【摘要】 目的 评价STEPFUN程序对社区糖尿病足危险人群糖尿病足知识、糖尿病足部自护行为及糖尿病足风险的影响。方法 选取2021年1-6月在南昌市东湖区下设的社区中有糖尿病足危险的糖尿病患者共132例，按照组间基本特征具有可比性的原则分为对照组和观察组，各66例。研究过程中失访10例，最终对照组纳入60例，观察组纳入62例。对照组采用常规健康教育，观察组采用基于STEPFUN程序的健康教育，两组均干预6个月。比较两组干预前后足部护理知识、足部自护能力及足部情况。结果 干预前，两组的糖尿病足知识问卷评分、足部护理行为评分、IWGDF糖尿病足风险分级和足部皮肤及趾甲状况评分比较，差异无统计学意义（P>0.05）。干预6个月后，两组上述各项指标均有明显改善，但组间比较，观察组的糖尿病足知识、足部护理行为、足部情况评分均优于对照组，差异有统计学意义（P<0.05）。结论 采用STEPFUN程序的健康教育可以提高社区糖尿病足危险人群糖尿病足知识及自护行为，降低足溃疡发生风险。更多还原

【Abstract】 Objective To evaluate the impact of STEPFUN program on diabetes foot knowledge,diabetes foot self-care behavior and diabetes foot risk among community population at risk of diabetes foot.Methods A total of132 patients with diabetes who were at risk of diabetic foot in the community of Donghu district,Nanchang city from January to June 2021 were selected and divided into the control group and the observation group according to the principle of comparability of basic characteristics between groups,with 66 cases in each group.During the study,10 cases were lost,60 cases were included in the final control group and 62 cases were included in the observation group.The control group adopted routine health education,and the observation group adopted health education based on STEPFUN procedure.Both groups were intervened for 6 months.The knowledge of foot care,the ability of foot self-care and the condition of foot were compared between the two groups before and after the intervention.Results Before intervention,there was no significant difference between the two groups in the scores of diabetes foot knowledge questionnaire,foot care behavior,IWGDF diabetes foot risk classification and foot skin and toenail status(P>0.05).After 6 months of intervention,the above indicators of the two groups were significantly improved,but compared with each other,the score of diabetes foot knowledge,foot care behavior and foot condition in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion Health education with STEPFUN program can improve the knowledge and self-care behavior of diabetes foot in community population at risk of diabetes foot,and reduce the risk of foot ulcer.更多还原