Sezgunsay Emine, Urkan Murat, Deveci Mustafa
Izmir University of Economics, Faculty of Health Sciences, Department of Nursing, Izmir, Turkey.
Acibadem Bodrum Hospital, General Surgery, Mugla, Turkey.
J Tissue Viability. 2025 May;34(2):100885. doi: 10.1016/j.jtv.2025.100885. Epub 2025 Mar 10.
This study aimed to explore the connection between demographic characteristics, diabetes-related knowledge, foot self-care behaviors, and self-efficacy levels in individuals with diabetic foot ulcers. Additionally, it investigated whether there is a correlation between foot care behaviors and self-efficacy levels among these individuals.
This descriptive and cross-sectional study was conducted with individuals who applied to a training and research hospital with a diabetic foot ulcer and received treatment between October 2019 and October 2020. Data were collected through the Patient Identification Characteristics Form, the Diabetes Management Self-Efficacy Scale, and the Foot Self-Care Behavior Scale. Percentage, mean, Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation analysis were used to analyze the data.
The mean self-efficacy score among individuals with diabetic foot ulcers was 68.39 ± 14.03, while the mean foot self-care behavior score was 59.10 ± 10.13. Previous diabetes education, regular exercise, and educational status significantly influenced scores on both scales. Furthermore, a positive linear relationship was observed between foot self-care behaviors and self-efficacy levels in individuals with diabetic foot.
To enhance self-efficacy levels and promote foot self-care behaviors in individuals with diabetic foot ulcers, continuous education, and regular follow-up examinations are essential. Providing tailored care based on demographic characteristics and evolving health conditions related to diabetes is expected to reduce complications effectively.
本研究旨在探讨糖尿病足溃疡患者的人口统计学特征、糖尿病相关知识、足部自我护理行为和自我效能水平之间的联系。此外，还调查了这些患者的足部护理行为与自我效能水平之间是否存在相关性。
本描述性横断面研究针对2019年10月至2020年10月期间到一家培训和研究医院就诊并接受治疗的糖尿病足溃疡患者进行。通过患者识别特征表、糖尿病管理自我效能量表和足部自我护理行为量表收集数据。采用百分比、均值、曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和斯皮尔曼相关性分析对数据进行分析。
糖尿病足溃疡患者的自我效能平均得分为68.39±14.03，而足部自我护理行为平均得分为59.10±10.13。既往糖尿病教育、规律运动和教育程度对两个量表的得分均有显著影响。此外，观察到糖尿病足患者的足部自我护理行为与自我效能水平之间存在正线性关系。
为提高糖尿病足溃疡患者的自我效能水平并促进其足部自我护理行为，持续教育和定期随访检查至关重要。根据人口统计学特征和与糖尿病相关的健康状况变化提供个性化护理有望有效减少并发症。
