金塔镇2型糖尿病患者足部自我护理行为影响因素研究

王金付

[摘要] 目的 了解金塔镇2型糖尿病患者足部自我护理行为及其影响因素。方法 对金塔镇卫生院管理的262例2型糖尿病患者进行足部自我护理行为问卷调查，并对其影响因素进行研究。结果 262例2型糖尿病患者足部自我護理行为平均得分（21.02±6.85）分，标准分为58.93分，足部自我护理行为总体水平较差。多元线性回归结果显示文化程度、糖尿病病程、是否定期复查、是否接受过糖尿病并发症教育是足部自我护理行为的主要影响因素。结论 金塔镇糖尿病患者足部自我护理行为较差，管理者应根据足部自我护理行为的影响因素采用有效措施，促进患者足部自我护理行为的改善。

[关键词] 2型糖尿病；护理行为；影响因素

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2018）01（b）-0103-02

Research on Influence Factors of Self-nursing Behavior of Foot of Type 2 Diabetes Patients in Jinta Town

WANG Jin-fu

Jinta Town Health Center， Jiuquan， Gansu Province， 735300 China

[Abstract] Objective To know the influence factors of self-nursing behavior of foot of type 2 diabetes patients in Jinta Town. Methods The foot self-nursing behavior of 262 cases of patients with type 2 diabetes admitted and treated in our hospital were surveyed by the questionnaire， and the influence factors were studied. Results Of 262 cases， the average score was（21.02±6.85） points， and the standardized score was 58.93 points， and the total level of foot self-nursing behavior was worse， and the multiple-liner regression results showed that the culture degree， diabetic course， regular reexamination or not， diabetic complications education were the major influence factors of foot self-nursing behavior. Conclusion The foot self-nursing behavior of diabetic patients in Jinta Town is worse， and the managers should use the effective measures according to the influence factors of foot self-nursing behaviors， and promote the improvement of foot self-nursing behaviors.

[Key words] Type 2 diabetes； Nursing behavior； Influence factors

糖尿病是一种由遗传和环境等因素与人体相互作用而引起的终身性疾病。糖尿病足是以糖尿病并发的血管、神经病变为基础，引起足部麻木、疼痛、皮肤溃疡甚至肢端坏死等病变的总称，是糖尿病致残的主要原因之一[1]。

正确的足部护理、良好的血糖控制及糖尿病教育可避免大约85%的糖尿病足截肢事件，苏格兰的一项研究表明糖尿病足护理及教育可使足截肢率从0.8%降至0.5%[2]。因此，该研究对金塔镇卫生院管理的2型糖尿病患者足部护理行为进行调查，并对其影响因素进行了研究，以期可以为进一步的研究及干预提供理论依据。

1 对象与方法

1.1 研究对象

该研究为横断面研究，选取金塔镇管理的262例2型糖尿病患者进行问卷调查。……