Kang Younhee, Park Inkyung
Graduate Program in System Health Science and Engineering, College of Nursing, Ewha Womans University, Seoul, Republic of Korea.
College of Nursing, Ewha Womans University, Seoul, Republic of Korea.
J Clin Nurs. 2025 Jun;34(6):2163-2170. doi: 10.1111/jocn.17380. Epub 2024 Aug 2.
Diabetic neuropathy is the most common chronic complication observed in patients with diabetes and has significant clinical implications, such as decreased quality of life and increased morbidity and mortality rates. Studies on the factors affecting diabetes self-care activities pertaining to patients with diabetic neuropathy are limited. Therefore, a more in-depth study targeting individuals with diabetic neuropathy is required to develop patient-centred nursing interventions.
This study aimed to identify diabetes self-care activities among patients with diabetic neuropathy and determine their correlates.
This study employed a descriptive correlational design and the study subjects consisted of 99 patients with diabetic neuropathy. Descriptive statistics and hierarchical regression analyses were used to analyse the factors affecting diabetes self-care activities. This study follows the STROBE guidelines to ensure rigorous reporting of cross-sectional studies.
Our findings revealed positive correlations between diabetes self-care activities and factors including knowledge of diabetes foot care, diabetes foot care practices, interpretation of diabetic neuropathy and foot care confidence. Foot care confidence positively correlated with diabetes foot care knowledge, practices and interpretation of neuropathy, but negatively related to diabetic stress. In determining the impact of these factors on diabetes self-care activities, hierarchical regression analysis revealed that patients with higher diabetes foot care practices and foot care confidence demonstrated higher levels of diabetes self-care activities.
The study findings confirmed that diabetic foot care practices and foot care confidence significantly influenced self-care activities in patients with diabetic neuropathy. Considering these results, customizing the intervention content to match diabetic foot care practices and diabetic foot care confidence can enhance self-care activities in patients with diabetic neuropathy.
Survey questionnaires were completed by patients with diabetic neuropathy in this study.
糖尿病神经病变是糖尿病患者中最常见的慢性并发症，具有重大的临床意义，如生活质量下降以及发病率和死亡率增加。关于影响糖尿病神经病变患者糖尿病自我护理活动的因素的研究有限。因此，需要针对糖尿病神经病变患者进行更深入的研究，以制定以患者为中心的护理干预措施。
本研究旨在确定糖尿病神经病变患者的糖尿病自我护理活动，并确定其相关因素。
本研究采用描述性相关性设计，研究对象包括99例糖尿病神经病变患者。采用描述性统计和分层回归分析来分析影响糖尿病自我护理活动的因素。本研究遵循STROBE指南，以确保横断面研究的严格报告。
我们的研究结果显示，糖尿病自我护理活动与糖尿病足护理知识、糖尿病足护理实践、糖尿病神经病变的解读和足部护理信心等因素之间存在正相关。足部护理信心与糖尿病足护理知识、实践和神经病变的解读呈正相关，但与糖尿病压力呈负相关。在确定这些因素对糖尿病自我护理活动的影响时，分层回归分析显示，糖尿病足护理实践和足部护理信心较高的患者表现出较高水平的糖尿病自我护理活动。
研究结果证实，糖尿病足护理实践和足部护理信心对糖尿病神经病变患者的自我护理活动有显著影响。考虑到这些结果，根据糖尿病足护理实践和糖尿病足护理信心定制干预内容，可以增强糖尿病神经病变患者的自我护理活动。
本研究中的糖尿病神经病变患者完成了调查问卷。
