糖尿病患足部照護知識、態度、行為及其影響因素之探討

A Study of Knowledge, Attitude and Behavior of Diabetic Patients in Foot Care and Related Factors

柯舜娟(Shun-Chuan Ko) ； 孫麗娟(Lea-Juan Sun) ； 劉波兒(Po-Erh Liu) ； 王潤清(Ruenn-Ching Wand) ； 袁光霞(Kuang-Hsia Yuan)

《弘光學報》 34期 (1999/10) Pp. 193-221

https://doi.org/10.6615/HAR.199910.34.07

摘要

本研究在探討糖尿病患足部照護知識、態度、行為現況及其相關影響因素，研究採問卷調查法，研究工具為自行設計的糖尿病人足部照護知識、態度及行為量表，取樣來源為中部兩所教學醫院糖尿病病人，樣本數合計91人。研究結果發現足部照護知識得分高低差異大，平均答對率為67.6%；足部照護態度趨正向，尤其對足部照護相關訊息的需求最殷切，但對足部檢查與問題處理較趨負向；足部照護行為以足部的檢查與問題處理及鞋具穿著行為有偏差。本研究糖尿病患足部照護知識、態度、行為均呈顯著正相關，足部照護知識與足部照護態度其相關係數為0.73，知識與行為其相關係數為0.33，行為與態度其相關係數為0.32。多變項迴歸分析：教育程度、飯前血糖、擔心合併症、資訊頻率以及足部照護態度對糖尿病患足部照護知識的預測力為48.9%；年齡、教育程度、罹病時間、飯前血糖、足部照護知識對糖尿病患足部照護態度預測力為54.1 %；年齡、飯前血糖、血糖控制法、擔心合併症、自覺血糖、足部照護知識、足部照護態度對足部照護行為預測力為33 %。依研究結果，並對政府衛生單位、醫療機構及護理教育提出相關建議。

關鍵字

糖尿病、糖尿病足、足部照護知識、態度、行為

並列摘要

The purpose of this study was to discuss the core determinants, those of knowledge, attitude and behavior on foot care among the diabetic patients and to explore influencing factors. The sample for this study consisted of 91 diabetic patients from two teaching hospitals, using a purposive (purpose based criterion) sampling methodology. A structured questionnaire was designed by the investigator. The result shows the knowledge on foot care was significant different. The attitude for foot care was positive, however, daily foot examination and strategies of solving diabetic foot problem were negative. The behaviors within diabetic foot care were misconceived such as daily foot examination and footwear. The investigator has found the samples' behaviors within diabetic foot care are positively related to the variables of knowledge and attitude. It is anticipated that the recommendations made in this study will raise the awareness of health department, health organization and nursing education about diabetic foot care.

並列關鍵字

diabetes mellitus ； diabetic foot ； knowledge ； attitude and behavior of diabetic foot care

參考文獻

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