糖尿病患者嵌甲发生现状及危险因素分析  

Occurrence rate and its risk factors of ingrown toenails in diabetic patients

作　　者：郭忠莹 白姣姣[1] 缪飞[1] 朱彦媛 朱静怡 Guo Zhongying;Bai Jiaojiao;Miao Fei;Zhu Yanyuan;Zhu Jingyi(Diabetic Foot Multidisciplinary Joint Clinic,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华东医院糖尿病足多学科联合门诊,上海200040

出　　处：《护理学杂志》2025年第2期22-26,共5页Journal of Nursing Science

基　　金：复旦大学-复星护理科研基金立项项目(FNF202301,FNF202433)。

摘　　要：目的探讨糖尿病患者嵌甲发生状况及危险因素,为临床制订针对性的预防护理措施提供参考。方法2024年1-6月,便利选取上海市某三甲医院糖尿病患者310例。采用嵌甲发生危险因素调查表收集患者相关资料,通过logistic回归分析筛选患者嵌甲发生的危险因素。结果糖尿病患者嵌甲发生率为19.03%;回归分析结果显示,年龄≥60岁、BMI≥24.0 kg/m^(2)、空腹血糖增高、周围血管病变、甲周创伤、甲癣、趾甲修剪不正确以及穿鞋不合适是糖尿病患者嵌甲发生的高危因素(均P<0.05)。结论糖尿病患者嵌甲发生率较高,建议加强对高风险患者的关注,针对危险因素制订预防护理措施,以减少糖尿病患者嵌甲的发生。Objective To explore the occurrence rate and its risk factors of ingrown toenails in diabetic patients,so as to provide a reference for developing targeted preventive nursing interventions.Methods From January to June 2024,a total of 310 diabetic patients were conveniently selected from a tertiary hospital in Shanghai.A questionnaire on the risk factors of occurrence of ingrown toenails was used to collect relevant data from the participants,then the risk factors were screened by binary logistic regression analysis.Results The participants′occurrence rate of ingrown toenails was 19.03%;regression analysis showed that,age≥60 years,BMI≥24.0 kg/m^(2),increased fasting glucose,peripheral vascular disease,perinail trauma,onychomycosis,incorrect toenail trimming,and inappropriate footwear were risk factors for the development of ingrown toenails in diabetic patients(all P<0.05).Conclusion The occurrence rate of ingrown toenails in diabetic patients is high.It is suggested to strengthen the attention of high-risk patients and develop preventive care interventions according to the risk factors,so as to reduce the incidence of ingrown toenails in diabetic patients.

关 键 词：糖尿病 嵌甲 危险因素 年龄 肥胖 甲癣 血糖 周围血管病变 

分 类 号：R473.5[医药卫生—护理学]