社区糖尿病病人对糖尿病足的感知及罹患糖尿病足的风险和足部自护行为的调查

Survey of perception of community diabetes patients on diabetic foot,risks of diabetic foot and foot self-care behaviors

[目的]了解成都市某社区糖尿病病人对糖尿病足的感知及罹患糖尿病足的风险和足部自护行为状况。[方法]采用横断面调查,应用英国Huntleigh糖尿病足诊断箱和国际糖尿病足工作组(IWGDF)发布的糖尿病足危险性分级评估系统对社区207例糖尿病病人进行糖尿病足危险性筛查,同时应用糖尿病足神经病变感知量表和自制足部自护行为评估表对其进行问卷调查。[结果]本组病人糖尿病足神经病变感知评估中,"对医疗的情绪"维度得分最低,"对糖尿病足的担忧"维度得分最高。足部自护行为总分为1.59分±0.30分,足保护行为得分为1.43分±0.32分,足伤害行为得分为2.00分±0.50分。本组病人罹患糖尿病足风险度分别为0级152例(73.4%),1级15例(7.3%),2级39例(18.8%),3级1例(0.5%)。[结论]社区糖尿病病人对糖尿病足的感知较差,足部自护行为不足,部分病人罹患糖尿病足危险性较高,提示社区应加强糖尿病病人糖尿病足的一级预防、二级预防,加强自我管理。

Objective:To know about the perception of diabetes patients in a community in Chengdu city on diabetic foot,risks of diabetic foot in them and their foot self-care behaviors.Methods:A total of 207 diabetic patients were selected in a community health service center in Chengdu city by using cross-sectional survey and convenience sampling.Diabetic foot risk classification evaluation system issued by Huntleigh diabetic foot diagnosis cases(UK)and IWGDF was used for screening the diabetic foot risk of community diabetes patients,at the same time the community diabetes patients received the questionnaire survey with diabetic foot neuropathy perception scale and homemade foot self-care behavior assessment scale.Results:In diabetic foot perception evaluation,the'mood to medicine'dimension scored the lowest.The'worries about diabetic foot'dimension score was the highest.The total score of foot self-care behavior was 1.59±0.30,foot self-care behavior score was 1.43±0.32,foot injury behavior score was 2.00±0.50.The risk level of community diabetes patients suffering from diabetes foot:level 0 with 152 cases(73.4%),level 1 with 15 cases(7.3%),level 2 with 39 cases(18.8%),level 3 with 1 case(0.5%).Conclusion:The community diabetes patients had the poorer perception on diabetic foot,and the risk of suffering from diabetic foot in some patients was higher.It prompts that community should strengthen the diabetes patients' primary prevention and secondary prevention on diabetic foot and to strengthen self management.