Rovers F J, Van Netten J J, Busch-Westbroek T E, Aan de Stegge W B, Bus S A
Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, 1234University of Amsterdam, Amsterdam, The Netherlands.
Int J Low Extrem Wounds. 2022 Jul 15:15347346221114565. doi: 10.1177/15347346221114565.
We aimed to investigate adherence to at-home monitoring of foot temperature and its association with patient-, disease- and behavior-related factors, in people with diabetes at high risk of ulceration. We analyzed 151 participants in the enhanced therapy arm of the DIATEMP trial (all at high diabetes-related foot ulcer risk) who aimed to perform and log foot temperatures daily for 18 months or until ulceration. Adherence was the proportion of measurement days covered (PDC), with being adherent defined as PDC≥70%. If a hotspot was recorded, adherence to subsequently reducing ambulatory activity was assessed. Multivariate logistic regression analysis was performed to investigate associations with adherence. We found ninety-four participants (62.3%) adherent to measuring foot temperatures. This was higher in months 1-3 versus months 4-18: 118 (78.1%) versus 78 (57.4%; < .001). Of 83 participants with a hotspot, 24 (28.9%) reduced ambulatory activity. Increasing age ( = .021, OR = 1.045) and better self-care ( = .007, OR = 1.513) were positively associated with adherence to measuring foot temperature. In conclusion, in people at high diabetes-related foot ulcer risk, adherence to measuring foot temperature was high in the first months after study commencing, but dropped over time. Adherence to reducing ambulatory activity when a hotspot was found was low over the entire study period.
我们旨在调查糖尿病足溃疡高危患者对居家足部温度监测的依从性及其与患者、疾病和行为相关因素的关联。我们分析了DIATEMP试验强化治疗组中的151名参与者（均为糖尿病相关足部溃疡高危患者），他们旨在每天测量并记录足部温度，为期18个月或直至发生溃疡。依从性是指测量天数覆盖比例（PDC），依从定义为PDC≥70%。如果记录到热点，则评估随后减少日常活动的依从性。进行多变量逻辑回归分析以研究与依从性的关联。我们发现94名参与者（62.3%）依从足部温度测量。第1 - 3个月的依从性高于第4 - 18个月：118名（78.1%）对78名（57.4%；P < 0.001）。在83名有热点的参与者中，24名（28.9%）减少了日常活动。年龄增加（P = 0.021，OR = 1.045）和更好的自我护理（P = 0.007，OR = 1.513）与足部温度测量的依从性呈正相关。总之，在糖尿病相关足部溃疡高危患者中，研究开始后的头几个月对足部温度测量的依从性较高，但随时间下降。在整个研究期间，发现热点时减少日常活动的依从性较低。
