| Object:1.To understand the knowledge,attitude and behavior of diabetic foot disease prevention and control in community diabetic patients.2.To analyze the influencing factors of diabetes foot disease prevention and control among community diabetes patients,and provide scientific basis for health education and intervention.Subject and Methods:Stratified sampling method was used to identify the communities under investigation.A total of 8 communities were selected,such as:Dayi community,Ouqu community,Yetang community,urban areas of Changshou City,Jiangsu province and Baibuting community,Danshuiching community,Laodong community,Jinqiao community in the riverbank area of Wuhan City,Hebei province.In the eight communities,diabetes patients who participated in community diabetes and chronic disease management and had normal communicative ability were surveyed.A total of 2502 people were surveyed excluding severe acute and chronic diseases,other diseases causing peripheral nerve and peripheral vascular disease,or vascular surgery with lower extremities.To analyze the current status and influencing factors of diabetic foot disease in diabetic patients.The survey was a cross-sectional survey,which was divided into three parts:questionnaire survey,body measurement and laboratory test.1.Questionnaire survey:the investigation was performed with face to face questionnaire survey which included the demographic characteristics,lifestyle and behavior,the history of diabetes and other chronic disease,knowledge,attitude and behavior of diabetic foot disease prevention and control.Diabetic foot disease prevention and control knowledge including:basic knowledge of diabetic foot,diabetic foot risk factors,early symptoms of diabetic foot and diabetic foot proper foot care.The attitudes of diabetic foot disease prevention include:the attitude of checking foot by self,the foot hospital examination,participating in the community learning and management.The prevention and control of diabetes foot disease behavior Including:correct self-examination,hospital inspection,foot care behavior and choice of footwear.2.Physical measurement:including height,weight,blood pressure,and waist circumference.The height was measured by the Height gauge,the weight was measured by the electronic weight scale,the waist circumference was measured by the Waist circumference ruler,and the blood pressure was measured by the electronic sphygmomanometer.3.Laboratory test:use the automatic biochemical test instrument or semi automatic biochemical test instrument,hexokinase method.Fasting blood glucose monitoring required subjects to fasting more than 8h,serving 2 hours postprandial blood glucose monitoring meal requirements of the survey subjects in the collection of fasting blood glucose after 2 flour made of bread 2h postprandial test.The database was established by Epidata3.1,and the statistical analysis of the data was carried out by the SAS9.2 statistical software.Including(1)the description of basic situation of the demographic characteristics,knowledge,attitude and behavior;(2)knowledge awareness,attitude and behavior of the single factor influencing factors of,comprehensive knowledge,attitude and behavior score influence factors of single factor variance analysis;(3)knowledge awareness,attitude and behavior the correct rate of effect of non conditional logistic regression analysis on the factors of knowledge(4),the comprehensive score of attitude and behavior influence factor of the multiple linear regression analysis.The chi square test was used to analyze the influencing factors of knowledge awareness,the correct rate of attitude and behavior,and one-way ANOVA was used to analyze the influencing factors of knowledge,attitude and behavioral comprehensive score.The non-condition logistic regression was employed to analyze the influencing of knowledge awareness,the correctness rate of attitude and behavior.Multivariate linear regression analysis was used to analyze the influencing factors of knowledge,attitude and behavior comprehensive score.Result:1.The knowledge awareness of diabetic foot disease were low,most of the entries were about 30%,54.4%of diabetic patients had not heard of diabetic foot disease,75.41%of diabetics did not know to go to the hospital for annual foot examination,84.77%patients did not know the need of daily self-examination of their feet,the knowledge awareness rates of early symptoms of diabetic foot disease were between 13.15%-30.16%.Diabetic foot disease prevention attitude correct rate was high,and the correct rate of most of the items was about 70%.71.65%diabetic patients were willing to carry out self-examination every day.31.43%diabetic patients are not very willing to go to the hospital for annual foot check.The correct rate of protective behavior of diabetic foot disease was low,and the correct rate of the implementation of most of the behavior was below 60%.Only 30.15%insisted on daily inspection of their feet,up to 91.73%did not go to the hospital for annual foot check,only 14.85%of the respondents who had foot problems in the past year chose to seek medical treatment.2.In the population characteristics,male,high education level,taking insulin injections or exercise to control glucose,high per capita monthly income of the family,diabetic patients diagnosed by high level hospital,family history of diabetes and long duration of diabetes with high scores of knowledge scores.The high education level,high per capita monthly income of the family,diabetic patients diagnosed by high level hospital,retired staff,using diet control and blood glucose monitoring to control the blood sugar,without a history of high blood pressure with high scores of attitude scores.The high education level,high per capita monthly income of the family,retired staff,long duration of diabetes,the most recent blood test from the scene within 6 months,diabetic patients diagnosed by high level hospital,using diet control,exercise and blood glucose monitoring to control the blood sugar,with a history of Angina or myocardial infarction with high scores of behavior scores.3.Diagnostic institutions,education and insulin injections have an impact on knowledge.For "having not heard of diabetic foot disease" item,there were some important risk factors,such as:male,primary school and below the level of education,the average monthly household income less than 2000 yuan,diabetes duration less than 5 years,history of hypertension,no oral hypoglycemic agents,insulin injections,diet control.Compared with the control group,OR values were 1.31,7.09,1.74,1.65,1.33,1.67,2.03 and 1.81,respectively.For"did not know to take annual foot hospital examination" item,there were some important risk factors,such as:primary school and below the level of education,the average monthly household income less than 2000 yuan,no history of diabetes,did not take oral hypoglycemic agents,insulin injections,taking exercise.Compared with the control group,OR values were 3.52,1.74,2.52,1.27,1.51,1.72,1.65,respectively.For the "did not know inspect feet daily "item,risk factors include:primary school and below the level of education,taking no exercise.Compared with the control group,OR values were 3.31,2.07,1.42,respectively.The knowledge score,the attitude score and the agency level of being diagnosed with diabetes played vital role in behavior score.The riks factors for failing to check feet daily were knowledge and attitude.Compared with the control group,the OR of knowledge score which was zero and the OR of attitude score which were not full were 4.76 and 1.63,respectively.The risk factors for failing to going to hospital for medical treatment immediately when having foot problems were knowledge and attitude.Compared with the control group,the OR of knowledge score which was zero and the OR of attitude score which were not full were 4.13 and 1.86,respectively.The risk factors for failing to taking annual foot hospital check were knowledge and attitude.Compared with the control group,the OR of knowledge score which was zero and the OR of attitude score which were not full were 5.77 and 1.72,respectively.4.Male,lower education level,lower family income,diagnosis in lower level hospital were risk factors for knowledge score.Lower education level,not taking mesures to control the level of blood glucosediet,such as diet control or monitoring the level of blood glugose,were risk factors for attitude score.Lower education level,diagnosis in lower level hospital,not taking measurement to control the blood glucose were risk factors for behavior score.Conclusion:Eight community diabetes patients in Changshu City,Jiangsu Province and Jiangan District of Wuhan City had poor knowledge and behavior of prevention and treatment of diabetic foot disease.The three factors that influence the most number of knowledge items are diagnosis institution,education level and insulin injection.The three factors that influence the most number of behavior items are knowledge score,attitude score and diabetes diagnostic institution level.Women,high education,high per capita monthly household income,long duration of diabetes,high level of diabetes mellitus,family history of diabetes,insulin injections,exercise,no history of hypertension,history of myocardial infarction and angina pectoris are all protective factors for knowledge.High age,high level of education,high level of diabetes diagnosis agencies,the last test of blood glucose more than 6 months from the scene of the survey,the use of diet,exercise and blood glucose monitoring and other measures of glycemic control is the behavioral protection factor. |
PDF Full Text Request