Objective To describe the stages of foot self-care behavior among patients at high-risk of diabetic foot, and to explore theinfluencing factors of stage distribution. Methods Totally, 343 patients at high risk of diabetic foot were surveyed with the gene-ral data questionnaire, the Diabetic Foot Care Behavior Questionnaire and the behavior stages table, the third version of Diabetes Attitude Scale （DAS-3）, Social Support Rating Scale （SSRS） and Diabetes Self-Efficacy Scale（DSES） by convenience sampling method. Results The patients scored 28～68（47.50±7.30） points in diabetic foot care behavior, with the average standard score being 59.81.The proportion of patients in precontemplation, contemplation, preparation, action and maintenance respectively were 11.7%, 35.6%, 41.7%, 5.8% and 5.2% respectively. The results of ordinal Logistic regression analysis showed that gender, medical expense payment schemes, social modelling, attitude towards the disease, and self-efficacy were influencing factors of stages of foot self-care behavior （P＜0.05,P＜0.01）. Conclusion Patients at high risk of diabetic foot have poor foot self-care beha-vior, with most patients at the stage of precontemplation. The stages of foot self-care behavior are subjected to multiple factors.Measures should be taken to target patients at various stages of foot self-care behavior, and boost the changes to higher stages among patients.