Translation And Application Of The Chinese Version Of Inlow’s 60s Dibetes High-risk Foot Screening Scale

Objective1.To translate Inlow’s 60 s Dibetes High-Risk Foot Screening into Chinese and test it’s reliability and validity among diabetic patients.2.Using Chinese version of Inlow’s 60 s Dibetes High-Risk Foot Screening to explore the current status of Dibetes High-Risk Foot and influencing factors,then try to put forward the corresponding countermeasures to improve Dibetes High-Risk Foot.MethodsThe first part: The translation and reliability and validity of Inlow’s 60 s Dibetes High-Risk Foot Screening.Get authorization from the original author,according to the Brislin translation principle to translate,back-translated and cultural modified the English version of the Inlow’s 60 s Dibetes High-Risk Foot Screening into Chinese.From Auguest to December 2019,a total of 115 diabetic patients from certain three-grade hospital in heze were selected by convenience sampling method for a questionnaire survey to analyze the scale’s reliability and validity.content validity evaluated The validity,internal consistency(Cronbach’s α)and test-retest reliability evaluated the reliability.The second part: To explore the current status of Dibetes High-Risk Foot and analyze it’s influencing factors.From October 2020 to March 2021,a total of 483 diabetic patients from certain three-grade hospitals in heze were selected by convenience sampling method for a questionnaire survey.The Chinese version Inlow’s 60 s Dibetes High-Risk Foot Screening were used to investigate the status of Dibetes High-Risk Foot and analyze it’s influencing factors.The statistical methods included descriptive analysis,univariate analysis and multiple linear regression.ResultsThe first part: Formed SH-RDF: AST scale for Chinese cultural background.The Chinese version of Inlow’s 60 s Dibetes High-Risk Foot Screening consists of 10 entries with 4 dimensions: history assessment(2 entries);foot examination(3 entries);foot injury(4 entries);and neuropathy(1 entry).The content validity(I-CVI)at each entry level ranged from 0.80～1.00;the content validity index(S-CVI)at the scale level was 0.920 and the kappa values ranged from 0.791～1.00.The overall Cronbach’s α coefficient was0.893,the Cronbach’s α coefficients of history physical examination,foot injury and neuropathy in diabetic patients were 0.610～0.851,test-retest reliability were 0.942;the sensitivity,specificity,false positive rate and false negative rate of this scale for screening high-risk diabetic foot were 83.33 %,98.90 %,1.09 % and 4.26 %,respectively.The second part: In this study,the total positive rate of high-risk diabetic foot was27.5%.Among the four dimensions,the positive rate of each dimension was 3.7% in the history assessment dimension,13.7% in the foot examination dimension,20.7% in the foot injury dimension and 14.3% in the neuropathy dimension.The highest screening positive rate was 14.28% by 10 g nylon wire examination,and the lowest screening positive rate was 1.03% by amputation history.The results of single factor analysis showed that education level,wager classification,age,annual income and diabetes duration had significant differences in SH-RDF : AST scale scores(P < 0.05).The results of multivariate analysis showed that the annual income,age,and duration of diabetes were significantly correlated with the high-risk foot risk of diabetes.Conclusions1.The Chinese version of SH-RDF: AST scale has good reliability,validity,sensitivity,and specificity,which can provide a scientific and practical evaluation tool for screening high-risk diabetic foot.2.The high risk of diabetes in China is sufficient for simple peripheral neuropathy.education,age and duration of diabetes are the main influencing factors of high-risk diabetic foot.