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护士对糖尿病足预防的评估

Assessment of Diabetic Foot Prevention by Nurses.

作者信息

Hidalgo-Ruiz Sonia, Ramírez-Durán María Del Valle, Basilio-Fernández Belinda, Alfageme-García Pilar, Fabregat-Fernández Juan, Jiménez-Cano Víctor Manuel, Clavijo-Chamorro Maria Zoraida, Gomez-Luque Adela

机构信息

Department of Nursing, University of Extremadura, 10600 Plasencia, Spain.

Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, 10004 Cáceres, Spain.

出版信息

Nurs Rep. 2023 Jan 9;13(1):73-84. doi: 10.3390/nursrep13010008.

Abstract

Diabetic foot is a severe complication of diabetes, with serious consequences such as amputations and high mortality rates as well as elevated economic costs. To evaluate whether or not nursing staff follow the recommendations of national and international organizations regarding diabetic foot prevention, a cross-sectional and observational descriptive study was carried out using an ad hoc self-administered questionnaire validated by seven experts, with a Cronbach's alpha of 0.731. Of the total 164 participants, 157 met the inclusion criteria. Findings showed that 96.58% asked their patients to remove their footwear, 78.34% performed thorough examinations, and 80.25% assessed the risk of developing diabetic foot. Participants educated their patients in self-care and evaluated skills related to diabetic foot control either frequently (84.07%) or very frequently (62.42%), and only 19.11% of them carried out group activity workshops. Significant statistical differences were found in the performance of activities in the groups by participant age intervals, whether working in primary health care or a hospital, having specific training, and the participant's DM patient ratio. We obtained high percentages of compliance in the assessed activities in comparison to other studies. Nevertheless, we believe it is necessary to encourage screening in specialized care, skills testing, and the implementation of educational group activities and workshops.

摘要

糖尿病足是糖尿病的一种严重并发症,会导致截肢等严重后果,死亡率高,经济成本也高。为了评估护理人员是否遵循国家和国际组织关于糖尿病足预防的建议,我们开展了一项横断面观察性描述性研究,使用了一份由七位专家验证的专门自填式问卷,其Cronbach's alpha系数为0.731。在总共164名参与者中,157名符合纳入标准。结果显示,96.58%的人要求患者脱鞋,78.34%的人进行了全面检查,80.25%的人评估了患糖尿病足的风险。参与者经常(84.07%)或非常频繁(62.42%)地对患者进行自我护理教育并评估与糖尿病足控制相关的技能,只有19.11%的人开展了小组活动工作坊。在按参与者年龄区间、是否在初级卫生保健机构或医院工作、是否接受过专门培训以及参与者的糖尿病患者比例划分的组中,活动表现存在显著统计学差异。与其他研究相比,我们在所评估的活动中获得了较高的依从率。然而,我们认为有必要鼓励在专科护理中进行筛查、技能测试,并开展教育小组活动和工作坊。

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