Algethami Abdulmajeed, Mustafa Mohamad, Lockhart Michael, Reilly Lauren, McKearney Emma, Fortune Kelly, Siddique Najia, Kyaw-Tun Tommy, Sreenan Seamus, McDermott John Hubert
Medicine Department, College of Medicine, Taif University, Taif, Saudi Arabia.
Academic Department of Endocrinology & Diabetes Mellitus, Connolly Hospital Blanchardstown and Royal College of Surgeons in Ireland, Dublin, Ireland.
Ir J Med Sci. 2024 Dec;193(6):2791-2796. doi: 10.1007/s11845-024-03807-1. Epub 2024 Sep 25.
Diabetic foot disease is associated with significant morbidity and mortality. Patients at high risk of developing diabetic foot disease can reduce their risk, however, by practicing appropriate foot self-care behaviours. Despite this fact, and often despite education regarding appropriate foot care, patients frequently engage in risky foot care practices which place them at risk of foot ulceration.
We aimed to assess knowledge of appropriate foot care behaviours in a cohort of Irish patients at high risk of developing diabetic foot disease attending a multidisciplinary foot clinic, and to assess foot self-care practice. We also aimed to determine predictors for suboptimal self-care behaviour.
A questionnaire-based cohort study.
A multi-aspect questionnaire was designed by the diabetes foot care team, based on the principles of good foot care and the education provided to patients attending the diabetes podiatry clinic.
One hundred forty-three participants with high-risk feet completed a questionnaire exploring foot care knowledge and practice. The responses revealed suboptimal foot care knowledge and practice. Participants frequently engaged in risky foot care practices, and were unable to consistently identify appropriate footwear for high-risk feet. Predictors of good foot care included a history of prior ulceration, podiatry attendance, microvascular complications of diabetes, and longer duration of diabetes.
In this cohort of Irish patients with high-risk feet, foot care knowledge and practice varied widely. Participants frequently engaged in high-risk behaviours despite prior education. Improved strategies to impart diabetic foot care advice to patients with diabetes and high-risk feet are urgently required.
糖尿病足病与显著的发病率和死亡率相关。然而，有患糖尿病足病高风险的患者通过采取适当的足部自我护理行为可以降低风险。尽管如此，并且常常尽管接受了关于适当足部护理的教育，患者仍频繁地采取有风险的足部护理做法，这使他们面临足部溃疡的风险。
我们旨在评估一组参加多学科足部诊所、有患糖尿病足病高风险的爱尔兰患者对适当足部护理行为的知晓情况，并评估足部自我护理实践。我们还旨在确定自我护理行为欠佳的预测因素。
一项基于问卷的队列研究。
糖尿病足部护理团队根据良好足部护理原则以及向糖尿病足病诊所患者提供的教育内容，设计了一份多方面的问卷。
143名足部有高风险的参与者完成了一份探索足部护理知识和实践的问卷。回答显示足部护理知识和实践欠佳。参与者频繁地采取有风险的足部护理做法，并且不能始终确定适合高风险足部的鞋类。良好足部护理的预测因素包括既往溃疡病史、就诊足病科、糖尿病微血管并发症以及糖尿病病程较长。
在这组足部有高风险的爱尔兰患者中，足部护理知识和实践差异很大。尽管之前接受过教育，参与者仍频繁地采取高风险行为。迫切需要改进向糖尿病和足部有高风险的患者传授糖尿病足护理建议的策略。
