SELF-CARE BEHAVIOURS OF ULCER FOOT CARE AMONG DIABETES PATIENTS AT ENDOCRINE DEPARMENT, CHO RAY HOSPITAL
Main Article Content
Abstract
Objective: This study aimed to evaluate the knowledge, self-care behaviors, and influencing factors among individuals with type 2 diabetes. Methods: A cross-sectional descriptive study was conducted, involving the direct interview of 242 diabetic patients seeking medical care at Cho Ray Hospital between November 2022 and May 2023. Questionnaires were used to collect the data. Results: The findings revealed that patients' knowledge of self-care behaviors was at an average level. Specifically, 35,5% of patients had poor knowledge, 38,8% had moderate knowledge, and 25,6% had good knowledge. In terms of self-care behaviors, 43,8% of patients exhibited poor behavior, 38,0% demonstrated moderate behavior, and 18,2% exhibited good behavior. The study identified gaps in knowledge and behaviors related to specific foot care practices such as daily foot examination, walking barefoot, inspecting the interior of shoes, soaking feet in hot water, and undergoing regular foot examinations. Age, education level, disease duration, and the presence of foot complications were identified as significant influencing factors on patients' foot care knowledge and behavior. Conclusions: The study highlights the importance of improving knowledge and behavior towards foot care among individuals with diabetes. Health education emerges as a crucial strategy to enhance patients' ability to take care of their feet and promote self-care practices.
Article Details
Keywords
type 2 diabetes mellitus, foot care, foot ulcer, self-care behaviors.
References
2. Lê Tuyết Hoa (2008). Nghiên cứu xác định yếu tố nguy cơ loét bàn chân ở bệnh nhân đái tháo đường. Luận văn tiến sĩ y học, Đại học Y dược TPHCM.
3. Đỗ văn Hinh. (2007). Kiến thức, thực hành phòng chống biến chứng và một số yếu tố liên quan của người bệnh đái thảo đường týp 2 tại huyện Thanh Miện tỉnh Hải Dương. Luận văn Thạc sĩ Y tế Công Cộng
4. Cho NH, Shaw JE, Karuranga S, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271-281. doi:10.1016/j.diabres.2018.02.023
5. Schaper NC, van Netten JJ, Apelqvist J, et al. Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36 Suppl 1:e3266. doi:10.1002/dmrr.3266
6. Gemechu FW, Seemant F, Curley CA. Diabetic foot infections. Am Fam Physician. 2013; 88(3):177-184.
7. Bonner T, Foster M, Spears-Lanoix E. Type 2 diabetes-related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature. Diabet Foot Ankle. 2016;7:29758. Published 2016 Feb 17. doi:10.3402/dfa.v7.29758.
8. American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020; 43(Suppl 1):S14-S31. doi:10.2337/dc20-S002
9. Lincoln NB, Jeffcoate WJ, Ince P, Smith M, Radford K.Validation of a new measure of protective foot care behaviors: The Nottingham Review of Functional Foot Care(NAFF);24(4):207-11.10.1002/ pdi.1099,2007
10. Desalu OO, Salawu FK, Jimoh AK, Adekoya AO, Busari OA, Olokoba AB. Diabetic foot care: self reported knowledge and practice among patients attending three tertiary hospital in Nigeria. Ghana Med J. 2011;45(2):60-65. doi:10.4314/gmj.v45i2.68930