摘要
目的调查糖尿病患者足部风险筛查现状,分析患者定期足部风险筛查的影响因素,为开展针对性干预以促进糖尿病足风险筛查提供参考。方法采用便利抽样方法抽取湖南省32所综合医院内分泌科住院糖尿病患者1 027例,使用自制问卷调查患者足部风险筛查情况。结果糖尿病足高危人群占57.1%,仅15.7%的患者能做到定期筛查。未定期筛查的主要原因是患者个人觉得没有必要、不方便去医院检查、医护人员未告知等。Logistic回归分析显示性别、家庭人均月收入、糖尿病足高危人群、筛查必要性认知是影响糖尿病患者定期足部风险筛查的主要因素(P<0.05,P<0.01)。结论糖尿病患者定期足部风险筛查率偏低,需重点关注女性、家庭人均月收入低、非糖尿病足高危人群、对筛查认知不足的糖尿病患者,并从患者认知、心理建设、筛查工具选择等方面进行针对性干预,从而提高患者定期足部风险筛查依从性。
Objective To investigate the current status of foot risk screening among patients with diabetes, and to analyze the main factors affecting them screening foot risk regularly, in order to provide reference for conducting targeted intervention to promote diabetic foot risk screening.Methods A total of 1027 diabetic inpatients in endocrinology department from 32 general hospitals in Hunan province were selected using convenient sampling, who were then investigated utilizing a self-designed questionnaire on foot risk screening.Results Diabetic foot high-risk population accounted for 57.1%, while only 15.7% patients screened their feet regularly. The main reasons for non-regular screening were feeling not necessary, not convenient to go to hospital for examination, and did not mentioned by medical staff. Logistic regression analysis revealed that, gender, family personal monthly income, risk population of diabetic foot, recognition of screening necessity were the main influencing factors of regular foot risk screening in diabetic patients(P<0.05,P<0.01).Conclusion The rate of regular foot risk screening in diabetic patients is low, the patients with a female gender, lower family personal monthly income, non-high risk population of diabetic foot and insufficient recognition of screening should be paid more attention, and targeted intervention should be carried out according to patients′ cognition, psychological construction and screening tool selection etc, so as to improve their compliance of regular foot risk screening.
作者
李欣仪
周秋红
赵楠
罗文静
许景灿
罗莉
童芬芳
夏美红
余征霞
周余辉
Li Xinyi;Zhou Qiuhong;Zhao Nan;Luo Wenjing;Xu Jingcan;Luo Li;Tong Fenfang;Xia Meihong;Yu Zhengxia;Zhou Yuhui(Teaching and Research Section of Clinical Nursing,Xiangya Hospital of Central South University,Changsha 410008,China)
出处
《护理学杂志》
CSCD
北大核心
2021年第9期33-36,共4页
Journal of Nursing Science
基金
湖南省自然科学基金项目:科卫联合项目(2019JJ80087)。
关键词
糖尿病
糖尿病足
足部风险筛查
影响因素
diabetes mellitus
diabetic foot
foot risk screening
influencing factors
