Knowles E A, Boulton A J
Manchester Diabetes Centre, UK.
Diabet Med. 1996 Dec;13(12):1064-8. doi: 10.1002/(SICI)1096-9136(199612)13:12<1064::AID-DIA253>3.0.CO;2-#.
Ill-fitting shoes are a common cause of foot ulceration in people with diabetes mellitus and prescribed footwear is used to prevent and treat such lesions. However, footwear is only effective if worn and the shoes supplied have to be acceptable to the patient. A study of patients who were supplied with footwear at a diabetic foot clinic was conducted using face-to-face interviews and a structured questionnaire, to assess footwear usage and patient preference. Of the 50 subjects who participated, only 11 (22%) regularly wore their prescribed footwear and 19 (38%) subjects wore slippers indoors. Only 12 subjects (24%) were aware of the cost of their shoes. Most subjects were happy with their footwear and the service which was provided, whereas 9 (18%) disliked the style of their shoes and stated that they were not cosmetically acceptable. Thus, although expensive footwear is supplied to patients to prevent and treat foot ulcers, it may not be used as intended. If shoes are to be worn, a wider choice of footwear should be available to the wearer.
不合脚的鞋子是糖尿病患者足部溃疡的常见原因，而定制的鞋类用于预防和治疗此类损伤。然而，只有在穿着的情况下鞋类才有效，而且提供的鞋子必须为患者所接受。在一家糖尿病足诊所，通过面对面访谈和结构化问卷对接受鞋类供应的患者进行了一项研究，以评估鞋类的使用情况和患者偏好。在参与研究的50名受试者中，只有11名（22%）经常穿着他们定制的鞋类，19名（38%）受试者在室内穿拖鞋。只有12名受试者（24%）知道他们鞋子的费用。大多数受试者对他们的鞋类和所提供的服务感到满意，而9名（18%）受试者不喜欢他们鞋子的款式，并表示这些鞋子在美观上不可接受。因此，尽管为患者提供了昂贵的鞋类以预防和治疗足部溃疡，但它可能并未按预期使用。如果要让患者穿鞋子，应该为穿着者提供更多款式的鞋类选择。
