刘小莲 江浩 郑鑫兴 梁嘉 黎日伦

[摘要] 目的 探讨糖尿病足患者就诊延迟现状和影响因素。方法 选择2016年6月—2017年12月该院收治的68例糖尿病足患者作为研究对象，回顾性分析上述患者的一般临床资料，通过基础资料调查表、就诊情况调查表进行问卷调查。结果 经过调查研究结果发现，糖尿病足患者就诊延迟例数为56例，就诊延迟率为82.35%；经过分析显示糖尿病足患者就诊延迟影响因素主要包括文化程度、溃疡数量、自我处理。 结论 糖尿病足患者存在着的就诊延迟现象非常严重，医护人员有必要对糖尿病足患者及其家属进行针对性的健康宣传教育、行为指导干预，减少糖尿病足患者的就诊延迟率，及时进行就诊治疗，从而提高糖尿病足患者治疗效果。

[关键词] 糖尿病足；就诊延迟；临床特征；健康教育；影响因素

[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2018）03（b）-0180-03

Consultation Delay Status and Its Influencing Factors of Patients with Diabetic Foot

LIU Xiao-lian， JIANG Hao， ZHENG Xin-xing， LIANG Jia， LI Ri-lun

Department of Endocrinology， Xinyi Peoples Hospital， Xinyi， Guangdong Province， 525300 China

[Abstract] Objective To study the consultation delay status and its influencing factors of patients with diabetic foot. Methods 68 cases of patients with diabetic foot admitted and treated in our hospital from June 2016 to December 2017 were selected， and the general clinical data of patients were reviewed， and the patients were surveyed by the questionnaires of basic data survey table and diagnosis condition survey table. Results After investigation， the research results showed that there were 56 cases with diagnosis delay， and the diagnosis delay rate was 82.35%， and the analysis showed that the influencing factors of diagnosis delay mainly included culture degree， ulcer number and self-treatment. Conclusion The diagnosis delay of patients with diabetic foot is very serious， and it is necessary for the medical staff to conduct the targeted health publicity education of diabetic foot patients and their family thus reducing the diagnosis delay rate and improving the treatment effect.

[Key words] Diabetic foot； Diagnosis delay； Clinical feature； Health education； Influencing factor

足部是糖尿病系统疾病患者的一个复杂的靶器官，多由于患者周围神经病变和外周血管疾病合并产生过高的机械压力，导致患者足部软组织和骨关节系统受到破坏和形成畸形[1]。如果不采取及时有效的治疗措施充分解决下肢出现的症状和并发症，往往会给患者造成灾难性的后果[2]。鉴于此，该院特选择2016年6月—2017年12月收治的68例糖尿病足患者作为研究对象，对上述患者的就诊延迟现状及其影响因素进行分析。现报道如下。

1 资料与方法

1.1 一般资料

选择该院收治的68例糖尿病足患者作为研究对象，所有患者均符合WHO诊断标准、糖尿病足诊断标准，由于开放性足部損伤入院，排除严重精神疾病、肝肾功能不全患者，均知情和同意参与该次研究。……