Journal of tissue viability · 2026
Analysis on the current status of foot self - management and influencing factors of high - risk diabetic foot patients based on COM-B model.
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Xia Lanlan, Wang Jing, Yang Yaping, Lv Tan, Yang Xiaoyan, Zhu Wenjin, Xi Min
Аннотация
OBJECTIVES: Investigate the current status of foot self-management in high-risk diabetic foot patients, and explore the influencing factors of foot self-management behavior based on the COM-B model.
METHODS: A total of 394 high-risk diabetic foot patients who met the inclusion and exclusion criteria in the inpatient department of endocrinology at a tertiary hospital in Shanghai were selected as the research subjects using the convenience sampling method. The survey was conducted using a general information questionnaire, the Chinese version of the Nottingham foot care Assessment Scale, the Diabetes Health Literacy Scale, the Diabetic Foot Self-efficacy Scale, and the Chronic Illness Resource Utilization Survey Scale.
RESULTS: The average score of foot self-management behavior among high-risk diabetic foot patients was 39.29 ± 13.07. Multiple linear regression analysis identified influencing factors including age, education level, smoking status, history of diabetes health education, diabetes health literacy, foot self-efficacy, and chronic disease resource utilization. Structural equation modeling analysis revealed that diabetes health literacy and utilization of chronic illness resources not only have a direct positive impact on foot self-management behavior in high-risk diabetic foot patients but also exert an indirect positive influence through foot self-efficacy.
CONCLUSION: The foot self-management ability of high-risk diabetic foot patients is at a medium level and needs to be improved. In the future, the Foot Self-management Ability of high-risk diabetic foot patients can be improved by enhancing their health literacy and utilization of chronic disease resources.
METHODS: A total of 394 high-risk diabetic foot patients who met the inclusion and exclusion criteria in the inpatient department of endocrinology at a tertiary hospital in Shanghai were selected as the research subjects using the convenience sampling method. The survey was conducted using a general information questionnaire, the Chinese version of the Nottingham foot care Assessment Scale, the Diabetes Health Literacy Scale, the Diabetic Foot Self-efficacy Scale, and the Chronic Illness Resource Utilization Survey Scale.
RESULTS: The average score of foot self-management behavior among high-risk diabetic foot patients was 39.29 ± 13.07. Multiple linear regression analysis identified influencing factors including age, education level, smoking status, history of diabetes health education, diabetes health literacy, foot self-efficacy, and chronic disease resource utilization. Structural equation modeling analysis revealed that diabetes health literacy and utilization of chronic illness resources not only have a direct positive impact on foot self-management behavior in high-risk diabetic foot patients but also exert an indirect positive influence through foot self-efficacy.
CONCLUSION: The foot self-management ability of high-risk diabetic foot patients is at a medium level and needs to be improved. In the future, the Foot Self-management Ability of high-risk diabetic foot patients can be improved by enhancing their health literacy and utilization of chronic disease resources.