Kim Byung Kwan, Kim Hye Young, Jin Heung Yong, Kim Hyuk Joon
College of Nursing, Jeonbuk National University, Jeonju, Republic of Korea.
College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea.
Nurs Health Sci. 2025 Jun;27(2):e70139. doi: 10.1111/nhs.70139.
This study explored factors influencing foot self-care behaviors across adherence in patients with a diabetic foot ulcers history using quantile regression analysis. A descriptive cross-sectional design was employed, and 130 patients receiving outpatient treatment at a tertiary hospital in South Korea were recruited through convenience sampling. Data were collected between August 18, 2022, and November 4, 2022, using a structured questionnaire. Quantile regression revealed that foot care knowledge significantly influenced all quantiles (10%, 25%, 50%, 75%, 90%). Stigma impacted middle and upper quantiles (50%, 75%, 90%), while severe depression was significant in the upper quantiles (75%, 90%). Social support influenced all quantiles except the 10% quantile (25%, 50%, 75%, 90%). The explanatory power for the quantiles ranged from 24.4% to 28.8%. The findings emphasize the importance of considering influencing factors across different levels of foot self-care behaviors when designing tailored interventions. Enhancing foot self-care behaviors is critical for patients with a history of diabetic foot ulcers, and interventions based on these results can serve as effective strategies to promote self-care and prevent further complications.
本研究采用分位数回归分析，探讨了影响有糖尿病足溃疡病史患者足部自我护理行为依从性的因素。采用描述性横断面设计，通过便利抽样在韩国一家三级医院招募了130名接受门诊治疗的患者。2022年8月18日至2022年11月4日期间，使用结构化问卷收集数据。分位数回归显示，足部护理知识对所有分位数（10%、25%、50%、75%、90%）均有显著影响。耻辱感影响中间和较高分位数（50%、75%、90%），而重度抑郁在较高分位数（75%、90%）中显著。社会支持影响除10%分位数外的所有分位数（25%、50%、75%、90%）。分位数的解释力在24.4%至28.8%之间。研究结果强调了在设计针对性干预措施时，考虑不同水平足部自我护理行为影响因素的重要性。增强足部自我护理行为对有糖尿病足溃疡病史的患者至关重要，基于这些结果的干预措施可作为促进自我护理和预防进一步并发症的有效策略。
