Pham D T, Fortin F, Thibaudeau M F
Diabetes Educ. 1996 Mar-Apr;22(2):126-32. doi: 10.1177/014572179602200205.
This study involving 76 amputated patients with non-insulin-dependent diabetes mellitus examined the relationship between their beliefs regarding diabetes and its treatment and their self-evaluation of adherence to diabetes self-care behaviors. Descriptive results showed a high level of adherence to medication, foot care, and blood glucose testing, and a low level of adherence to diet and exercise. The correlative analysis revealed significant relationships between perceived social support and adherence to diet, and between perceived social support, barriers, and adherence to the practice of exercise. The regression analysis showed a significant influence of perceived social support on adherence to diet. The same relationship was observed for the influence of perceived social support and barriers on adherence to exercise. Findings support the importance of giving more attention to patients' needs regarding adherence to diet and exercise, improving social support, and removing barriers to patients' treatment. After an amputation it is important to provide patients with an appropriate diabetes teaching and follow-up program.
这项研究纳入了76名非胰岛素依赖型糖尿病截肢患者，探讨了他们对糖尿病及其治疗的认知与糖尿病自我护理行为依从性自我评价之间的关系。描述性结果显示，患者在药物治疗、足部护理和血糖检测方面的依从性较高，而在饮食和运动方面的依从性较低。相关性分析表明，感知到的社会支持与饮食依从性之间存在显著关系，感知到的社会支持、障碍与运动依从性之间也存在显著关系。回归分析显示，感知到的社会支持对饮食依从性有显著影响。感知到的社会支持和障碍对运动依从性的影响也呈现出相同的关系。研究结果支持了更加关注患者在饮食和运动依从性方面的需求、改善社会支持以及消除患者治疗障碍的重要性。截肢后，为患者提供适当的糖尿病教育和随访计划非常重要。
