Department of Nursing, 5 West, Ronald Reagan UCLA Medical Center 5354, 757 Westwood Plaza, Los Angeles, CA, 90095-7404, USA,
Diabetes Ther. 2011 Mar;2(1):1-8. doi: 10.1007/s13300-010-0016-2. Epub 2011 Jan 31.
To determine the foot self-care practices performed by Filipino American (FA) women with type 2 diabetes mellitus (DM).
The Summary of Diabetes Self Care Activities - Revised and Expanded measure was administered to 118 FA adult female immigrants with type 2 DM.
Younger FA women (<65 years), participants with higher education, those who immigrated to the United States (US) at younger ages, and participants diagnosed with type 2 DM at younger ages reported they washed their feet every day during the past week. Moreover, FA women who immigrated to the US at younger ages and participants who were diagnosed with the disease at younger ages reported that they dried their feet (in between toes) daily during the previous week. Further, FA women who were diagnosed with type 2 DM at younger ages were more likely to report that they checked their feet every day during the past week, when compared with participants who were diagnosed with the disease at older ages. Finally, most FA women did not inspect the inside of their shoes.
Foot self-care practices were less frequently performed by older FA women with type 2 DM (≥65 years), making them more prone to the development of foot problems such as ulcers, infections, and disfigurations. Optimum foot self-care practices must be encouraged in older FA women to prevent such foot problems, and subsequent amputations.
确定菲律宾裔美国(FA)女性 2 型糖尿病(DM)患者的足部自我护理行为。
对 118 名患有 2 型 DM 的成年 FA 女性移民进行了修订和扩展的糖尿病自我护理活动摘要量表评估。
年轻的 FA 女性(<65 岁)、受教育程度较高的参与者、较年轻时移民到美国(US)的参与者以及较年轻时被诊断为 2 型 DM 的参与者报告说,他们在过去一周内每天洗脚。此外,较年轻时移民到美国的 FA 女性和较年轻时被诊断出患有该疾病的参与者报告说,他们在过去一周内每天都擦干脚(脚趾之间)。此外,与年龄较大时被诊断出患有该疾病的参与者相比,较年轻时被诊断出患有 2 型 DM 的 FA 女性更有可能报告说他们在过去一周内每天检查自己的脚。最后,大多数 FA 女性没有检查鞋子内部。
年龄较大的 2 型 DM(≥65 岁)FA 女性较少进行足部自我护理,这使她们更容易出现溃疡、感染和畸形等足部问题。必须鼓励年龄较大的 FA 女性进行最佳的足部自我护理,以预防此类足部问题和随后的截肢。