文章摘要
岳己强,陆 慧,王建明,吕洁琼,王爱萍.老年糖尿病足患者自我管理现状及社会支持的定性分析[J].南京医科大学学报(社会科学版),2015,(1):35~38
老年糖尿病足患者自我管理现状及社会支持的定性分析
Qualitative analysis on the self-management and social support for the elderly with diabetic foot ulcer
投稿时间:2014-11-10  
DOI:10.7655/NYDXBSS20150109
中文关键词: 糖尿病足  健康管理  社会支持  个人深入访谈  老年
英文关键词: diabetic foot ulcer  health management  social support  in-depth interviews  the elderly
基金项目:江苏省高校“青蓝工程”资助项目,江苏省六大人才高峰资助项目(2014-YY-023),江苏高校优势学科建设工程资助项目,高校哲学社会科学研究基金资助项目(2014SJB160)
作者单位
岳己强 南京医科大学公共卫生学院社会医学与健康教育系,江苏 南京 211166 
陆 慧 南京医科大学公共卫生学院社会医学与健康教育系,江苏 南京 211166 
王建明 南京医科大学公共卫生学院社会医学与健康教育系,江苏 南京 211166 
吕洁琼 南京医科大学公共卫生学院社会医学与健康教育系,江苏 南京 211166 
王爱萍 南京军区糖尿病足中心, 江苏 南京 210028 
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中文摘要:
      目的:了解老年糖尿病足(diabetic foot ulcer,DF)患者的日常自我管理及社会支持情况,为改善其健康管理效果提供证据?方法:采用目的抽样,对2013年12月~2014年1月在南京军区糖尿病足中心住院治疗的15例老年DF患者进行个人深入访谈?结果:患者能自我监测血糖,但饮食控制?足部保健和运动干预等非药物治疗能力不足;日常照护需求未得到满足?结论:应培养老年DF患者综合自我管理技能,将跨学科的专业化服务前移至社区,并发展我国社区老年健康照护体系?
英文摘要:
      Objective: To explore the self-management status and social support for the elderly patients with diabetic foot ulcer (DF), and to provide scientific evidences to improve patient’s health management outcomes. Methods: A purposive sampling approach was applied to recruit 15 elderly DF patients, who were treated in the DF center of the 454th Hospital of Chinese PLA, Nanjing, during December 2013 and January 2014. In-depth interviews were conducted. Results: Self-monitor of blood glucose was available, but self-management capacity of diet control, foot care and physical activity intervention were inadequate, and the needs for the long term care (LTC) was not met yet. Conclusion: For the elderly DF patients, integrated self-management skills should be polished, professional health care services should be forwarded to the community, and the community LTC system also should be strengthened to improve the elderly patients’ health outcomes.
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