Songklanagarind医院初级保健部2型糖尿病患者发生糖尿病足溃疡分层风险的患病率及相关因素

Q4 Medicine

Journal of the Medical Association of Thailand = Chotmaihet thangphaet Pub Date : 2023-04-15 DOI:10.35755/jmedassocthai.2023.04.13833

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The diabetic patients who had foot ulcer were not found in the present study. There were 31.2%, 63.1%, and 5.6% of the patients had low, medium, and high risk of diabetic foot, respectively. In multivariate analysis, the adjusted odds ratios (ORs) with 95% confidence intervals (CI) found the factors associated with positively increased diabetic foot risk were some occupations including self-employed 5.19 (1.53 to 18.91) and agriculturist 4.82 (1.38 to 18.44), chronic kidney disease (CKD) 18.17 (2.46 to 131.32), longer duration of DM 3.14 (1.40 to 7.40), diabetic retinopathy (DR) 11.90 (3.44 to 50.00). Some factors negatively increased the risk were low-density lipoprotein (LDL) less than 100 mh/dL 0.37 (0.16 to 0.81), self-care behavior including asking others to check blind areas of the foot 0.21 (0.07 to 0.63), and foot exercise 0.29 (0.12 to 0.68) (p<0.05).\n\nConclusion: Diabetic foot in type 2 DM patients at the PCU of Songklanagarind Hospital was not found. 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引用次数: 0

摘要

目的:了解Songklanagarind医院初级保健病房(PCU) 2型糖尿病(DM)患者糖尿病足的患病率及相关因素。材料与方法:本研究是一项横断面研究，采用问卷调查和面对面访谈的方式收集了2020年3月至7月在Songklanagarind医院PCU就诊的160例2型糖尿病患者的数据。糖尿病足严重程度的分类基于泰国糖尿病协会2017年指南的足部检查。结果:共160人，男性占44.4%，女性占55.6%。60岁以下58.1%，60岁以上或等于60岁的41.9%。本研究未发现糖尿病患者合并足部溃疡。低、中、高风险糖尿病足发生率分别为31.2%、63.1%、5.6%。在多因素分析中，95%可信区间(CI)的校正优势比(or)发现，与糖尿病足风险增加相关的因素是一些职业，包括个体经营者5.19(1.53至18.91)和农学家4.82(1.38至18.44)，慢性肾脏疾病(CKD) 18.17(2.46至131.32)，糖尿病持续时间较长(3.14至1.40)，糖尿病视网膜病变(DR) 11.90(3.44至50.00)。低密度脂蛋白(LDL) < 100 mh/dL 0.37(0.16 ~ 0.81)、要求他人检查足部盲区等自理行为0.21(0.07 ~ 0.63)、足部运动0.29 (0.12 ~ 0.68)(p<0.05)等因素均有负相关增高。结论:Songklanagarind医院PCU未发现2型DM患者的糖尿病足。然而，重要的是建立PCU来识别有风险的足部，包括职业、CKD、DM持续时间较长、LDL超过100 mh/dL、DR，以及DM患者缺乏一级和二级预防的自我保健实践。关键词:糖尿病;糖尿病足;初级护理

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Prevalence and Factors Associated with the Stratified Risk to Develop Diabetic Foot Ulcer in Type 2 Diabetes Mellitus Patients in Primary Care Unit of Songklanagarind Hospital

Objective: To determine the prevalence of and to assess factors associated with diabetic foot in type 2 diabetes mellitus (DM) patients in the primary care unit (PCU) of Songklanagarind Hospital. Materials and Methods: The present study was a cross-sectional study that collected the data of 160 type 2 DM patients attending the PCU of Songklanagarind Hospital between March and July 2020 using a questionnaire and face-to-face interviews. The classification of diabetic foot severity was based on foot examination using the 2017 Guideline of the Diabetes Association of Thailand. Results: There were 160 participants in the present study, 44.4% were male and 55.6% were female. There were 58.1% aged less than 60 years and 41.9% aged more than or equal to 60 years. The diabetic patients who had foot ulcer were not found in the present study. There were 31.2%, 63.1%, and 5.6% of the patients had low, medium, and high risk of diabetic foot, respectively. In multivariate analysis, the adjusted odds ratios (ORs) with 95% confidence intervals (CI) found the factors associated with positively increased diabetic foot risk were some occupations including self-employed 5.19 (1.53 to 18.91) and agriculturist 4.82 (1.38 to 18.44), chronic kidney disease (CKD) 18.17 (2.46 to 131.32), longer duration of DM 3.14 (1.40 to 7.40), diabetic retinopathy (DR) 11.90 (3.44 to 50.00). Some factors negatively increased the risk were low-density lipoprotein (LDL) less than 100 mh/dL 0.37 (0.16 to 0.81), self-care behavior including asking others to check blind areas of the foot 0.21 (0.07 to 0.63), and foot exercise 0.29 (0.12 to 0.68) (p<0.05). Conclusion: Diabetic foot in type 2 DM patients at the PCU of Songklanagarind Hospital was not found. However, it is important to establish PCU to identify feet at risk included occupations, CKD, longer duration of DM, LDL more than 100 mh/dL, DR, and lack of self-care practices for primary and secondary prevention in DM patients. Keywords: Diabetes mellitus; Diabetic foot; Primary care

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Journal of the Medical Association of Thailand = Chotmaihet thangphaet Medicine-Medicine (all)

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