Analysis of risk factors of diabetic foot in elderly diabetic patients

Abstract

Objective To discuss the risk factors of diabetic foot in elderly diabetic patients , in order to provide references for effective nursing methods and clinical treatment .Methods 83 cases of elderly diabetic patients with diabetic foot were chosen as the observation group , and 71 cases of elderly diabetic patients without diabetic foot were chosen as the control group .Clinical features and laboratory test results were compared and analyzed to discuss the risk factors of diabetic foot .Results The age, history of diabetic mellitus, HbAlc, FIB, MA, ALB of patients in the observation group was respectively （63.34 ±177;5.12） years old,（95.4 ±177; 52.7）months,（11.38 ±177;2.14）%,（6.12 ±177;1.33） g/L,（175.32 ±177;46.17） mg/d,（25.19 ±177;6.13） g/L in the observation group and there were 41 patients with smoking history , significantly different from that in the control group （t =0.73,0.81,4.72,5.72,4.92,3.24,χ2 =8.25, respectively; P <0.05）.Logistic regression analysis showed that age （OR=1 173, P=01017）, FIB（OR=1.936, P=0.018） and HbA1c（OR=2.759, P=0.024） were the independent risk factors of diabetic foot , while ALB（OR=1.034, P=0.016） was an independent protective factor .Conclusions Age, FIB and HbA1 c were the independent risk factors of diabetic foot, while ALB was an independent protective factor .Nursing intervention strategies , active control of blood glucose, improvement of nutritional status , early health education , enhancement of disease knowledge and essential foot nursing are important to prevent diabetic foot . Key words: Elderly; Diabetic foot; Risk factor; Nursing intervention