Status quo and influencing factors of amputation decision-making dilemma in patients with diabetic foot
10.3760/cma.j.cn115682-20240119-00377
- VernacularTitle:糖尿病足患者截肢决策困境现状及影响因素研究
- Author:
Yanmei WANG
1
;
Meijun WANG
;
Cancan CAO
;
Bingjie WANG
;
Qianwen CHAI
;
Minghui LU
;
Li WEI
Author Information
1. 天津医科大学总医院普外科，天津 300052
- Keywords:
Diabetic foot;
Amputation, surgical;
Decision-making dilemma;
Survey research;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2024;30(33):4579-4584
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current situation and influencing factors of amputation decision-making dilemma of diabetic foot patients.Methods:From July to December 2023, 200 patients with diabetic foot in the Tianjin Medical University General Hospital and Tianjin Medical University Chu Hsien-I Memorial Hospital were selected as study subjects by convenience sampling. General Information Questionnaire, Decisional Conflict Scale (DCS), Family APGAR Index, and Hospital Anxiety and Depression Scale were used to conduct a cross-sectional survey. Pearson correlation was used to analyze the correlation between diabetic foot patients' amputation decision-making dilemma and family caring, anxiety and depression, and multiple linear regression was used to analyze the influencing factors of diabetic foot patients' amputation decision-making dilemma.Results:A total of 200 questionnaires were distributed, and 180 valid questionnaires were collected, with a valid response rate of 90.0% (180/200). The DCS score of 180 patients with diabetic foot was (30.04±9.77), 76.7% (138/180) patients scored ≥25.0, and they had decision-making dilemma, and 25.0% (45/180) of patients scored ≥37.5, indicating decision-making delay. Multiple linear regression analysis showed that occupational status, diabetes course, family caring, anxiety and depression were the influencing factors of amputation decision-making dilemma of diabetic foot patients ( P<0.05) . Conclusions:Diabetic foot patients face certain dilemmas in the process of amputation decision-making. Clinical medical and nursing staff should reasonably evaluate the patient's occupational status, disease course, family caring, and psychological state, and develop personalized decision support strategies to improve decision quality and prevent changes in the patient's condition caused by delayed decision-making.
