摘要
目的描述糖尿病足高危患者的足部自护行为及其阶段分布,并进行影响因素分析。方法对343例糖尿病足高危患者应用一般资料问卷、糖尿病患者足部护理行为问卷、行为阶段表、第三版糖尿病态度量表、社会支持评定量表和糖尿病自我效能量表进行横断面调查。结果糖尿病足高危患者的足部自护行为得分28~68(47.50±7.30)分,百分制标准得分为59.81分。足部自护行为意图前期、意图期、准备期、行动期和维持期分别为11.7%、35.6%、41.7%、5.8%和5.2%。有序Logistic回归分析显示:性别、支付方式、感知社会榜样、疾病认知态度和自我效能是影响患者行为阶段分布的主要因素(P<0.05,P<0.01)。结论糖尿病足高危患者的足部护理行为总体水平低,多数患者的足部自护行为处于前期阶段;患者的足部自护行为受多种因素影响,医务人员应结合相关因素,对不同行为阶段的患者采取针对性干预策略,以促进其足部自护行为的阶段性转变。
Objective To describe the stages of foot self-care behavior among patients at high-risk of diabetic foot,and to explore theinfluencing factors of stage distribution.Methods Totally,343 patients at high risk of diabetic foot were surveyed with the gene-ral data questionnaire,the Diabetic Foot Care Behavior Questionnaire and the behavior stages table,the third version of Diabetes Attitude Scale(DAS-3),Social Support Rating Scale(SSRS)and Diabetes Self-Efficacy Scale(DSES)by convenience sampling method.Results The patients scored 28~68(47.50±7.30)points in diabetic foot care behavior,with the average standard score being 59.81.The proportion of patients in precontemplation,contemplation,preparation,action and maintenance respectively were 11.7%,35.6%,41.7%,5.8%and 5.2%respectively.The results of ordinal Logistic regression analysis showed that gender,medical expense payment schemes,social modelling,attitude towards the disease,and self-efficacy were influencing factors of stages of foot self-care behavior(P<0.05,P<0.01).Conclusion Patients at high risk of diabetic foot have poor foot self-care beha-vior,with most patients at the stage of precontemplation.The stages of foot self-care behavior are subjected to multiple factors.Measures should be taken to target patients at various stages of foot self-care behavior,and boost the changes to higher stages among patients.
作者
杨柳
戚以勤
蒋超南
吴晓丹
张利峰
谢文
Yang Liu;Qi Yiqin;Jiang Chaonan;Wu Xiaodan;Zhang Lifeng;Xie Wen(Tumor Prevention and Control Center,Sun Yat-Sen University,Guangzhou 510080,China)
出处
《护理学杂志》
CSCD
北大核心
2021年第19期23-27,共5页
Journal of Nursing Science
