糖尿病患者足部护理知识与行为调查及影响因素分析.pdfVIP

上海交通大学学报(医学版) Vo l. 33 No.5 May 2013 Journal of Shanghai Jiaotong University (Medical Science) • 571 . [文章编号J 1674-8115(2013)05-0571-06 ·抢着· 糖尿病患者足部护理知识与行为调查及影晌因素分析 冯玉琳E 气吴觉敏1 (上海交通大学1.护理学院，上海 200025; 2. 医学院附属瑞金医院护理部，上海 200025) [摘要] 国伪了解糖尿病患者足部护理知识与行为的现状，分析其影响因素。方放采用自行设计的问卷对 292 例糖尿病患者 的糖尿病足认知、足部护理知识和自我护理行为进行调查。结J喜掌握 60% 以上正确知识和行为的患者仅占总数的 30.5% ;患 者对糖尿病足的认知以及日常足部自我检查知识与行为表现最差，对鞋袜的正确选择和穿着有一定的了解;患者的知识与行为 水平受到性别、年龄、文化程度、就诊医院等级以及有无糖尿病专科护士指导等因素的影响。传手岳糖尿病患者足部护理知识缺 乏，足部护理行为不当，有必要加强并规范足部护理相关健康教育，提高患者足部自我护理的意识和能力。 [关键词]糖尿病;糖尿病足;自我护理;知识;行为 [DOI] 10. 3969/j. issn. 1674-8115.2013.05.011 [中图分类号] R587.1; R47 [文献标志码] A Survey of foot self-care knowledge and behaviors and analysis of related factors in patients with diabetes mellitus FENG Yu_lin ,.2 , WU Jue-min ( 1. School 01 Nursing , Shαnghai Jiaotong University, Shanghαi 200025 , China; 2. Depαrtment 01 Nursing , Ruijin Hospital , Shanghai Jiαotong University School 01 Medicine , Shanghαi 200025 , Chin时 [Abstract] Objective To investigate the status of foot self-care knowledge and behaviors in patients with diabetes mellitu日， and analyse the influencing factors. Methods Two hundred and ninety-two patients with diabetes mellitus were surveyed with self-designed questionnaire on diabetic foot recognition , foot self-care knowledge and behaviOTs. Results Only 30.5% patients mastered over 60% of correct knowledge and behaviors. Patients showed deficiency in recognition of diabetic foot , knowledge on daily foot self-examination and behaviors , while had some learning on choosing proper shoes and socks. The status of knowledge and behaviors of patients was influenced by the gender , age , education , level of hospital and guidance from diabetes specialist nurses. Conclusion Patients with diabetes mellitus may lack of foot self-c