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糖尿病足患者医学应对方式现状及其相关影响因素分析

Analysis on the status quo of medical coping style of patients with diabetes foot and its related influencing factors
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摘要 目的探讨糖尿病足患者医学应对方式的影响因素。方法选取2022年6月至2023年10月九江学院附属医院收治的糖尿病足患者77例作为研究对象。采用医学应对问卷评估其医学应对方式,根据结果评估分为消极组(35例)和积极组(42例)。详细统计2组患者基线资料并进行比较,重点分析糖尿病足患者医学应对方式的影响因素。结果77例患者中采取消极应对方式35例(45.45%);2组患者年龄、社会支持、糖尿病足Wagner分级、家庭月人均收入比较,差异均有统计学意义(P<0.05);2组患者体重指数、性别、糖尿病病程、文化程度、合并其他慢性病、婚姻状况、独居比较,差异均无统计学意义(P>0.05)。社会支持低、年龄大、家庭月人均收入低、糖尿病足Wagner分级高均是糖尿病足患者医学应对方式的影响因素[优势比(OR)>1,P<0.05]。结论糖尿病足患者医学消极应对风险高,可能与社会支持低、年龄大、家庭月人均收入低、糖尿病足Wagner分级高有关。 Objective To explore the influencing factors of medical coping style in diabetic foot patients.Methods A total of 77 patients with diabetic foot admitted to the Affiliated Hospital of Jiujiang University from June 2022 to October 2023 were selected as the study objects.The medical coping questionnaire was used to assess their medical coping styles,and they were divided into the negative group(35 cases)and positive group(42 cases)based on the assessment of the results.The baseline data of the two groups were analyzed in detail and compared,focusing on the factors affecting the medical coping style of diabetic foot patients.Results Among 77 patients,35 cases(45.45%)adopted negative coping styles.There were statistically significant differences in age,social support,Wagner grading of diabetic foot and monthly per capita family income between the two groups(P<0.05).There were no significant differences in body mass index,gender,diabetes course,education level,other chronic diseases comorbidities,marital status and living alone between the two groups(P>0.05).Low social support,older age,low monthly per capita family income and high Wagner rating of diabetic foot were all factors influencing the medical coping styles of patients with diabetic foot(OR>1,P<0.05).Conclusion Patients with diabetic foot have high risk of negative medical coping,which may be related to low social support,old age,low monthly per capita family income and high Wagner rating of diabetic foot.
作者 魏燕妮 张可 韦玲 WEI Yanni;ZHANG Ke;WEI Ling(Department of Gastrointestinal and Vascular Surgery Burn Ward,Affiliated Hospital of Jiujiang University,Jiujiang,Jiangxi 332000,China;Department of Neurology,First People′s Hospital of Jiujiang City,Jiujiang,Jiangxi 33200,China)
出处 《现代医药卫生》 2024年第17期2948-2950,共3页 Journal of Modern Medicine & Health
关键词 糖尿病足 医学应对方式 影响因素分析 Diabetic foot Medical coping style Influencing factors analysis
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