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糖尿病足患者延迟就医的研究进展
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Abstract:
近年来，糖尿病足患者延迟就医的情况普遍存在，且受多种因素影响，延迟就医使得糖尿病足患者截肢、死亡、伤口不愈合等不良结局显著增加。本文将从糖尿病足患者延迟就医现状及影响因素两个方面进行阐述分析，以期为改善我国糖尿病足患者延迟就医行为提供参考依据。
In recent years, it is common for patients with diabetes foot to delay medical treatment, which is af-fected by many factors. Delayed medical treatment has significantly increased the adverse out-comes of amputation, death, wound nonunion and so on in patients with diabetes foot. This article will elaborate and analyze the current situation and influencing factors of diabetes foot patients’ delayed medical treatment, in order to provide reference for improving the behavior of diabetes foot patients’ delayed medical treatment in China.
| [1] | 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版) [J]. 中华糖尿病杂志, 2021, 13(4): 315-409. |
| [2] | Xu, Z. and Ran, X. (2016) Diabetic Foot Care in China: Challenges and Strategy. The Lancet Diabetes & Endocrinology, 4, 297-298. https://doi.org/10.1016/S2213-8587(16)00051-6 |
| [3] | 项家丽. 急性糖尿病足患者住院期间低血糖事件可预测截肢的发生[J]. 中华内分泌代谢杂志, 2019, 35(12): 1073-1078. |
| [4] | 薛耀明, 邹梦晨. 中国糖尿病足防治指南(2019版)解读[J]. 中华糖尿病杂志, 2019, 11(2): 88-91. |
| [5] | Saeedi, P., Petersohn, I., Sal-pea, P., Malanda, B., Karuranga, S., Unwin, N., et al. (2019) Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th Edition. Diabetes Research and Clinical Practice, 157, Article No. 107843.
https://doi.org/10.1016/j.diabres.2019.107843 |
| [6] | Goie, T.T. and Naidoo, M. (2016) Awareness of Diabetic Foot Disease amongst Patients with Type 2 Diabetes Mellitusattending the Chronic Outpatients Department at a Regional Hos-pital in Durban, South Africa. African Journal of Primary Health Care & Family Medicine, 8, Article No. a1170. https://doi.org/10.4102/phcfm.v8i1.1170 |
| [7] | Pocuis, J., Li, S.M.-H., Janci, M.M. and Thompson, H.J. (2017) Exploring Diabetic Foot Exam Performance in a Specialty Clinic. Clinical Nursing Research, 26, 82-92. https://doi.org/10.1177/1054773815596699 |
| [8] | Pack, G.T. and Gallo, J.S. (1938) The Culpability for Delay in the Treatment of Cancer. American Journal of Cancer Research, 3, 443-462. |
| [9] | 孙学礼. 医学心理学[M]. 四川: 四川大学出版社, 2003: 188-193. |
| [10] | Smith, L.K., Pope, C. and Botha, J.L. (2005) Patients’ Help-Seeking Experiences and Delay in Cancer Presentation: A Qualitative Synthesis. Lancet, 366, 825-831. https://doi.org/10.1016/S0140-6736(05)67030-4 |
| [11] | 楚亚林. 贵州省肺结核病人诊治延迟及其影响因素研究[D]: [硕士学位论文]. 长沙: 中南大学, 2011. |
| [12] | Centre for Clinical Practice at NICE (UK) (2011) Diabetic Foot Problems: Inpatient Management of Diabetic Foot Problems, National Institute for Health and Clinical Excellence (NICE), London. |
| [13] | Margolis, D.J., Allen-Taylor, L., Hoffstad, O. and Berlin, J.A. (2002) Diabetic Neuropathic Foot Ulcers: The Association of Wound Size, Wound Duration, and Wound Grade on Healing. Diabetes Care, 25, 1835-1839.
https://doi.org/10.2337/diacare.25.10.1835 |
| [14] | Monami, M., Longo, R., Desideri, C.M., Masotti, G., Marchionni, N. and Mannucci, E. (2008) The Diabetic Person beyond a Foot Ulcer Healing, Recurrence, and Depressive Symptoms. Journal of the American Podiatric Medical Association, 98, l30-136. https://doi.org/10.7547/0980130 |
| [15] | Faglia, E., Clerici, G., Caminiti, M., Quarantiello, A., Gino, M. and Morabito, A. (2006) The Role of Early Surgical Debride-ment and Revascularization in Patients with Diabetes and Deep Foot Space Abscess: Retrospective Review of 106 Pa-tients with Diabetes. The Journal of Foot and Ankle Surgery, 45, 220-226.
https://doi.org/10.1053/j.jfas.2006.04.002 |
| [16] | Gershater, M.A., L？ndahl, M., Nyberg, P., Larsson, J., Th？rne, J., Eneroth, M., et al. (2009) Complexity of Factors Related to Outcome of Neuropathic and Neuroischaemic/Ischaemic Di-abetic Foot Ulcers: A Cohort Study. Diabetologia, 52, 398-407. https://doi.org/10.1007/s00125-008-1226-2 |
| [17] | Zubair, M., Malik, A. and Ahmad, J. (2012) Incidence, Risk Factors for Amputation among Patients with Diabetic Foot Ulcer in a North Indian Tertiary Care Hospital. Foot, 22, 24-30. https://doi.org/10.1016/j.foot.2011.09.003 |
| [18] | 张志. 284例糖尿病足患者病例资料的回顾性分析[D]: [硕士学位论文]. 长沙: 中南大学, 2012. |
| [19] | 张苍, 曾咏梅, 刘可. 糖尿病足患者就诊延迟现状及其影响因素分析[J]. 中华护理杂志, 2016, 51(5): 567-572. |
| [20] | 李萍, 宋长爱. 中国居民就医行为研究进展[J]. 护理研究, 2010, 24(17): 1507-1509. |
| [21] | 张苍, 徐聪聪, 曾咏梅. 老年糖尿病足病人就诊延迟的临床特点分析[J]. 全科护理, 2019, 17(32): 4055-4058. |
| [22] | 曹强, 陈召, 刘小龙. 新疆地区糖尿病足患者就诊延迟现状及其对治疗结局影响的研究[J]. 中国糖尿病杂志, 2022, 30(3): 190-196. |
| [23] | 王国蓉. 四川省乳腺癌患者延迟就医现状及影响因素研究[D]: [硕士学位论文]. 成都: 四川大学, 2007. |
| [24] | Yekta, Z., Pourali, R. and Ghasemi-Rad, M. (201l) Comparison of Demographic and Clinical Characteristics Influencing Health Related Quality of Life in Patients with Diabetic Foot Ulcers and Those without Foot Ulcers. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 4, 393-399. https://doi.org/10.2147/DMSO.S27050 |
| [25] | Lamchahab, F.Z., El Kihal, N., Khoudri, I., Chraibi, A., Hassam, B. and Ait Ourhroui, M. (2011) Factors Influencing the Awareness of Diabetic Foot Risks. Annals of Physical and Rehabil-itation Medicine, 54, 359-365.
https://doi.org/10.1016/j.rehab.2011.07.004 |
| [26] | Lan, M., Zhang, L., Zhang, Y. and Yan, J. (2019) The Relation-ship among Illness Perception, Coping and Functional Exercise Adherence in Chinese Breast Cancer Survivors. Journal of Advanced Nursing, 75, 75-84.
https://doi.org/10.1111/jan.13832 |
| [27] | 张苍, 徐聪聪, 张玲玉, 曾咏梅. 糖尿病足病人就诊延迟与疾病感知的相关性研究[J]. 全科护理, 2020, 18(34): 4717-4721. |
| [28] | 许樟荣. 重视糖尿病足临床研究中存在的问题[J]. 中华糖尿病杂志, 2004, 12(5): 309. |
| [29] | 宋娉, 段宝凤, 冯云华, 张玉红, 张莉莉. 糖尿病足患者自我管理行为现状调查研究[J]. 当代护士, 2019, 26(3): 18-20, |
| [30] | 汪琴, 刘云, 汪立. 健康生态学模型下2型糖尿病足病人自我管理行为及其影响因素分析[J]. 蚌埠医学院学报, 2021, 46(9): 1276-1279+1284. |
| [31] | 边苗苗. 授权教育对2型糖尿病患者行为干预效果的质性和量性研究[D]: [硕士学位论文]. 济南: 泰山医学院, 2012. |
| [32] | Alshammari, Z.J., Alsaid, L.A., Parameaswari, P.J. and Alzahrani, A.A. (2019) Attitude and Knowledge about Foot Care among Diabetic Patients in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8, 2089-2094.
https://doi.org/10.4103/jfmpc.jfmpc_248_19 |
| [33] | 祝鑫红. 糖尿病足患者延迟就医原因调查及其干预方案的研究[D]: [硕士学位论文]. 武汉: 华中科技大学, 2015. |
| [34] | 黄佳妮, 朱考金. 就医行为研究综述[J]. 农村经济与科技, 2012, 23(10): 33-35. |
| [35] | 秦永辉, 张延祠, 李军勇, 王浩汀, 张建华. 某医院183例糖尿病足患者就诊延迟现状及相关因素分析[J]. 解放军预防医学杂志, 2018, 36(1): 142-144. |
| [36] | Nather, A., Chionh, S.B., Wong, K.L., Odelia, K.S.Q., Chan, Y.H., Li, X., et al. (2010) Socioeconomic Profile of Diabetic Patients with and without Foot Prob-lems. Diabetic Foot & Ankle, 1, Article No. 5523.
https://doi.org/10.3402/dfa.v1i0.5523 |
| [37] | 许景灿, 王娅平, 陈燕, 蔡蕴敏, 刘敏, 周秋红. 基于多中心的中国糖尿病足患者临床资料分析[J]. 中南大学学报(医学版), 2019, 44(8): 898-904. |
| [38] | 罗亚, 严巨萍, 周波. 糖尿病足延迟治疗[J]. 中华内分泌外科杂志, 2016, 10(3): 252-254. |
| [39] | Otieno, C.F., Nyamu, P.M. and Atieno-Jalango, G. (2005) Focus on Delay as a Strategy for Care Designs and Evaluation of Diabetic Foot Ulcers in Developing Coun-tries: A Review. East African Medical Journal, 82, S204-S208.
https://doi.org/10.4314/eamj.v82i12.9383 |
| [40] | 刘慧蔷. 糖尿病足患者就诊延迟现状及其影响因素探讨[J]. 中国保健营养, 2021, 31(16): 218-219. |
| [41] | 刘小莲, 江浩, 郑鑫兴, 梁嘉, 黎日伦. 糖尿病足患者就诊延迟现状及其影响因素[J]. 糖尿病新世界, 2018, 21(6): 180-182. |
| [42] | Sanders, A.P., Stoeldraaijers, L.G., Pero, M.W., Hermkes, P.J., Carolina, R.C. and Elders, P.J. (2013) Patient and Professional Delay in the Referral Trajectory of Patients with Di-abetic Foot Ulcers. Diabetes Research and Clinical Practice, 102, 105-111. https://doi.org/10.1016/j.diabres.2013.09.016 |
| [43] | 严励. 应加强对糖尿病足的综合防治研究[J]. 广东医学, 2008, 29(2): 170-171. |
