Khunkaew Saneh, Fernandez Ritin, Sim Jenny
School of Nursing, University of Wollongong, New South Wales, Australia.
SAGE Open Nurs. 2019 Feb 12;5:2377960819825751. doi: 10.1177/2377960819825751. eCollection 2019 Jan-Dec.
Diabetic foot ulcers (DFUs) are a common complication of diabetes that impacts on the health-related quality of life (HRQOL). Foot care is an important factor in the self-care management of patients with DFUs. The objective of this study was to investigate the HRQOL and foot care management of people with DFUs. A cross-sectional study involving 41 people with DFUs was conducted at a large tertiary hospital in Northern Thailand. The Diabetic Foot Ulcer Scale-Short Form and the VA-Diabetes Foot Care Survey were used to assess the HRQOL and foot care management among people with DFUs. The majority of the participants were female ( = 24, 58.5%), and the mean age was 62.13 years. The scores for HRQOL in the six domains were as follows: leisure (66.95 ± 28.03), physical health (68.93 ± 28.51), dependence or daily life (80.08 ± 25.23), negative emotions (71.23 ± 29.48), worried about ulcers (62.20 ± 31.97), and bothered by ulcer care (69.36 ± 25.20). High scores indicate a high (good) HRQOL. Less than a third of the participants reported that they had received education about foot care management. Almost all participants reported that they washed their feet daily; however, a large proportion did not test the water temperature or use lubricants on their feet. Most of the participants did not have a mirror for checking under their feet (48.8%), and there was a lack of knowledge about how to use a mirror for foot inspections (51.2%). This study provides guidance for clinicians on the content and delivery of diabetes education programs for people with diabetes (and DFUs) in Northern Thailand. The findings provide guidance on existing knowledge and the need for programs to address barriers to foot self-care management both in terms of skills and attitudes.
糖尿病足溃疡（DFUs）是糖尿病常见的并发症，会影响与健康相关的生活质量（HRQOL）。足部护理是糖尿病足溃疡患者自我护理管理的一个重要因素。本研究的目的是调查糖尿病足溃疡患者的健康相关生活质量和足部护理管理情况。在泰国北部一家大型三级医院开展了一项横断面研究，纳入了41名糖尿病足溃疡患者。采用糖尿病足溃疡简易量表和VA糖尿病足部护理调查问卷来评估糖尿病足溃疡患者的健康相关生活质量和足部护理管理情况。大多数参与者为女性（n = 24，58.5%），平均年龄为62.13岁。六个领域的健康相关生活质量得分如下：休闲（66.95±28.03）、身体健康（68.93±28.51）、依赖或日常生活（80.08±25.23）、负面情绪（71.23±29.48）、担心溃疡（62.20±31.97）以及因溃疡护理而烦恼（69.36±25.20）。高分表明健康相关生活质量高（良好）。不到三分之一的参与者报告称他们接受过足部护理管理方面的教育。几乎所有参与者都报告称他们每天洗脚；然而，很大一部分人没有测试水温或在脚上使用润滑剂。大多数参与者没有镜子来查看脚下情况（48.8%），并且缺乏如何使用镜子进行足部检查的知识（51.2%）。本研究为泰国北部糖尿病（和糖尿病足溃疡）患者的糖尿病教育项目的内容和实施为临床医生提供了指导。研究结果为现有知识以及开展项目以解决足部自我护理管理在技能和态度方面的障碍的必要性提供了指导。
