PDF(Pubmed)
Abstract：
UNASSIGNED: Diabetic foot and lower limb problems are among the most neglected complications during the Syrian armed conflict due to the absence of a functioning health infrastructure, including early detection and timely management of limb-threatening wounds. This study aimed to determine self-reported diabetes-related foot disease (DRFD), adherence to recommended foot self-care (FSC) practices, and associated factors among people with diabetes in war-torn Northwest Syria (NWS).
UNASSIGNED: This was a cross-sectional study conducted at six primary care clinics in Idlib, NWS, between March 27 and April 17, 2022, utilizing the validated interviewer-administered Diabetes Foot Disease and Foot Care Questionnaire. Data on demographic characteristics, DRFD, and FSC practices were collected. FSC score was determined by adding the points from all 12 FSC items, with a maximum score of 48, and were categorized into very poor (≤12), poor (13-24), moderate (25-36), and good (37-48). A convenience sample of 331 consecutive Syrians, aged ≥18 years, with diabetes, were invited. Multiple linear regression was used to identify variables associated with FSC practices.
UNASSIGNED: A total of 328 patients completed the questionnaire (response rate: 99.1%). The overall FSC score was average (mean total score 27.24, SD 7.03). Over one-third (37.8%) had a very poor/poor score, 50.3% had an average score, and 11.9% had a good score. Household income/month of ≥51 USD (β = 2.6, 95% confidence interval [95% CI]:1.06-4.1, p = 0.001) and diabetes duration of ≥10 years (β = 1.8, 95% Cl: 0.2-3.4, p = 0.027) significantly predicted better FSC practice.
UNASSIGNED: A significant proportion of participants had inadequate adoption FSC behaviors. Higher socioeconomic status was associated with better FSC practices. Future research should evaluate diabetic foot education and professional foot care in this population.
UNASSIGNED: This was a cross-sectional study conducted at six primary care clinics in Idlib, NWS, between March 27 and April 17, 2022, utilizing the validated interviewer-administered Diabetes Foot Disease and Foot Care Questionnaire. Data on demographic characteristics, DRFD, and FSC practices were collected. FSC score was determined by adding the points from all 12 FSC items, with a maximum score of 48, and were categorized into very poor (≤12), poor (13-24), moderate (25-36), and good (37-48). A convenience sample of 331 consecutive Syrians, aged ≥18 years, with diabetes, were invited. Multiple linear regression was used to identify variables associated with FSC practices.
UNASSIGNED: A total of 328 patients completed the questionnaire (response rate: 99.1%). The overall FSC score was average (mean total score 27.24, SD 7.03). Over one-third (37.8%) had a very poor/poor score, 50.3% had an average score, and 11.9% had a good score. Household income/month of ≥51 USD (β = 2.6, 95% confidence interval [95% CI]:1.06-4.1, p = 0.001) and diabetes duration of ≥10 years (β = 1.8, 95% Cl: 0.2-3.4, p = 0.027) significantly predicted better FSC practice.
UNASSIGNED: A significant proportion of participants had inadequate adoption FSC behaviors. Higher socioeconomic status was associated with better FSC practices. Future research should evaluate diabetic foot education and professional foot care in this population.
摘要：
糖尿病足和下肢问题是叙利亚武装冲突期间最被忽视的并发症之一，原因是缺乏运转正常的卫生基础设施，包括早期发现和及时处理威胁肢体的伤口。这项研究旨在确定自我报告的糖尿病相关足部疾病（DRFD），遵守推荐的足部自我保健(FSC)实践，以及饱受战争蹂躏的叙利亚西北部糖尿病患者的相关因素。
■这是一项在伊德利卜的六个初级保健诊所进行的横断面研究，NWS,2022年3月27日至4月17日，利用经过验证的采访者管理的糖尿病足和足部护理问卷。关于人口特征的数据，DRFD,和FSC实践被收集。FSC分数是通过将所有12个FSC项目的分数相加来确定的，最高得分为48分，被归类为非常差(≤12)，可怜（13-24）中等（25-36），好（37-48）331名连续叙利亚人的便利样本，年龄≥18岁，患有糖尿病，被邀请。多元线性回归用于确定与FSC实践相关的变量。
■总共328名患者完成了问卷（应答率：99.1％）。总体FSC评分是平均的(平均总分27.24,SD7.03)。超过三分之一（37.8％）的得分非常差/差，平均得分为50.3%,11.9%的人得分较好。家庭收入/月≥51美元（β=2.6，95％置信区间[95％CI]：1.06-4.1，p=0.001）和糖尿病持续时间≥10年（β=1.8，95％Cl：0.2-3.4，p=0.027）显着预测更好的FSC实践。
■相当比例的参与者有不充分的采用FSC行为。较高的社会经济地位与更好的FSC实践相关。未来的研究应评估该人群的糖尿病足教育和专业足部护理。
■这是一项在伊德利卜的六个初级保健诊所进行的横断面研究，NWS,2022年3月27日至4月17日，利用经过验证的采访者管理的糖尿病足和足部护理问卷。关于人口特征的数据，DRFD,和FSC实践被收集。FSC分数是通过将所有12个FSC项目的分数相加来确定的，最高得分为48分，被归类为非常差(≤12)，可怜（13-24）中等（25-36），好（37-48）331名连续叙利亚人的便利样本，年龄≥18岁，患有糖尿病，被邀请。多元线性回归用于确定与FSC实践相关的变量。
■总共328名患者完成了问卷（应答率：99.1％）。总体FSC评分是平均的(平均总分27.24,SD7.03)。超过三分之一（37.8％）的得分非常差/差，平均得分为50.3%,11.9%的人得分较好。家庭收入/月≥51美元（β=2.6，95％置信区间[95％CI]：1.06-4.1，p=0.001）和糖尿病持续时间≥10年（β=1.8，95％Cl：0.2-3.4，p=0.027）显着预测更好的FSC实践。
■相当比例的参与者有不充分的采用FSC行为。较高的社会经济地位与更好的FSC实践相关。未来的研究应评估该人群的糖尿病足教育和专业足部护理。
