Factors related to hospital‐to‐home transitional self‐monitoring blood glucose behaviour among patients with diabetes‐related foot ulcer

医学 社会心理的 糖尿病 血糖监测 糖尿病足溃疡 脚(韵律) 血糖自我监测 糖尿病足 自我监控 物理疗法 急诊医学 内科学 连续血糖监测 1型糖尿病 内分泌学 精神科 心理学 社会心理学 语言学 哲学
作者
Yen‐Fan Chin,Tzu‐Ting Huang,Hsing‐Yi Yu,Hui‐Mei Yang,Brend Ray‐Sea Hsu
出处
期刊:International Journal of Nursing Practice [Wiley]
卷期号:27 (6) 被引量:6
标识
DOI:10.1111/ijn.12950
摘要

To explore the factors related to hospital-to-home transitional self-monitoring blood glucose behaviour among patients with diabetes-related foot ulcer.The 30-day readmission rate of patients with diabetes-related foot ulcer can be reduced when good glycaemic control is achieved. The practice of self-monitoring blood glucose promotes optimal glycaemic control.A comparative descriptive study.In this study, 200 participants, who had been hospitalized due to diabetes-related foot ulcer, were recruited from August 2017 to July 2018. Before participants were discharged from the hospital, psychosocial factors (family support, threat belief, self-efficacy and knowledge) and pre-hospitalization self-monitoring blood glucose behaviour were collected using a structured questionnaire. Then, after discharge, self-monitoring blood glucose behaviour delivery was collected again.Five variables explained 47% of the variance in the delivery of self-monitoring of blood glucose at home. The delivery of hospital-to-home transitional self-monitoring blood glucose behaviour was more likely for individuals with higher pre-discharge self-efficacy, higher post-discharge self-efficacy, more attention to pre-hospitalization glycaemic status and post-discharge insulin usage and those without an insensitive foot.Self-monitoring blood-glucose behaviour should be promoted among post-discharge patients with diabetes-related foot ulcer. The modifiable factors identified in this study can be integrated into the discharge plan.

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