PDF(Pubmed)
Abstract：
OBJECTIVE: This study aimed to determine the psychosocial markers associated with pre-hospital delay among patients with diabetic foot (DF).
METHODS: This study has a cross-sectional design.
METHODS: The participants completed a questionnaire including pre-hospital time, demographic characteristics, Social Support Rate Scale, Brief Illness Perception Questionnaire and Type D Personality Scale-14. Bivariate and multivariate analyses were conducted to explore independent associations with pre-hospital delay.
RESULTS: Only 1.8% (3/164) of participants arrived at the hospital for medical care in 24 h of symptom onset. Patients with low utilization of social support (p = 0.029), low negative illness perceptions (p = 0.014) and high levels of negative affectivity (p = 0.009) are likely to arrive late at the clinic. Medical staff should pay attention to identifying diabetic patients\' Type D personalities and take actions to improve their social support as well as illness perception, so as to reduce the occurrence of hospital delay.
UNASSIGNED: Psychosocial factors play a vital role in the delay in seeking medical treatment for patients with DF. Medical staff need to improve patients\' illness perception as well as self-management ability through health education. Importantly, key family members provide an emotional and psychological support system for diabetic patients. Therefore, nurses need to work with family members together to give information and psychological support during family visits. Additionally, building and maintaining trust with patients is crucial to encouraging individuals to express their concerns and worries. In this case, nurses may identify patients\' negative emotions and conduct timely intervention, so as to achieve favourable outcomes.
UNASSIGNED: This study used a convenience sample of 164 participants with DF recruited from the wound clinic of Northern Jiangsu People\'s Hospital and Yangzhou Hospital of TCM in China.
METHODS: This study has a cross-sectional design.
METHODS: The participants completed a questionnaire including pre-hospital time, demographic characteristics, Social Support Rate Scale, Brief Illness Perception Questionnaire and Type D Personality Scale-14. Bivariate and multivariate analyses were conducted to explore independent associations with pre-hospital delay.
RESULTS: Only 1.8% (3/164) of participants arrived at the hospital for medical care in 24 h of symptom onset. Patients with low utilization of social support (p = 0.029), low negative illness perceptions (p = 0.014) and high levels of negative affectivity (p = 0.009) are likely to arrive late at the clinic. Medical staff should pay attention to identifying diabetic patients\' Type D personalities and take actions to improve their social support as well as illness perception, so as to reduce the occurrence of hospital delay.
UNASSIGNED: Psychosocial factors play a vital role in the delay in seeking medical treatment for patients with DF. Medical staff need to improve patients\' illness perception as well as self-management ability through health education. Importantly, key family members provide an emotional and psychological support system for diabetic patients. Therefore, nurses need to work with family members together to give information and psychological support during family visits. Additionally, building and maintaining trust with patients is crucial to encouraging individuals to express their concerns and worries. In this case, nurses may identify patients\' negative emotions and conduct timely intervention, so as to achieve favourable outcomes.
UNASSIGNED: This study used a convenience sample of 164 participants with DF recruited from the wound clinic of Northern Jiangsu People\'s Hospital and Yangzhou Hospital of TCM in China.
摘要：
目的：本研究旨在确定糖尿病足（DF）患者院前延迟相关的心理社会标志物。
方法：本研究采用横断面设计。
方法：参与者填写了一份问卷，包括院前时间，人口特征，社会支持率量表，简要的疾病感知问卷和D型人格量表-14。进行了双变量和多变量分析，以探索与院前延误的独立关联。
结果：只有1.8%(3/164)的参与者在症状发作24小时内到达医院接受医疗护理。社会支持利用率低的患者（p=0.029），低负面疾病感知（p=0.014）和高水平的负面情感（p=0.009）可能在诊所迟到。医务人员应注意识别糖尿病患者的D型人格，并采取措施改善其社会支持和疾病感知，从而减少住院延误的发生。
■心理社会因素在DF患者就诊延误中起着至关重要的作用。医务人员需要通过健康教育提高患者的疾病感知能力和自我管理能力。重要的是,主要家庭成员为糖尿病患者提供情感和心理支持系统。因此,护士需要与家庭成员一起工作，在家庭访问期间提供信息和心理支持。此外,建立和保持与患者的信任对于鼓励个人表达他们的担忧和担忧至关重要。在这种情况下,护士可以识别患者的负面情绪，并及时进行干预，以便取得有利的结果。
■本研究使用了来自中国苏北人民医院和扬州中医医院伤口诊所的164名DF参与者的便利样本。
方法：本研究采用横断面设计。
方法：参与者填写了一份问卷，包括院前时间，人口特征，社会支持率量表，简要的疾病感知问卷和D型人格量表-14。进行了双变量和多变量分析，以探索与院前延误的独立关联。
结果：只有1.8%(3/164)的参与者在症状发作24小时内到达医院接受医疗护理。社会支持利用率低的患者（p=0.029），低负面疾病感知（p=0.014）和高水平的负面情感（p=0.009）可能在诊所迟到。医务人员应注意识别糖尿病患者的D型人格，并采取措施改善其社会支持和疾病感知，从而减少住院延误的发生。
■心理社会因素在DF患者就诊延误中起着至关重要的作用。医务人员需要通过健康教育提高患者的疾病感知能力和自我管理能力。重要的是,主要家庭成员为糖尿病患者提供情感和心理支持系统。因此,护士需要与家庭成员一起工作，在家庭访问期间提供信息和心理支持。此外,建立和保持与患者的信任对于鼓励个人表达他们的担忧和担忧至关重要。在这种情况下,护士可以识别患者的负面情绪，并及时进行干预，以便取得有利的结果。
■本研究使用了来自中国苏北人民医院和扬州中医医院伤口诊所的164名DF参与者的便利样本。
