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2型糖尿病患者自我效能及影响足部护理行为的因素研究

An Examination of the Self-Efficacy and Factors Influencing Foot Care Behaviors in Individuals with Type 2 Diabetes Mellitus.

作者信息

Dağcı Selma, Ören Besey, Özşenel Ekmel Burak

机构信息

Directorate of Public Hospitals Services-2, Istanbul Provincial Health Directorate, İstanbul, Turkiye.

University of Health Sciences, Hamidiye Faculty of Nursing, İstanbul, Turkiye.

出版信息

Int J Low Extrem Wounds. 2025 Sep;24(3):550-560. doi: 10.1177/15347346241296961. Epub 2024 Dec 12.

Abstract

The present descriptive study investigates the general and foot-care self-efficacy and the level of foot-care knowledge of 151 participants who presented to the internal medicine ward and diabetes nursing unit of a training and research hospital in Türkiye. The mean Diabetes Management Self-Efficacy Scale score of the participants was 69.0 ± 15.0 (min: 20, max: 100), the mean Diabetic Foot Care Self-Efficacy Scale score was 56.2 ± 23.1 (min: 9, max: 90) and the mean Diabetes Foot Self-Care Behavior Scale score was 51.5 ± 13.6 (min: 15, max: 75). The total Diabetes Management Self-Efficacy Scale, Diabetic Foot Care Self-Efficacy Scale and Diabetes Foot Self-Care Behavior Scale scores were noted to be higher in the participants who underwent regular health check-ups and used their medication regularly than in those who did not (p < 0.05). People with diabetes should be provided with counseling on the benefits of developing positive behaviors related to self-efficacy and foot self-care, and the prevention of wound development through education, support and the effective self-management of their condition.

摘要

本描述性研究调查了151名前往土耳其一家培训和研究医院内科病房及糖尿病护理单元的参与者的一般自我效能感、足部护理自我效能感以及足部护理知识水平。参与者的糖尿病管理自我效能量表平均得分为69.0±15.0(最小值:20,最大值:100),糖尿病足部护理自我效能量表平均得分为56.2±23.1(最小值:9,最大值:90),糖尿病足部自我护理行为量表平均得分为51.5±13.6(最小值:15,最大值:75)。结果发现,定期进行健康检查并规律用药的参与者在糖尿病管理自我效能量表、糖尿病足部护理自我效能量表和糖尿病足部自我护理行为量表上的总分高于未进行定期健康检查和规律用药的参与者(p<0.05)。应向糖尿病患者提供咨询服务,告知他们培养与自我效能感和足部自我护理相关的积极行为的益处,以及通过教育、支持和有效自我管理病情来预防伤口形成的重要性。

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