Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China
Abstract Background Diabetic foot is a serious complication of diabetes with a high disability and mortality rate, which can be prevented by early screening. General practitioners play an essential role in diabetic foot risk screening, yet the screening behaviors of general practitioners have rarely...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Primary Care |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12875-023-02027-3 |
| _version_ | 1797769369330122752 |
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| author | Nan Zhao Jingcan Xu Qiuhong Zhou Juanyi Hu Wenjing Luo Xinyi Li Ying Ye Huiwu Han Weiwei Dai Qirong Chen |
| author_facet | Nan Zhao Jingcan Xu Qiuhong Zhou Juanyi Hu Wenjing Luo Xinyi Li Ying Ye Huiwu Han Weiwei Dai Qirong Chen |
| author_sort | Nan Zhao |
| collection | DOAJ |
| description | Abstract Background Diabetic foot is a serious complication of diabetes with a high disability and mortality rate, which can be prevented by early screening. General practitioners play an essential role in diabetic foot risk screening, yet the screening behaviors of general practitioners have rarely been studied in primary care settings. This study aimed to investigate foot risk screening behaviors and analyze their influencing factors among general practitioners. Methods A cross-sectional study was conducted among 844 general practitioners from 78 community health centers in Changsha, China. A self-designed and validated questionnaire was used to assess the general practitioner’s cognition, attitude, and behaviors on performing diabetic foot risk screening. Multivariate linear regression was conducted to investigate the influencing factors of risk screening behaviors. Results The average score of diabetic foot risk screening behaviors among the general practitioners was 61.53 ± 14.69, and 271 (32.1%) always or frequently performed foot risk screening for diabetic patients. Higher training frequency (β = 3.197, p < 0.001), higher screening cognition (β = 2.947, p < 0.001), and more positive screening attitude (β = 4.564, p < 0.001) were associated with more diabetic foot risk screening behaviors, while limited time and energy (β=-5.184, p < 0.001) and lack of screening tools (β=-6.226, p < 0.001) were associated with fewer diabetic foot screening behaviors. Conclusion The score of risk screening behaviors for the diabetic foot of general practitioners in Changsha was at a medium level. General practitioners’ diabetic foot risk screening behaviors may be improved through strengthening training on relevant guidelines and evidence-based screening techniques, improving cognition and attitude towards foot risk screening among general practitioners, provision of more general practitioners or nurse practitioners, and user-friendly screening tools. |
| first_indexed | 2024-03-12T21:08:02Z |
| format | Article |
| id | doaj.art-70ebb27d1d82427281bdd27bdd9ac5b2 |
| institution | Directory Open Access Journal |
| issn | 2731-4553 |
| language | English |
| last_indexed | 2024-03-12T21:08:02Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj.art-70ebb27d1d82427281bdd27bdd9ac5b22023-07-30T11:21:17ZengBMCBMC Primary Care2731-45532023-03-012411910.1186/s12875-023-02027-3Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, ChinaNan Zhao0Jingcan Xu1Qiuhong Zhou2Juanyi Hu3Wenjing Luo4Xinyi Li5Ying Ye6Huiwu Han7Weiwei Dai8Qirong Chen9Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityXiangya School of Nursing, Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityTeaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South UniversityXiangya School of Nursing, Central South UniversityAbstract Background Diabetic foot is a serious complication of diabetes with a high disability and mortality rate, which can be prevented by early screening. General practitioners play an essential role in diabetic foot risk screening, yet the screening behaviors of general practitioners have rarely been studied in primary care settings. This study aimed to investigate foot risk screening behaviors and analyze their influencing factors among general practitioners. Methods A cross-sectional study was conducted among 844 general practitioners from 78 community health centers in Changsha, China. A self-designed and validated questionnaire was used to assess the general practitioner’s cognition, attitude, and behaviors on performing diabetic foot risk screening. Multivariate linear regression was conducted to investigate the influencing factors of risk screening behaviors. Results The average score of diabetic foot risk screening behaviors among the general practitioners was 61.53 ± 14.69, and 271 (32.1%) always or frequently performed foot risk screening for diabetic patients. Higher training frequency (β = 3.197, p < 0.001), higher screening cognition (β = 2.947, p < 0.001), and more positive screening attitude (β = 4.564, p < 0.001) were associated with more diabetic foot risk screening behaviors, while limited time and energy (β=-5.184, p < 0.001) and lack of screening tools (β=-6.226, p < 0.001) were associated with fewer diabetic foot screening behaviors. Conclusion The score of risk screening behaviors for the diabetic foot of general practitioners in Changsha was at a medium level. General practitioners’ diabetic foot risk screening behaviors may be improved through strengthening training on relevant guidelines and evidence-based screening techniques, improving cognition and attitude towards foot risk screening among general practitioners, provision of more general practitioners or nurse practitioners, and user-friendly screening tools.https://doi.org/10.1186/s12875-023-02027-3General practitionerDiabetic footRisk screeningBehavior |
| spellingShingle | Nan Zhao Jingcan Xu Qiuhong Zhou Juanyi Hu Wenjing Luo Xinyi Li Ying Ye Huiwu Han Weiwei Dai Qirong Chen Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China BMC Primary Care General practitioner Diabetic foot Risk screening Behavior |
| title | Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China |
| title_full | Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China |
| title_fullStr | Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China |
| title_full_unstemmed | Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China |
| title_short | Screening behaviors for diabetic foot risk and their influencing factors among general practitioners: a cross-sectional study in Changsha, China |
| title_sort | screening behaviors for diabetic foot risk and their influencing factors among general practitioners a cross sectional study in changsha china |
| topic | General practitioner Diabetic foot Risk screening Behavior |
| url | https://doi.org/10.1186/s12875-023-02027-3 |
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