Prediction of foot care knowledge-attitude-practice about foot care in patients with diabetic high-risk feet and nursing insights
10.3761/j.issn.0254-1769.2024.19.003
- VernacularTitle:糖尿病高危足患者足部护理知信行的分型预测及护理启示
- Author:
Xinting HUANG
1
;
Yan WANG
;
Qing YANG
Author Information
1. 510282 广州市 南方医科大学珠江医院内分泌代谢科
- Keywords:
Diabetic Foot;
Nursing Care;
Knowledge;
Attitude;
Practice;
Latent Profile Analysis;
Deci-sion Tree Analysis
- From:
Chinese Journal of Nursing
2024;59(19):2326-2332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the potential categories of foot care knowledge-attitude-practice(KAP)of diabetic high-risk foot patients,and analyze the influencing factors of different potential categories classification prediction,so as to provide references for clinical nursing.Methods By convenience sampling,a questionnaire survey was conducted from July to December 2023,employing a general information questionnaire and a diabetes foot care KAP evaluation scale on patients at high risk of diabetic foot in a tertiary hospital in Guangzhou.Latent profile analysis was used to identify the potential classifications of foot care KAP status among these patients.The iterative dichotomiser 3 algorithm of decision tree in machine learning was used to make classification prediction of foot nursing KAP status of patients,using multivariate logistic regression to analyse its influencing factors.Results There are 3 potential profiles of foot care KAP in high-risk diabetic foot patients,including"high knowledge-medium attitude-medium behavior"type(29.00％),"low knowledge-low attitude-low behavior"type(56.00％)and"medium knowledge-high attitude-high practice"type(15.00％).Decision tree model showed that residence,education level,receiving education about diabetic foot and stage of diabetic high-risk foot were decision-making factors for different potential categories of foot care KAP.The results of the Logistic analysis showed that literacy level,per capita monthly household income,and whether received diabetes-related follow-up were influential factors in different potential profiles of foot care KAP.Conclusion The level of foot care KAP of patients at high risk of diabetic foot needs to be improved,and shows population heterogeneity.Medical staff should intervene and support diabetic foot patients at high risk according to different potential profile and influencing factors to improve their KAP level.
