关键词:

糖尿病足, 家庭功能, 患者积极度, 健康促进自我护理

Abstract:

Objective: To explore the mediating role of patient activation between family functioning and health promotion self-care in patients with diabetic foot. Methods: A total of 223 diabetic foot patients were investigated with a  self-designed general information questionnaire, patients with diabetes self-care health promotion scale, scale in patients with activation and family functioning scale.Results: The total score for health promotion self-care in patients with diabetic foot was 90.72±15.51, which was at a medium level. Among them, the score of exerise was the lowest, while the score of the treatment of compliance with the doctor’s advice was the highest.The total score of activation in patients with diabetic foot was 56.37±13.83, which was at the third level.The item average score of activation function in patients with diabetic foot was 2.24±0.37, which was at a medium level. The family function was negatively correlated with health promotion self-care and patient activation, meanwhile patient activation was positively correlated with health promotion self-care（P<0.05）.Patient activation played a mediating role in the relationship between family function and health promotion self-care and the mediating effect accounted for 32.47% of the total effect. Conclusion: The clinical nurses need to pay attention to patient’s own initiative and involvement in the treatment to enhance family members’ support and emotional tolerance. Strengthening the family’s treatment initiative will benefit driving patients’ positive treatment attitude and improving their self-care ability.

Key words:

 , Diabetic foot；Family function；Patient activation；Health promotion self-care