Khamseh Mohammad Ebrahim, Vatankhah Nasibeh, Baradaran Hamid Reza
Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.
Int Wound J. 2007 Dec;4(4):298-302. doi: 10.1111/j.1742-481X.2007.00381.x.
The aim of this study was to determine the knowledge and practice of foot care in people with type 2 diabetes. We carried out a cross-sectional study. A questionnaire was completed by 148 patients with type 2 diabetes in Tehran, Iran. Knowledge score was calculated and the current practice was determined. The mean knowledge score was 6.6 (standard deviation +/-3.0) out of a possible 16. Illiterate patients were the least knowledgeable (P= 0.008). Lack of adequate knowledge includes the following: 56% not aware of the effect of smoking on the circulation to the feet, 60% failed to inspect their feet and 42% did not know to trim their toenails. High risk practices including use of irritants to water (66.5%) and walking barefoot (62%). The results of this study highlight the patients' inadequate knowledge of self-care about their foot and lack of optimal podiatry service in Iran. These findings have implications for further evaluation, planning and management of patient care in diabetic foot disease.
本研究的目的是确定2型糖尿病患者足部护理的知识和实践情况。我们开展了一项横断面研究。伊朗德黑兰的148名2型糖尿病患者完成了一份问卷。计算知识得分并确定当前的实践情况。在满分为16分的情况下，平均知识得分为6.6（标准差±3.0）。文盲患者的知识水平最低（P = 0.008）。知识不足包括以下方面：56%的人不知道吸烟对足部血液循环的影响，60%的人未检查过自己的双脚，42%的人不知道如何修剪脚趾甲。高风险行为包括使用刺激性物质泡脚（66.5%）和赤脚行走（62%）。本研究结果凸显了伊朗患者对足部自我护理知识的不足以及缺乏最佳的足病治疗服务。这些发现对糖尿病足病患者护理的进一步评估、规划和管理具有启示意义。
