Diabetic Foot Neuropathy and Related Factors in Patients With Type 2 Diabetes Mellitus

BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) face a higher risk of diabetic foot neuropathy, which increases the risk of death. The early detection of factors that influence diabetic neuropathy reduces the risk of foot lesions, including foot ulcerations, lower extremity amputation, and mortality. 背景: 足部神經病變不僅是第二型糖尿病病人容易出現的合併症，並且容易增加死亡的風險。早期偵測造成糖尿病神經病變的因素應有助於避免後續足部潰瘍、下肢截肢及死亡率的發生。. 目的: 探討人口學、疾病特性、健康素養以及足部自我照護行為等變項，是否為第二型糖尿病病人罹患足部神經病變的相關危險因素。. RESULTS: The results of multiple logistic regression showed that glycated hemoglobin (B = 1.696, p = .041) and communication and critical health literacy (B = -0.082, p = .034) were significant factors of diabetic foot neuropathy. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The findings of this study suggest that nurses should assess the health literacy of patients with T2DM before providing health education and should develop a specific foot-care intervention for individuals with poor glycemic control. 結論／實務應用: 建議護理師於衛教前，能先評估T2DM病人的健康素養，並且針對血糖控制較差者，發展適切的足部照護介入措施，以預防後續足部神經病變的發生。.