Foot self-management behavior and its influencing factors of diabetic high-risk foot patients in peritoneal dialysis centers
WU Qian1 LIU Ze-ping2 GUO De-jiu2 XU Ni3▲
1.Department of Nephrology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510405,China;
2.Hemodialysis Room,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510405,China;
3.Department of Nephrology,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangdong Province,Guangzhou 510120,China
Abstract：Objective To observe the condition of self-management behavior in diabetic high-risk foot patients and explore its influencing factors in peritoneal dialysis centers.Methods A total of 284 patients with diabetic high-risk foot who were treated and followed up in peritoneal dialysis centers of three tertiary A hospitals in Guangzhou from November 2018 to November 2019 were selected as the research objects,and the diabetic foot self-management behavior scale,chronic disease self-efficacy scale and social support rating scale were used for evaluation.Results The total score of foot self-management behavior of high-risk diabetic foot patients in the peritoneal dialysis center was(19.14±7.64)points.Self-efficacy,diabetes health education,diabetic foot health education,the proportion of medical expenses,and the age of dialysis affected foot self-management level of the patients(P＜0.05).Conclusion The low level of foot self-management behavior in patients at high risk of diabetic foot in peritoneal dialysis centers should be taken seriously by medical personnel.
Chin YF，Huang TT.Development and validation of a diabetes foot self-care behavior scale[J].J Nurs Res，2013，21（1）：19-25.
[4]
Apelqvist J，Bakker K，van Houtum WH，et al.International consensus and practical guidelines on the management and the prevention of the diabetic foot.International Working Group on the Diabetic Foot[J].Diabetes Metab Res Rev，16 Suppl 1：S84-S92.
[5]
Gonder-Frederick LA，Cox DJ，Ritterband LM.Diabetes and behavioral medicine：the second decade[J].J Consult Clin Psychol，2002，70（3）：611-625.
[6]
Peyrot M，Rubin RR.Behavioral and psychosocial interventions in diabetes：a conceptual review[J].Diabetes Care，2007，30（10）：2433-2440.
Lavery LA，La Fontaine J，Kim PJ.Preventing the First or Recurrent Ulcers[J].Med Clin North Am，2013，97（5）：807-820.
[12]
Yu MK，Lyles CR，Bent-Shaw LA，et al.Sex Disparities in Diabetes Process of Care Measures and Self-Care in High-Risk Patients[J].J Diabetes Res，2013，2013：575 814.
[13]
Pu J，Chewning B.Racial difference in diabetes preventive care[J].Res Social Adm Pharm，2013，9（6）：790-796.
[14]
Saeed N，Zafar J，Atta A.Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health[J].J Pak Med Assoc，2010，60（9）：732-735.
[15]
Chin YF，Huang TT，Hsu BR.Impact of action cues，selfefficacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy[J].J Clin Nurs，2013，22（1-2）：61-68.
Perrin BM，Swerissen H，Payne C.The association between foot-care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy：a cross-sectional study[J].J Foot Ankle Res，2019，2：3.
Xu Y.Understanding the factors influencing diabetes selfmanagement in Chinese people with type 2 diabetes using structural equation modeling[D].Cincinnati：University of Cincinnati，2015.
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