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内分泌科医护人员对糖尿病前期足部溃疡病变筛查的知识、态度和实践。

Knowledge, attitudes, and practice of Endocrinology healthcare workers regarding screening for pre-ulcerative diabetic foot lesions.

作者信息

Wang Honglin, Luo Wenjing, Ye Ying, Li Na, Li Xinyi, Fu Xiaoai, Yu Ling, Hu Ting, Dai Weiwei, Zhou Qiuhong

机构信息

Xiangya Nursing School of Central South University, Changsha, 410013, China.

Abdominal Oncology Ward, Division of Medical Oncology, Cancer Center, West China Hospital, Sichuan University, 610041, Chengdu, China.

出版信息

J Tissue Viability. 2023 Nov;32(4):472-479. doi: 10.1016/j.jtv.2023.07.005. Epub 2023 Jul 29.

Abstract

OBJECTIVE

To investigate knowledge, attitude and practice of screening pre-ulcerative lesions among endocrinology healthcare workers.

METHODS

A new questionnaire was developed and distributed online and 1004 valid questionnaires were returned. T-test, ANOVA, Pearson correlation analysis, and multiple linear regression were used for statistical analysis.

RESULTS

A total of 1100 questionnaires were returned, and 96 were excluded. The scores of endocrinology healthcare workers' knowledge, attitude, and practice for screening for pre-ulcerative lesions were 45.46 ± 16.26, 92.11 ± 10.50, and 72.27 ± 17.63 respectively. 60.2% participants had been trained to screen for pre-ulcerative lesions, but 39.8% had not been trained. 31.8% of healthcare professionals claimed that their hospital did not have a screening project for pre-ulcer diabetic foot lesions. Positive relationships were found between knowledge and practice and between attitude and practice. Multiple linear regression analysis showed that: level II hospital and tertiary hospital were the main factors influencing the knowledge scores; Undergraduate and participating in relevant training were the main factors influencing the attitude scores; participating in relevant training, hospital conducts relevant projects, and patient cooperation, and working hours were the main factors influencing the practice score.

CONCLUSIONS

Endocrinology healthcare workers need more knowledge regarding pre-ulcerative lesions, and their screening practices need to be strengthened. Increased education and training for pre-ulcerative lesion screening should be implemented among healthcare workers in endocrinology departments.

摘要

目的

调查内分泌科医护人员对溃疡性前期病变筛查的知识、态度和实践情况。

方法

设计并在线发放一份新问卷,共回收1004份有效问卷。采用t检验、方差分析、Pearson相关分析和多元线性回归进行统计分析。

结果

共回收问卷1100份,排除96份。内分泌科医护人员对溃疡性前期病变筛查的知识、态度和实践得分分别为45.46±16.26、92.11±10.50和72.27±17.63。60.2%的参与者接受过溃疡性前期病变筛查培训,39.8%未接受过培训。31.8%的医护人员称其所在医院没有糖尿病足溃疡性前期病变筛查项目。知识与实践、态度与实践之间呈正相关。多元线性回归分析显示:二级医院和三级医院是影响知识得分的主要因素;本科及参与相关培训是影响态度得分的主要因素;参与相关培训、医院开展相关项目、患者配合以及工作时长是影响实践得分的主要因素。

结论

内分泌科医护人员需要更多关于溃疡性前期病变的知识,其筛查实践有待加强。应在内分泌科医护人员中加强溃疡性前期病变筛查的教育培训。

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