社会网络特征与糖尿病足的相关性分析

Correlation between social network characteristics and diabetic foot

目的:探讨社会网络特征与糖尿病足的相关性。方法:横断面研究。收集2020年9月至2021年4月在南方医科大学南方医院内分泌代谢科住院的2型糖尿病(T2DM)患者连续入组,根据是否合并糖尿病足,分为对照组和糖尿病足组。采用面对面访谈的形式进行社会网络特征收集,包括患者的一般资料、社会网络的结构性特征、社会网络功能性特征,同时记录社会网络成员的年龄、职业及受教育程度等特征和社会隔离情况。按性别进行分层分析。采用二分类logistic回归分析评价社会网络特征对糖尿病足的相关性。结果:共纳入糖尿病足组患者57例,对照组患者62例。对于总体而言,Lubben社会网络量表得分更低(OR值=0.960)、网络成员平均年龄更低(OR值=0.918)发生糖尿病足的风险更高(均 P<0.05);对于男性患者,Lubben社会网络量表得分越低(OR值=0.949)、家庭成员占比越高(OR值=1.024)、与不适相关的情感支持越高(OR值=1.739)发生糖尿病足的风险越高(均 P<0.05);在女性患者中,家庭成员所占比例高(OR值=1.045)发生糖尿病足的风险越高( P<0.05)。 结论:社会隔离和社会网络成员平均年龄、不适相关的情感支持与糖尿病足关系密切。社会网络成员中非家庭成员所占比例在糖尿病足的防治中可能发挥积极作用。

Objective To assess the association between social network characteristics and diabetic foot of type 2 diabetes mellitus(T2DM)patients.Methods This was a cross-sectional study.Patients with T2DM hospitalized in the Department of Endocrinology and Metabolism ofNanfang Hospital from September 2020 to April 2021 were collected and divided into control group and diabetic foot group according to whether they were complicated with diabetic foot.The characteristics of social network were collected in the form of face-to-face interview,including the general information of patients,the structural characteristics of social network and the functional characteristics of social network.At the same time,the characteristics of age,occupation,education level and social isolation of social network members were recorded.A gender-stratified analysis was performed.Binary logistic regression analysis was used to evaluate the association between social network characteristics and diabetic foot.Results This study included 57 patients in the diabetic foot group and 62 patients in the control group.Compared with the control group,the score of Lubben social network scale was lower(OR=0.960),the average age of network members was lower(OR=0.918),and the risk of diabetic foot was higher(all P<0.05).In the male patients,there were lower score of Lubben Social Network Scale(OR=0.949),higher proportion of family members(OR=1.024),higher emotional support related to discomfort(OR=1.739),and the higher risk of diabetic foot(all P<0.05).In female patients,there were higher proportion of family members(OR=1.045),higher risk of diabetic foot(P<0.05).Conclusions Social isolation,average age of social network members and emotional support related to discomfort were closely related to diabetic foot.The proportion of non-family members in social network members might play a positive role in the prevention and treatment of diabetic foot.