School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Department of Endocrinology and Metabolism, Linkou Branch, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Int J Nurs Pract. 2021 Dec;27(6):e12950. doi: 10.1111/ijn.12950. Epub 2021 Apr 29.
To explore the factors related to hospital-to-home transitional self-monitoring blood glucose behaviour among patients with diabetes-related foot ulcer.
The 30-day readmission rate of patients with diabetes-related foot ulcer can be reduced when good glycaemic control is achieved. The practice of self-monitoring blood glucose promotes optimal glycaemic control.
A comparative descriptive study.
In this study, 200 participants, who had been hospitalized due to diabetes-related foot ulcer, were recruited from August 2017 to July 2018. Before participants were discharged from the hospital, psychosocial factors (family support, threat belief, self-efficacy and knowledge) and pre-hospitalization self-monitoring blood glucose behaviour were collected using a structured questionnaire. Then, after discharge, self-monitoring blood glucose behaviour delivery was collected again.
Five variables explained 47% of the variance in the delivery of self-monitoring of blood glucose at home. The delivery of hospital-to-home transitional self-monitoring blood glucose behaviour was more likely for individuals with higher pre-discharge self-efficacy, higher post-discharge self-efficacy, more attention to pre-hospitalization glycaemic status and post-discharge insulin usage and those without an insensitive foot.
Self-monitoring blood-glucose behaviour should be promoted among post-discharge patients with diabetes-related foot ulcer. The modifiable factors identified in this study can be integrated into the discharge plan.
探讨与糖尿病相关足部溃疡患者从医院到家庭过渡期间自我监测血糖行为相关的因素。
当血糖控制良好时，可以降低糖尿病相关足部溃疡患者的 30 天再入院率。自我监测血糖的实践可以促进最佳血糖控制。
比较描述性研究。
本研究共纳入 200 名因糖尿病相关足部溃疡住院的患者，他们于 2017 年 8 月至 2018 年 7 月期间被招募。在患者出院前，使用结构化问卷收集心理社会因素（家庭支持、威胁信念、自我效能和知识）和住院前自我监测血糖行为等数据。然后，在出院后再次收集自我监测血糖行为的实施情况。
五个变量解释了 47%的在家中自我监测血糖行为实施的差异。具有较高出院前自我效能、较高出院后自我效能、更关注住院前血糖状态和出院后胰岛素使用情况且足部无感觉迟钝的个体更有可能实施从医院到家庭的过渡期间自我监测血糖行为。
应在糖尿病相关足部溃疡出院患者中推广自我监测血糖行为。本研究中确定的可改变因素可以整合到出院计划中。
