a Department of Psychology & Counselling , University of Chichester , Chichester , UK.
Psychol Health. 2018 Sep;33(9):1191-1207. doi: 10.1080/08870446.2018.1481215. Epub 2018 Jun 1.
People with type 2 diabetes (T2DM) should check their feet and protect them against harm, but few do. Living with a spouse contributes to good foot care behaviour. This study explores awareness, perceived susceptibility of, and concern about, foot problems, and reported foot care behaviour, and ways in which a spouse may or may not contribute to foot care in T2DM.
1:1 interviews were conducted with 6 individuals with T2DM. Half had a spouse half did not. There was one person at low, medium and high risk in each sample. Each spouse participated in a separate interview, and the dyads were interviewed together. Interviews were analysed using Applied Thematic Analysis.
All participants knew that diabetes was associated with foot problems. Not all people with T2DM thought that they were susceptible; spouses perceived greater susceptibility for the patient. This was unrelated to risk level. Most people with T2DM and all spouses engaged in behaviour to identify problems or protect feet, but rarely both. Spouses' attitude and behaviour did influence the patients' own behaviour. At times spouse support was perceived positively, and at times negatively.
Engaging spouses in foot care education may improve foot care behaviour.
2 型糖尿病（T2DM）患者应检查自己的脚并保护其免受伤害，但很少有人这样做。与配偶一起生活有助于养成良好的足部护理行为。本研究探讨了 T2DM 患者对足部问题的意识、感知易感性和关注程度，以及报告的足部护理行为，以及配偶可能或不可能对足部护理做出贡献的方式。
对 6 名 T2DM 患者进行了 1:1 访谈。其中一半有配偶，另一半没有。每个样本中都有一个处于低、中、高风险的人。每位配偶都参加了单独的访谈，并且对夫妇进行了联合访谈。使用应用主题分析对访谈进行了分析。
所有参与者都知道糖尿病与足部问题有关。并非所有 T2DM 患者都认为自己易受影响；配偶认为患者的易感性更大。这与风险水平无关。大多数 T2DM 患者和所有配偶都采取了识别问题或保护脚部的行为，但很少同时采取这两种行为。配偶的态度和行为确实会影响患者自己的行为。有时配偶的支持被认为是积极的，有时则是消极的。
让配偶参与足部护理教育可能会改善足部护理行为。
