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沙特阿拉伯阿西尔地区糖尿病患者对糖尿病足风险的认知、态度及行为

Knowledge, Attitude and Practice Regarding Risk of Diabetic Foot Among Diabetic Patients in Aseer Region, Saudi Arabia.

作者信息

Al Amri Ali M, Shahrani Ibarhim M, Almaker Yazan A, Alshehri Daher M, Argabi Mohammed A, Alghamidi Fouad A, Alqahtani Yahya Z

机构信息

Family Medicine & Diabetes, Asir Central Hospital, Abha, SAU.

College of Medicine, King Khalid University, Abha, SAU.

出版信息

Cureus. 2021 Oct 14;13(10):e18791. doi: 10.7759/cureus.18791. eCollection 2021 Oct.

Abstract

Background Diabetic foot care is vital as it is preventable complication but dangerous even a small trauma can end with serious consequences. Diabetes may cause nerve damage that affects feet sensation. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, patients may lose notice of early foot abnormalities. Diabetic patients' awareness regarding how to care for their feet plays a significant role in preventing these complications. Methods A correlation cross-sectional study was conducted targeting all diabetic patients aging 20 years or more. Online questionnaire was used for data collection. Questionnaire was uploaded online using social media platforms by the researchers and their relatives and friends. The questionnaire included patient personal data, patients' knowledge regarding diabetic foot, attitude and practice regarding the risk of diabetic foot among diabetic patients. Results A total of 1,000 diabetic patients fulfilling the inclusion criteria completed the study questionnaire. Exact of 77.5% of the patients know that Diabetics can get gangrene in the foot, 74.9% know diabetics can develop ulcers in the foot, 66.7% reported that Diabetes can reduce blood flow to the feet of diabetic patients, 66.6% agreed that diabetic patients can suffer from a lack of sensation in the feet. Exact of 84.5% of the study participants agreed that Diabetics should check for any wounds on their feet daily, 78.7% agreed that Diabetics should visit a doctor when there is any infection or wound in the feet, 76.6% think that diabetic patients should wear specialized shoes to avoid diabetic foot according to the doctor's instructions. A total of 822 (82.2%) of the study patients wash their feet daily, and 295 (29.5%) usually wear cotton socks regularly and 39.6% sometimes wear the stock. Only 192 (19.2%) regularly walk barefoot and 41.7% sometimes do. Conclusion In conclusion, the current study results showed that nearly two out of each three diabetic patients were knowledgeable for diabetic foot and its care. High knowledge was associated with young age, high education and having family member with diabetes mellitus (DM). Also, patients had a good attitude towards diabetic foot care and the effect of diabetes on foot health with to some level accepted practice except for some issues.

摘要

背景

糖尿病足护理至关重要,因为它是一种可预防的并发症,但即使是小创伤也可能导致严重后果,十分危险。糖尿病可能导致神经损伤,影响足部感觉。糖尿病还可能减少足部的血液流动,使伤口更难愈合或抵抗感染。由于这些问题,患者可能会忽视早期足部异常。糖尿病患者对足部护理的认知在预防这些并发症方面起着重要作用。方法:针对所有20岁及以上的糖尿病患者进行了一项相关性横断面研究。使用在线问卷进行数据收集。研究人员及其亲朋好友通过社交媒体平台将问卷上传至网上。问卷包括患者个人数据、患者对糖尿病足的了解、糖尿病患者对糖尿病足风险的态度和做法。结果:共有1000名符合纳入标准的糖尿病患者完成了研究问卷。确切地说,77.5%的患者知道糖尿病患者足部会发生坏疽,74.9%的患者知道糖尿病患者足部会出现溃疡,66.7%的患者报告糖尿病会减少糖尿病患者足部的血液流动,66.6%的患者同意糖尿病患者足部会出现感觉缺失。确切地说,84.5%的研究参与者同意糖尿病患者应每天检查足部是否有伤口,78.7%的患者同意足部有任何感染或伤口时应就医,76.6%的患者认为糖尿病患者应按照医生的指示穿特制鞋子以避免糖尿病足。共有822名(82.2%)研究患者每天洗脚,295名(29.5%)患者通常定期穿棉袜,39.6%的患者有时穿长袜。只有192名(19.2%)患者经常光脚走路,41.7%的患者有时光脚走路。结论:总之,当前研究结果表明,每三名糖尿病患者中近有两人了解糖尿病足及其护理知识。高认知度与年轻、高学历以及有糖尿病家族史相关。此外,患者对糖尿病足护理以及糖尿病对足部健康的影响态度良好,在某些问题上有一定程度的可接受做法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/704f/8592378/9ae64bcf8fa2/cureus-0013-00000018791-i01.jpg

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