Perrin B M, Swerissen H, Payne C B, Skinner T C
La Trobe Rural Health School, La Trobe University, Bendigo, Vic., Australia.
Diabet Med. 2014 Jan;31(1):102-6. doi: 10.1111/dme.12287. Epub 2013 Aug 26.
The aim of this study was to explore the cognitive representations of peripheral neuropathy and self-reported foot-care behaviour in an Australian sample of people with diabetes and peripheral neuropathy.
This cross-sectional study was undertaken with 121 participants with diabetes and peripheral neuropathy. Cognitive representations of peripheral neuropathy were measured by the Patients' Interpretation of Neuropathy questionnaire and two aspects of self-foot-care behaviour were measured using a self-report questionnaire. Hierarchical cluster analysis using the average linkage method was used to identify distinct illness schemata related to peripheral neuropathy.
Three clusters of participants were identified who exhibited distinct illness schemata related to peripheral neuropathy. One cluster had more misperceptions about the nature of peripheral neuropathy, one cluster was generally realistic about the nature of their condition and the final cluster was uncertain about their condition. The cluster with high misperceptions of their condition undertook more potentially damaging foot-care behaviours than the other clusters (F = 4.98; P < 0.01).
People with diabetes and peripheral neuropathy have different illness schemata that may influence health-related behaviour. Education aimed at improving foot-care behaviour and foot-health outcomes should be tailored to specific illness schemata related to peripheral neuropathy.
本研究旨在探究澳大利亚糖尿病合并周围神经病变患者样本中，周围神经病变的认知表征以及自我报告的足部护理行为。
对121名糖尿病合并周围神经病变患者进行了这项横断面研究。使用《患者对神经病变的解读》问卷测量周围神经病变的认知表征，并使用自我报告问卷测量自我足部护理行为的两个方面。采用组间平均连接法的分层聚类分析来识别与周围神经病变相关的不同疾病模式。
识别出三组参与者，他们表现出与周围神经病变相关的不同疾病模式。一组对周围神经病变的性质有更多误解，一组对自身病情的性质总体较为现实，最后一组对自身病情不确定。对自身病情误解程度高的那组比其他组采取了更多潜在有害的足部护理行为（F = 4.98；P < 0.01）。
糖尿病合并周围神经病变患者有不同的疾病模式，这可能会影响与健康相关的行为。旨在改善足部护理行为和足部健康结果的教育应针对与周围神经病变相关的特定疾病模式进行调整。
