Study On The Effectiveness Of Complication Experience Education On Diabetic High-Risk Foot Patients

Objective: To understand the current situation of diabetic high-risk foot prevalence;to explore the impact of complication experience education on diabetic high-risk foot patients,and to provide a scientific basis for improving self-management of diabetic high-risk foot patients.Methods:(1)From June 1,2021 to December 1,2021,318 diabetic patients who underwent diabetic foot screening in a tertiary hospital in Nanning,Guangxi Zhuang Autonomous Region were selected to understand the current status of out-of-hospital treatment compliance behavior,diabetes self-management behavior,social support and exercise self-efficacy in patients with diabetic high-risk foot through questionnaires.(2)From December 1,2021 to June 1,2022,140 patients with diabetic high-risk foot who met the inclusion and exclusion criteria after screening in the endocrine metabolism department of a tertiary hospital in Nanning,Guangxi Zhuang Autonomous Region were selected and divided into a control group and a test group according to the ward in which the patients were admitted to the hospital.The control group was given conventional diabetes health education combined with exercise intervention,and the experimental group was given complication experience education combined with exercise intervention.The effects of fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PBG)and glycated hemoglobin(Hb A1c)on patients’ glycemic control were evaluated using the ankle brachial index(ABI),the posterior tibial artery and the posterior tibial artery.ABI,posterior tibial artery and dorsalis pedis artery mean blood flow velocity were used to evaluate the effect on the patients’ foot blood flow.At the 3rd and 6th month after the intervention,we compared the out-of-hospital treatment compliance score,diabetes self-management behavior score,social support score and exercise self-efficacy score,FBG,2h PBG,Hb A1 c,ABI,posterior tibial artery and dorsalis pedis artery mean blood flow velocity in the two groups.Results:(1)Patients with diabetic high-risk foot had poorer out-of-hospital treatment compliance behavior,diabetes self-management behavior,social support and exercise self-efficacy,and Hb A1 c,duration of diabetes,mean blood flow velocity in the left dorsalis pedis artery,diabetes out-of-hospital treatment compliance behavior,self-management behavior,and exercise self-efficacy are independent influences on diabetic patients developing diabetic high-risk foot(P<0.05).(2)In this study,140 patients were included,10 were lost to follow-up,and finally there were 62 patients in the control group and 68 patients in the test group;the difference between the baseline data of the two groups was not statistically significant(P>0.05).The results of repeated measures ANOVA showed that after3 months of intervention,the scores of FBG,2h PBG,and out-of-hospital treatment compliance behavior scales were lower in the test group patients than in the control group(P<0.05),and the scores of diabetes self-management behavior,social support and exercise self-efficacy scales were higher than in the control group(P < 0.05);after 6 months of intervention,the scores of FBG,2h PBG,Hb A1 c,and BMI,and out-of-hospital treatment compliance scale scores were lower than those of the control group(P < 0.05),and ABI,posterior tibial and dorsalis pedis artery mean blood flow velocity,diabetes self-management behavior,social support,and exercise self-efficacy scale scores were higher than those of the control group(P<0.05)after 6 months of intervention.Conclusion:(1)This study showed a high incidence of diabetic high-risk foot in hospitalized diabetic patients.(2)This study showed that long duration of disease,poor glycemic control,poor blood supply to the foot,poor diabetes self-management,out-of-hospital treatment compliance behavior,and exercise self-efficacy were risk factors for the development of diabetic high-risk foot in diabetic patients.(3)This study shows that complication experience education can effectively improve diabetes self-management,out-of-hospital treatment compliance,social support and exercise self-efficacy in diabetic patients with high-risk feet.Complication experience education combined with exercise intervention can improve patients’ foot blood supply and glycemic control.