Current situation and influencing factors of foot self-care behavior in patients at risk of diabetic foot
10.3760/cma.j.cn115682-20200914-05353
- VernacularTitle:糖尿病足风险患者足部自我护理行为现状及影响因素分析
- Author:
Dongrui WANG
1
;
Li WEI
Author Information
1. 天津医科大学总医院护理部，天津 300052
- Keywords:
Diabetic foot;
Risks;
Self-care;
e-Health literacy
- From:
Chinese Journal of Modern Nursing
2021;27(17):2317-2321
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the current situation and influencing factors of foot self-care behavior in patients at risk of diabetic foot.Methods:From March to December 2018, a total of 360 community patients at risk of diabetic foot in Tianjin were enrolled by multi-stage sampling. The General Data Questionnaire, e-Health Literacy Scale, and Chinese version of Nottingham Assessment of Functional Footcare Scale (NAFF) were employed for investigation. Pearson correlation analysis was used to analyze the correlation between age, e-health literacy and foot self-care behavior. Multiple linear regression was used to analyze the influencing factors of foot self-care behavior in patients at risk of diabetic foot. A total of 360 questionnaires were distributed, and 352 valid questionnaires were collected, with an effective recovery rate of 97.8%.Results:The overall mean score of the Chinese version of NAFF was (68.23±11.70) , which was at the medium level. There were statistically significant differences in the scores of the Chinese version of NAFF in patients with different gender, education levels, diabetic duration, marriage and occupation ( P<0.01) . Patients' age was negatively correlated with the scores of the Chinese version of NAFF ( r=-0.431, P<0.05) . There was a positive correlation between the total scores of the e-Health Literacy Scale, as well as the scores of each dimension, and the total scores of the Chinese version of NAFF ( r=0.410-0.567, P<0.05) . Multiple linear regression analysis showed that patients' gender, marriage, occupational status, educational level, e-health literacy decision-making and application ability were the influencing factors of foot self-care behavior, with an interpretation variance of 67.5% ( P<0.05) . Conclusions:The foot self-care behavior in patients at risk of diabetic foot was at the medium level. In the clinical nursing work of patients with diabetic foot risk, comprehensive consideration of the basic situation of patients and improvement of their electronic health literacy will help to improve the foot self-care behavior of patients and prevent the occurrence of diabetic foot.
