Abstract：Objective To explore the effect of health self-management on the self-efficacy and psychological state of patients with diabetic foot so as to provide scientific evidence for improving their health. Methods According to the order of hospital admission, 144 patients with type 2 diabetic foot were divided into the observation group and control group (each n=72). Patients in the control group were given conventional treatment of diabetic foot, whereas those in the observation group implemented health self-management besides the treatment given to the control group. Diabetes self-efficacy scale (DEES) and symptom checklist (SQL-90) were used to compare the self-efficacy and psychological state of the two groups. The improvement of foot symptoms in the two groups was recorded. Results After the intervention, the diet control, drug therapy, blood sugar monitoring, self-care, prevention and treatment of hyperglycemia and hypoglycemia in the observation group were significantly increased as compared with those before the intervention (P<0.05), and were significantly superior to those of the control group, (P<0.05). SQL-90 revealed that after the intervention, the scores of factors like somatization, force symptoms, sensitivity to social relations, depression, anxiety, hostility, terror, mental illness and other symptoms in the observation group were significantly lowered than those before the intervention (P<0.05), while the symptoms including cold feet, dry foot and numbness of foot were significantly improved (P<0.05), and their incidence rates were significantly lower than the control group (P<0.05). Conclusions Health self-management activates the patients’ subjective initiative to improve their self-management skills and further promote their self-efficacy and psychological status. It is worthwhile to be popularized clinically.
薛亚男, 尚国爱, 吕倩, 翟春娟, 侯月颖. 健康自我管理对糖尿病足患者自我效能及心理状态的影响[J]. 实用预防医学, 2017, 24(2): 137-140.
XUE Ya-nan, SHANG Guo-ai, LV Qian, ZHAI Chun-juan, HOU Yue-ying. Effect of health self-management on the self-efficacy and psychological state of patients with diabetic foot. , 2017, 24(2): 137-140.
2017, Vol. 24 
