糖尿病足高危患者足部自我护理行为现状调查及影响因素分析  

Status quo and influencing factors of foot self-care behavior in high-risk patients with diabetic foot

作　　者：张琳娜[1] 卢明[2] 杨阳[3] 屈辉[2] 俞燕娟 李锦绣[4] 朱艳霞[5] Zhang Linna;Lu Ming;Yang Yang;Qu Hui;Yu Yanjuan;Li Jinxiu;Zhu Yanxia(No.2 Department of Endocrinology,Jiaozuo People's Hospital,Jiaozuo 454000,China;Department of Nursing,Jiaozuo People's Hospital,Jiaozuo 454000,China;Department of Nutriology,Jiaozuo People's Hospital,Jiaozuo 454000,China;Central Sterile Supply Department,Jiaozuo People's Hospital,Jiaozuo 454000,China;Department of Cardiology,Jiaozuo People's Hospital,Jiaozuo 454000,China)

机构地区：[1]焦作市人民医院内分泌二区,焦作454000 [2]焦作市人民医院护理部,焦作454000 [3]焦作市人民医院营养科,焦作454000 [4]焦作市人民医院消毒供应中心,焦作454000 [5]焦作市人民医院心内科,焦作454000

出　　处：《中华现代护理杂志》2022年第32期4529-4533,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨糖尿病足高危患者足部自我护理行为现状及影响因素。方法采用便利抽样法,选取2021年1—12月焦作市人民医院内分泌科收治的100例糖尿病足高危患者为研究对象,采用一般资料及疾病资料调查问卷、中文版诺丁汉足部护理评估量表、自我效能量表、医学应对方式量表对患者进行调查。共发放问卷100份,回收有效问卷100份,问卷有效回收率为100.00%(100/100)。结果100例糖尿病足高危患者中文版诺丁汉足部护理评估量表得分为(71.22±8.61)分,处于中等水平。多重线性回归分析结果显示,性别、经济状况、病程、自我效能、糖尿病足健康教育及医学应对方式是糖尿病足高危患者足部自我护理行为的影响因素(P<0.05)。结论糖尿病足高危患者足部自我护理行为处于中等水平,性别、经济状况、糖尿病病程、自我效能、糖尿病足健康教育及医学应对方式是影响患者自我护理行为的主要因素。医护人员需结合相关因素制订针对性的干预措施,以提高患者自护能力。Objective To explore the status quo and influencing factors of foot self-care behavior in high-risk patients with diabetic foot.Methods Totally 100 high-risk patients with diabetic foot admitted to the Department of Endocrinology,Jiaozuo People's Hospital from January to December 2021 were selected by convenience sampling and investigated with questionnaires on general and disease data,Chinese version of the Nottingham Assessment of Functional Footcare(NAFF),Self-efficacy Scale,and Medical Coping Style Scale.A total of 100 questionnaires were distributed,with 100 valid questionnaires recovered,accounting for an effective recovery rate of 100.00%(100/100).Results The scores of the Chinese version of the NAFF in the 100 high-risk patients with diabetic foot were(71.22±8.61),which was at a moderate level.The results of multiple linear regression analysis showed that gender,economic status,course of disease,self-efficacy,health education on diabetic foot,and medical coping style were the influencing factors of foot self-care behavior in these patients(P<0.05).Conclusions The foot self-care behavior of high-risk patients with diabetic foot was at a moderate level.Gender,economic status,diabetes duration,self-efficacy,health education on diabetic foot,and medical coping style were the main factors affecting the nursing behavior for these patients.Medical and nursing staff need to take targeted interventions based on relevant factors to improve their self-care ability.

关 键 词：糖尿病足 高危患者 足部护理 自我护理行为 自我效能 医学应对方式 

分 类 号：R473.6[医药卫生—护理学]