北京市某社区2型糖尿病患者足部护理知识与行为状况调查及影响因素分析  

Survey of foot care knowledge and behavioral status among type 2 diabetes patients in a community in Beijing and its influencing factors

作　　者：李高强 路潜 温冰[3] 齐心[3] 关辉[3] 李会娟[3] 刘瑾[3] 丁炎明 LI Gaoqiang;LU Qian;WEN Bing;QI Xin;GUAN Hui;LI Huijuan;LIU Jin;DING Yanming(Respiratory and Critical Care Medicine Department,the Second Medical Center of General Hospital of Chinese People′s Liberation Army,Beijing,100039;Teaching and Research Office of Surgical Nursing,School of Nursing of Peking University Health Science Center,Beijing,100191;Plastic Surgery and Burn Department,the First Hospital of Peking University,Beijing,100034;Chinese Nursing Association,Beijing,100044)

机构地区：[1]中国人民解放军总医院第二医学中心呼吸与危重症医学科,北京100039 [2]北京大学医学部护理学院外科护理学教研室,北京100191 [3]北京大学第一医院整形烧伤科,北京100034 [4]中华护理学会,北京100044

出　　处：《实用临床医药杂志》2024年第7期133-137,共5页Journal of Clinical Medicine in Practice

基　　金：北京市科委“首都临床特色应用研究”项目(400010558-Z181100001718121/04)。

摘　　要：目的调查北京市新街口社区2型糖尿病患者足部护理知识与行为状况并分析其影响因素。方法采用方便取样法选取北京市新街口社区的278例糖尿病患者进行问卷调查,调查内容包括患者的一般资料、足部护理知识和行为。结果278例患者的足部护理知识平均得分为(71.65±14.59)分,整体处于中等水平,足部护理行为平均得分为(48.83±8.83)分,整体处于较差水平。多元逐步回归分析结果显示,性别、病程、是否接受过足部护理教育均为社区糖尿病患者足部护理知识得分、足部护理行为得分的独立影响因素(P<0.05)。Pearson相关分析结果显示,社区糖尿病患者足部护理知识与足部护理行为呈正相关(r=0.593,P<0.001)。结论北京市该社区糖尿病患者足部护理知识水平中等,足部护理行为状况不容乐观。社区医护人员应加强足部护理健康教育,提升患者的足部护理知识水平和足部护理行为依从性,同时应关注男性、病程较短的糖尿病患者,以减少糖尿病足的发生。Objective To investigate the knowledge and behavioral status of foot care among patients with type 2 diabetes in Xinjiekou Community in Beijing and analyze its influencing factors.Methods A convenient sampling method was used to select 278 diabetes patients from Xinjiekou Community in Beijing for questionnaire surveys,which included general information,foot care knowledge,and behaviors of the patients.Results The average score of foot care knowledge among the 278 patients was(71.65±14.59),indicating a moderate level overall.The average score of foot care behavior was(48.83±8.83),indicating a poor level overall.Multivariate stepwise regression analysis showed that gender,duration of diabetes,and whether the patients had received foot care education or not were independent influencing factors for both the foot care knowledge score and the foot care behavior score among community diabetes patients(P<0.05).Pearson correlation analysis showed that a positive correlation between foot care knowledge and foot care behavior among community diabetes patients was observed(r=0.593,P<0.001).Conclusion The level of foocare knowledge among diabetes patients in this community in Beijing is moderate,while the status of foot care behaviors is not optimistic.Community healthcare professionals should strengthen health education on foot care,improve patients′knowledge of foot care and compliance with foot care behaviors,and pay attention to male patients and those with a shorter duration of diabetes to reduce the occurrence of diabetic foot.

关 键 词：2型糖尿病 糖尿病足 社区护理 足部护理知识 足部护理行为 影响因素 

分 类 号：R587.2[医药卫生—内分泌] R473.2[医药卫生—内科学] R195.4[医药卫生—临床医学]