| 社会隔离与糖尿病足患者健康行为及溃疡严重程度的关系 |
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| 引用本文： | 卢秋萍,林钰敏,高方,邹梦晨,范新钊,屈丽媛,薛耀明,曹瑛. 社会隔离与糖尿病足患者健康行为及溃疡严重程度的关系[J]. 四川大学学报(医学版), 2022, 53(6): 998-1002. DOI: 10.12182/20221160507 |
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| 作者姓名： | 卢秋萍 林钰敏 高方 邹梦晨 范新钊 屈丽媛 薛耀明 曹瑛 |
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| 作者单位： | 南方医科大学南方医院 内分泌与代谢科 （广州 510515） |
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| 基金项目： | 国家自然科学基金（No. 82170840）资助 |
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| 摘 要： | 目的 探讨社会隔离与糖尿病足患者健康行为及溃疡严重程度之间的关系。 方法 对2020年9月–2021年12月在南方医科大学南方医院内分泌与代谢科就诊的160名2型糖尿病合并糖尿病足患者进行横断面研究，收集其足部溃疡的Wagner分级、Lubben社会网络量表评分，并分析其健康行为（是否接受过糖尿病足教育、延迟就诊、足部检查频率等健康行为）特点，同时收集患者一般资料，包括性别、年龄、文化程度、工作状况。按照Lubben社会网络量表得分将患者分为社会隔离组（n=60）和非社会隔离组（n=100），比较两组患者足溃疡严重程度及健康行为是否存在差异。 结果 本研究结果提示，与非社会隔离组相比，社会隔离的糖尿病足患者就诊时Wagner 3～5级的比例更高（P<0.05）。健康行为分析显示，社会隔离组中从不检查足部及延迟就诊的糖尿病足患者比例更高（P<0.05），两组间在是否接受过糖尿病足教育、足部损伤原因、伤口自行处理、吸烟及饮酒上差异无统计学意义。相关性分析显示，Lubben社会网络量表得分与延迟就诊（r=?0.353，P=0.001）呈弱负相关，即社会隔离程度越高，糖尿病足患者延迟就诊时间可能越长。 结论 社会隔离与糖尿病足患者健康行为及溃疡严重程度有一定关系。关注糖尿病足患者的社会隔离，增加其社会环境及社会网络成员的接触，可能会对改善糖尿病足患者延迟就诊情况有积极作用，对后续的治疗尤为重要。
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| 关 键 词： | 糖尿病足 社会隔离 健康行为 |
| 收稿时间： | 2022-08-01 |
Relationship Between Social Isolation and Health Behaviors and Ulcer Severity in Diabetic Foot Patients |
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| LU Qiu-ping,LIN Yu-min,GAO Fang,ZOU Meng-chen,FAN Xin-zhao,QU Li-yuan,XUE Yao-ming,CAO Ying. Relationship Between Social Isolation and Health Behaviors and Ulcer Severity in Diabetic Foot Patients[J]. Journal of Sichuan University. Medical science edition, 2022, 53(6): 998-1002. DOI: 10.12182/20221160507 |
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| Authors: | LU Qiu-ping LIN Yu-min GAO Fang ZOU Meng-chen FAN Xin-zhao QU Li-yuan XUE Yao-ming CAO Ying |
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| Affiliation: | Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China |
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| Abstract: | Objective To explore the relationship between social isolation and health behaviors and ulcer severity in patients with diabetic foot. Methods A cross-sectional study was conducted with 160 patients suffering from type 2 diabetes mellitus combined with diabetic foot. The patients received treatment at the Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University between September 2020 and December 2021. Patient information was collected, including the scores for Lubben Social Network Scale and the Wagner classification of foot ulcers. Analysis was conducted to study the characteristics of the patients’ health behaviors, including whether they received information and education on diabetic foot, whether there were delays in their attempt to access medical service, the frequency of foot examinations, etc. In addition, patient demographic data were collected, including sex, age, education, and employment status. According to their scores for Lubben Social Network Scale, the patients were divided into a social isolation group (n=60) and a non-social-isolation group (n=100). The severity of the foot ulcers and the health behaviors of the two groups were compared to identify differences. Results The findings suggest that, compared with the non-social-isolation group, the social isolation group had a higher proportion of diabetic foot patients with Wagner grade 3-5 diabetic foot ulcers (P<0.05). Analysis of the health behaviors showed that the social isolation group had a higher proportion of diabetes foot patients who had never undergone examination of their feet and those who had delayed attempts to access medical service for their condition (P<0.05). There were no significant differences between the two groups in terms of whether the patients had received information and education concerning diabetic foot, causes of foot injury, self-treatment of wounds, smoking, and drinking. Correlational analysis suggested that the scores of Lubben Social Network Scale were negatively correlated with the delayed attempts to access medical service (r=?0.353, P=0.001), that is, the higher the degree of social isolation, the longer the delay in patients’ attempt to access medical service for their diabetic foot. Conclusions Social isolation is correlated to health behaviors and ulcer severity in patients with diabetic foot. Giving more attention to the problem of social isolation of diabetic foot patients and increasing their ties with the social environment and the members of their social network may have a positive effect on improving the delays in diabetic foot patients’ attempt to access medical service, which is particularly important for follow-up treatment. |
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