Status and Influencing Factors of Foot Care Behavior for Patients with Diabetic Foot Amputation: Across-Sectional Study

IF 1.5 4区医学 Q3 DERMATOLOGY International Journal of Lower Extremity Wounds Pub Date : 2024-04-13 DOI:10.1177/15347346241245165

Wenli Shi, Qianya Zhou, Dan Yang, Jie Yang, Chao Liu, Hongying Pan

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Abstract

This study aimed to investigate the contemporary status and influencing factors of foot self-care behavior in diabetic foot amputation patients. A total of 250 patients with diabetic foot amputation were included. The general information questionnaire, Chinese Version of the Nottingham Assessment of Function Footcare (CNAFF), Knowledge of Diabetic Foot Questionnaire, and The Third Version of the Diabetes Attitude Scale were used to investigate the status and influencing factors of foot self-care behavior in patients with diabetic foot amputation. From our sample, the Chinese version of Nottingham foot care behavior score was 68.32 ± 10.35 points, which showed that the foot self-care behavior of patients with diabetic foot amputation is at a medium level. Multiple linear regression analysis showed that education level, the knowledge of how to choose shoes and socks, the knowledge of self-care for feet, the need for special training in education, and the patient's autonomy in diabetes care were the main factors influencing foot self-care behavior of patients with diabetic foot amputation ( P < 0.05). The total variation of CNAFF score was 49%. The results of this study show that the level of foot care of diabetic amputees must be improved, and medical staffs need to take targeted intervention measures to help patients improve their self-care behavior after amputation, thereby reducing the recurrence rate of diabetic feet and improving their quality of life.

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糖尿病足截肢患者足部护理行为的现状和影响因素：跨部门研究

本研究旨在探讨糖尿病足截肢患者足部自我护理行为的现状及影响因素。研究共纳入 250 名糖尿病足截肢患者。采用一般信息问卷、中文版诺丁汉足部功能评估（CNAFF）、糖尿病足知识问卷和第三版糖尿病态度量表调查糖尿病足截肢患者足部自我护理行为的现状及影响因素。结果显示，中文版诺丁汉足部护理行为评分为（68.32±10.35）分，糖尿病足截肢患者足部自我护理行为处于中等水平。多元线性回归分析表明，受教育程度、鞋袜选择知识、足部自我护理知识、是否需要特殊教育培训、患者在糖尿病护理中的自主性是影响糖尿病足截肢患者足部自我护理行为的主要因素（P <0.05）。CNAFF评分的总变异率为49%。研究结果表明，糖尿病截肢患者的足部护理水平有待提高，医务人员需要采取针对性的干预措施，帮助患者改善截肢后的自我护理行为，从而降低糖尿病足的复发率，提高患者的生活质量。

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来源期刊

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).