影响糖尿病患者足部护理行为的因素：综合文献回顾。
Factors influencing foot care behaviour among patients with diabetes: An integrative literature review.
机构信息
Department of Nursing Administration, Kwong Wai Shiu Hospital, Singapore, Singapore.
Curtin School of Nursing, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
出版信息
Nurs Open. 2023 Jul;10(7):4216-4243. doi: 10.1002/nop2.1710. Epub 2023 Mar 27.
AIM
The aim of the study was to examine factors influencing diabetic foot care behaviours (DFCBs) among patients with diabetes.
DESIGN
An Integrative review using the Whittemore & Knafl five-stage framework.
METHODS
A systematic search was performed to retrieve relevant peer-reviewed literature published in English between 2011 and 2021 across three electronic databases: CINAHL, Medline (PubMed) and Scopus. Following the quality appraisal, 35 papers were included in this review.
RESULTS
This review revealed that patients' DFCBs were suboptimal. Additionally, four emerging themes were identified as the predictors of DFCB, namely: demographic characteristics as predictors of diabetic foot care behaviour; illness beliefs and perceptions as predictors of diabetic foot care behaviour; foot care knowledge as a predictor of diabetic foot care behaviour and foot care education as a predictor of diabetic foot care behaviour. This calls for nurses to devise educational strategies that adequately address these determinants to drive long-term positive DFCB among patients.
目的
本研究旨在探讨影响糖尿病患者足部护理行为（DFCB）的因素。
设计
使用 Whittemore 和 Knafl 五阶段框架进行综合回顾。
方法
系统检索了 2011 年至 2021 年期间在三个电子数据库（CINAHL、Medline（PubMed）和 Scopus）中以英文发表的相关同行评审文献。经过质量评估，共有 35 篇论文纳入本综述。
结果
本综述显示，患者的 DFCB 并不理想。此外，确定了四个新出现的主题，作为 DFCB 的预测因素，即：人口统计学特征是糖尿病足护理行为的预测因素；疾病信念和认知是糖尿病足护理行为的预测因素；足部护理知识是糖尿病足护理行为的预测因素；足部护理教育是糖尿病足护理行为的预测因素。这就要求护士制定教育策略，充分解决这些决定因素，以推动患者长期积极的 DFCB。
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