Gayle Krystal A T, Tulloch Reid Marshall K, Younger Novie O, Francis Damian K, McFarlane Shelly R, Wright-Pascoe Rosemarie A, Boyne Michael S, Wilks Rainford J, Ferguson Trevor S
Tropical Medicine Research Institute and.
Department of Medicine, The University of the West Indies, Jamaica.
Clin Pract. 2012 Oct 16;2(4):e85. doi: 10.4081/cp.2012.e85. eCollection 2012 Oct 12.
This study aimed to estimate the proportion of patients at the University Hospital of the West Indies (UHWI) Diabetes Clinic who engage in recommended foot care and footwear practices. Seventy-two participants from the UHWI Diabetes Clinic completed an interviewer-administered questionnaire on foot care practices and types of footwear worn. Participants were a subset of a sex-stratified random sample of clinic attendees and were interviewed in 2010. Data analysis included frequency estimates of the various foot care practices and types of footwear worn. Participants had a mean age of 57.0±14.3 years and mean duration of diabetes of 17.0±10.3 years. Fifty-three percent of participants reported being taught how to care for their feet, while daily foot inspection was performed by approximately 60% of participants. Most participants (90%) reported daily use of moisturizing lotion on the feet but almost 50% used lotion between the toes. Approximately 85% of participants reported wearing shoes or slippers both indoors and outdoors but over 40% reported walking barefoot at some time. Thirteen percent wore special shoes for diabetes while over 80% wore shoes without socks at some time. Although much larger proportions reported wearing broad round toe shoes (82%) or leather shoes (64%), fairly high proportions reported wearing pointed toe shoes (39%), and 43% of women wore high heel shoes. In conclusion, approximately 60% of patients at the UHWI diabetic clinic engage in daily foot inspection and other recommended practices, but fairly high proportions reported foot care or footwear choices that should be avoided.
本研究旨在估算西印度群岛大学医院（UHWI）糖尿病诊所中采取推荐的足部护理及鞋类使用方法的患者比例。来自UHWI糖尿病诊所的72名参与者完成了一份由访谈员管理的关于足部护理方法及所穿鞋子类型的问卷。参与者是诊所就诊者按性别分层的随机样本的一个子集，并于2010年接受了访谈。数据分析包括对各种足部护理方法及所穿鞋子类型的频率估算。参与者的平均年龄为57.0±14.3岁，糖尿病平均病程为17.0±10.3年。53%的参与者报告曾接受过足部护理培训，约60%的参与者每天进行足部检查。大多数参与者（90%）报告每天在足部使用保湿乳液，但近50%的人在脚趾间使用乳液。约85%的参与者报告在室内和室外都穿鞋子或拖鞋，但超过40%的人报告有时会光脚走路。13%的人穿糖尿病专用鞋，超过80%的人有时会不穿袜子穿鞋。尽管有更大比例的人报告穿宽圆头鞋（82%）或皮鞋（64%），但也有相当高比例的人报告穿尖头鞋（39%），43%的女性穿高跟鞋。总之，UHWI糖尿病诊所约60%的患者每天进行足部检查及采取其他推荐的做法，但有相当高比例的人报告了应避免的足部护理或鞋类选择。
