住院糖尿病患者高危足部风险及影响因素研究  

Rrisk assessment and influencing factors of high risk foot in hospitalized diabetic patients

作　　者：李梦文 刘晓梅[1] 孙宁[1] 孟亚 周莉淋 鱼星锋 魏梦瑶 王涵 李秋萍[2] 韩斌如[2] LI Mengwen;LIU Xiaomei;SUN Ning;MENG Ya;ZHOU Lilin;YU Xingfeng;WEI Mengyao;WANG Han;LI Qiuping;HAN Binru(Nursing Department,Shaanxi Provincial People's Hospital,Xi'an 710068,China;Nursing Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]陕西省人民医院护理部,西安市710068 [2]首都医科大学宣武医院护理部,北京市100053

出　　处：《护理管理杂志》2024年第10期882-886,共5页Journal of Nursing Administration

基　　金：陕西省人民医院科技发展孵化基金项目(2022HL-04);北京市西城区财政科技专项(XCSTS-SD2020-12)。

摘　　要：目的探讨三级甲等医院住院糖尿病患者高危足部风险等级及影响因素。方法采用一般资料调查问卷、糖尿病高危足分级标准对北京市、西安市各1所三级甲等医院410例住院糖尿病患者进行调查。结果共筛查出高危足367例(89.51%),低危足43例(10.49%)。多因素Logstic回归分析显示,患者的年龄[OR=17.340,95%CI(3.409,88.214),P=0.001]、文化程度[OR=3.754,95%CI(1.259,11.193),P=0.018]、糖尿病并发症[OR=6.664,95%CI(0.855,51.932),P=0.040]是糖尿病患者发生高危足的影响因素。结论住院糖尿病患者高危足检出率高,年龄、文化程度、糖尿病并发症是其高危足发生的独立风险因素,建议针对老年、文化程度低及存在糖尿病并发症的患者密切关注其足部状况,并根据不同的足部风险水平实施有针对性的干预措施,预防或减缓糖尿病足的发生。Objective To explore the risk level status of high-risk foot conditions in hospitalized diabetic patients in tertiary Grade A hospitals and analyze their influencing factors.Methods A general information questionnaire and the diabetes high-risk foot screening tool were used to investigate 410 hospitalized diabetic patients in two tertiary grade A hospitals in Beijing city and Xi'an city.Results A total of 367 patients with high-risk feet(89.51%)and 43 patients with low-risk feet(10.49%)were screened.Multivariate Logstic regression analysis showed age[OR=17.340,95%CI(3.409,88.214),P=0.001],education level[OR=3.754,95%CI(1.259,11.193),P=0.018]and diabetic complications[OR=6.664,95%CI(0.855,51.932),P=0.040]were the influencing factors for the occurrence of high-risk foot in diabetic patients.Conclusion The detection rate of high-risk foot in hospitalized diabetic patients is high.Age,education level and diabetic complications are independent risk factors for the occurrence of high risk foot.Targeted interventions according to different foot risk levels should be implemented for the elderly patients with low education,diabetic complication,to prevent the occurrence of diabetic foot.

关 键 词：糖尿病 高危足 糖尿病足 护理 危险因素 

分 类 号：R473.5[医药卫生—护理学]