Service de dermatologie vénérologie, faculté de médecine et de pharmacie, université Mohamed V, CHU Ibn Sina, Rabat, Morocco.
Ann Phys Rehabil Med. 2011 Sep;54(6):359-65. doi: 10.1016/j.rehab.2011.07.004. Epub 2011 Aug 2.
The aim of the present study was to identify factors influencing diabetic patients' awareness of the risk of foot problems.
We performed a prospective study of diabetic patients hospitalized or seen in consultation. Various factors were analyzed in order to identify those related to the patients' level of awareness of risk factors in diabetic foot.
Ninety-one patients were included (mean age: 48; male/female gender ratio: 0.63). Over 50% of the study population was not aware of the risks of diabetic foot. Educational level and socioeconomic status had an impact on awareness of good foot health and care. Poor knowledge of the degenerative complications of diabetes was associated with age, a low educational level and low socioeconomic status.
Our results revealed low levels of patient awareness concerning the potential severity of diabetic foot and the means of preventing foot problems. The patients gave a range of explanations for this marked lack of awareness; including a lack of information and financial constraints. Hence, patient education is still a major aspect of prevention in diabetes.
In diabetes, there is still a need for easily assimilated, locally provided patient education.
本研究旨在确定影响糖尿病患者对足部问题风险意识的因素。
我们对住院或门诊的糖尿病患者进行了前瞻性研究。分析了各种因素，以确定与患者对糖尿病足危险因素的认识水平相关的因素。
共纳入 91 例患者（平均年龄：48 岁；男女比例：0.63）。超过 50%的研究人群没有意识到糖尿病足的风险。教育水平和社会经济地位对良好的足部健康和护理意识有影响。对糖尿病退行性并发症的知识不足与年龄、教育水平低和社会经济地位低有关。
我们的结果表明，患者对糖尿病足的潜在严重程度和预防足部问题的方法的认识水平较低。患者对这种明显缺乏认识给出了一系列解释，包括缺乏信息和经济限制。因此，患者教育仍然是糖尿病预防的一个主要方面。
在糖尿病中，仍然需要易于理解、本土化的患者教育。
