、血纤维蛋白原(FIB)>4 g/L、外伤感染、营养不良、糖尿病周围血管病变、足护理行为差(<20分)、糖尿病足预防教育缺失是中老年2型糖尿病患者并发糖尿病足的独立危险因素(P<0.05)。结论中老年2型糖尿病患者并发糖尿病足危险因素包括年龄>60岁、吸烟史、合并高血压、糖尿病病程>10年、HbAlc>6.5%、FIB>4 g/L、外伤感染、营养不良、糖尿病周围血管病变、足护理行为差(<20分)、糖尿病足预防教育缺失,需积极实施防控知识宣教。Objective To explore the risk factors of diabetic foot in middle-aged and elderly patients with type 2 diabetes and its health education countermeasures for prevention and control.Methods To select 300 cases of middle-aged and elderly patients with type 2 diabetes admitted to our hospital from January to October 2019 was set the study subject,we obtained clinical data of patients through retrospective analysis,and count the number of patients with diabetic foot.Multivariate logistic regression was used to analyze the risk factors of concurrent diabetic foot in patients with type 2 diabetes,and prevention and control health education countermeasures were developed.Results There were 75 cases of concurrent diabetic foot in patients with type 2 diabetes.Multivariate logistic regression analysis showed that the age>60 years old,smoking history,concurrent hypertension,course of diabetes disease>10 years,glycated hemoglobin(HbA1c)>6.5%,fibrinogen(FIB)>4 g/L,trauma infection,malnutrition,diabetic peripheral vascular disease,poor foot nursing behavior(<20 points),and lack of education on prevention of diabetic foot were the independent risk factors effecting diabetic foot in middle-aged and elderly patients with type 2 diabetes(P<0.05).Conclusion The risk factors effecting diabetic foot in middle-aged and elderly patients with type 2 diabetes included the age>60 years old,smoking history,concurrent hypertension,course of diabetes disease>10 years,HbA1c>6.5%,FIB>4 g/L,trauma infection,malnutrition,diabetic peripheral vascular disease,poor foot nursing behavior(<20 points),and lack of education on prevention of diabetic foot.It was necessary to actively implement prevention and control knowledge education.

关 键 词：中老年2型糖尿病 糖尿病足 危险因素 健康教育 

分 类 号：R473.57[医药卫生—护理学]