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糖尿病足患者的健康控制点与自我护理行为

Health locus of control and self-care behaviors in diabetic foot patients.

作者信息

Abredari Hamid, Bolourchifard Fariba, Rassouli Maryam, Nasiri Navideh, Taher Mohammad, Abedi Ahmadreza

机构信息

MSN, BSN, RN, of Nursing, Academic Member of Saveh University of Medical Sciences & Kaveh Industrial Estate Company, Saveh, Iran.

PhD in Nursing, Assistant Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Med J Islam Repub Iran. 2015 Oct 26;29:283. eCollection 2015.

Abstract

BACKGROUND

Diabetic foot affects more than 25% of diabetic patients and finally up to 20% of cases result in amputation. The most important factor resulting in severe complications or even death is lack of self-care. Health locus of control has been introduced as one of health factors and predicting factors of self-care. This research was performed for analyzing the correlation between self-care behaviors and health locus of control in diabetic foot patients.

METHODS

In this descriptive study, 120 patients with diabetic foot were chosen using convenience sampling from endocrine clinic and wards of endocrine and vascular surgery of Teleqani Hospital of Shahid Beheshti Medical University. The data were gathered by demographic, self-care behavior, and health locus of control questionnaires. The t-test, analysis of variance (ANOVA) and spearman coefficient were used to analyze the data.

RESULTS

RESULTS of this research showed that there is a direct and significant relation between selfcare behaviors and internal health locus of control (p<0.001), and also in contrast with chance health locus of control (p<0.001).

CONCLUSION

We have to consider these factors' role in nursing interventions and patient-care education programs and plans. Probably, interventions and programs that will lead to the strengthening of internal health locus of control improve and strengthen patients' self-care behaviors and their involvement in treatment.

摘要

背景

糖尿病足影响超过25%的糖尿病患者,最终高达20%的病例导致截肢。导致严重并发症甚至死亡的最重要因素是缺乏自我护理。健康控制点已被引入作为健康因素和自我护理的预测因素之一。本研究旨在分析糖尿病足患者自我护理行为与健康控制点之间的相关性。

方法

在这项描述性研究中,采用便利抽样的方法,从沙希德·贝赫什提医科大学Teleqani医院内分泌科门诊及内分泌和血管外科病房选取了120例糖尿病足患者。通过人口统计学、自我护理行为和健康控制点问卷收集数据。采用t检验、方差分析(ANOVA)和斯皮尔曼系数分析数据。

结果

本研究结果表明,自我护理行为与内部健康控制点之间存在直接且显著的关系(p<0.001),与机遇健康控制点相反(p<0.001)。

结论

我们必须考虑这些因素在护理干预以及患者护理教育计划和方案中的作用。可能,那些能够增强内部健康控制点的干预措施和方案会改善并加强患者的自我护理行为及其对治疗的参与度。

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