Self-care of chronic illness prevents the risk of diabetic foot ulcers in patients with diabetes: a cross-sectional study
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Introduction: Diabetic foot ulcer (DFU) is a serious and chronic complication of diabetes mellitus (DM). This study aims to explain a model of self-care of chronic illness on the prevention of DFU risk in patients with DM, including foot self-care of maintenance, monitoring, and management.
Methods: This study was an analytical study with a cross-sectional approach, with 300 patients randomly selected from six Public Health Centers in Surabaya, Indonesia, from June to August 2022. The inclusion criteria were individuals with DM and aged more than 26 years. Exclusion criteria were reading disabilities or having cognitive impairments Data were collected using a questionnaire. The correlation between variables was analyzed using the statistical method of Partial Least Squares.
Results: The risk of DFU in patients with DM was 40% with low risk, 38% with moderate risk, 8% with high risk, 5% remission, and 10% with DFU. This research shows that there is a significant correlation between foot self-care management and the risk of DFU, where the p-value = 0.000, while the indicators of foot self-care maintenance and self-care monitoring do not have a significant correlation with the risk of DFU, where the p-value is respectively equal to 0.350 and 0.844.
Conclusions: Foot self-care management was a factor that directly correlates with the risk of DFU. Autonomous self-care management behaviors still needed to be improved, because most patients still had these inadequate behaviors. Further research is needed to improve the behavior quality of patients with DM in managing foot care independently.
Alfaqih, M. R., Kusnanto, K. and Padoli, P. (2020) ‘A Systematic Review: The Experience of Patient with Diabetic Foot Ulcers’, Jurnal Ners, 15(1Sp), pp. 120–128. doi: 10.20473/jn.v15i1sp.18995.
Armstrong, D. G., Boulton, A. J. M. and Bus, S. A. (2017) ‘Diabetic Foot Ulcers and Their Recurrence’, New England Journal of Medicine, 376(24), pp. 2367–75. doi: 10.1056/nejmra1615439.
Ausili, D. et al. (2017) ‘Development and psychometric testing of a theory-based tool to measure self-care in diabetes patients: The Self-Care of Diabetes Inventory’, BMC Endocrine Disorders, 17(1), pp. 1–12. doi: 10.1186/s12902-017-0218-y.
Ausili, D., Rebora, P. and Valsecchi, M. G. (2020) ‘How do self-care maintenance , self-care monitoring , and self-care management affect glycated haemoglobin in adults with type 2 diabetes ? A multicentre observational study’, Endocrine. doi: 10.1007/s12020-020-02354-w.
Boulton, A. J. M. (2022) ‘The diabetic foot’, Medicine (United Kingdom), 50(11), pp. 719–724. doi: 10.1016/j.mpmed.2022.08.004.
Canadian Diabetes Association Clinical Practice Guidelines Expert Commitee (2013) ‘Foot Care’, Canadian Journal of Diabetes, 37(April), pp. S145–S149.
Chin, Y. et al. (2014) ‘The role of foot self-care behavior on developing foot ulcers in diabetic patients with peripheral neuropathy: a prospective study’, International Journal of Nursing Studies, 51(12), pp. 1568–1574. doi: 10.1016/j.ijnurstu.2014.05.001.
Costa, I. G., Tregunno, D. and Camargo-Plazas, P. (2021) ‘Patients’ Journey Toward Engagement in Self-Management of Diabetic Foot Ulcer in Adults With Types 1 and 2 Diabetes: A Constructivist Grounded Theory Study’, Canadian Journal of Mcinnes Diabetes, 45(2), pp. 108-113.e2. doi: 10.1016/j.jcjd.2020.05.017.
Elkashif, M. M. L., Mahdy, A. Y. and Elgazzar, S. E. (2021) ‘Evaluating The Effect of Establishing Protocol for Self- Care Practice of Diabetic Foot Patients Regarding Their Needs, Concerns and Medication Use: A quasi-experimental study’, Saudi Journal of Biological Sciences, 28(6), pp. 3343–3350. doi: 10.1016/j.sjbs.2021.02.081.
Federation International Diabetes. (2019) IDF Diabetes Atlas Ninth edition 2019.
García-Inzunza, J. A. et al. (2015) ‘Validity of the Mexican version of the combined Foot Care Confidence / Foot-Care Behavior scale for diabetes’, Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 38(1), pp. 35–41.
Hemmati Maslakpak, M. et al. (2018) ‘Preventing and managing diabetic foot ulcers: application of Orem’s self-care model’, International Journal of Diabetes in Developing Countries, 38(2), pp. 165–172. doi: 10.1007/s13410-017-0570-5.
Joeliantina, A. et al. (2022) ‘The Behavior of Patients with Type 2 Diabetes Mellitus in Monitoring Blood Glucose Levels and Foot Care : A Cross-sectional , Community-Based Study’, International Journal of Advanced Health Science and Technology, pp. 104–109. doi: https://doi.org/10.35882/ijahst.v2i2.9.
Joeliantina, A., Norontoko, D. A. and Anugrahini, H. N. (2021) ‘Development of a nursing assessment form for patients with diabetes mellitus in a hospital: A research and development study’, Belitung Nursing Journal, 7(5), pp. 431–437. doi: https://doi.org/10.33546/bnj.1601.
Kaya, Z. and Karaca, A. (2018) ‘Evaluation of Nurses’ Knowledge Levels of Diabetic Foot Care Management’, Nursing Research and Practice, pp. 1–12. doi: 10.1155/2018/8549567.
Khunkaew, S., Fernandez, R. and Sim, J. (2019) ‘Health-Related Quality of Life and Self-Care Management Among People With Diabetic Foot Ulcers in Northern Thailand’, SAGE Open Nursing, 5, pp. 1–10. doi: 10.1177/2377960819825751.
Latan, H. and Ghozali, I. (2012) Partial Least Square: Konsep, Teknik dan Aplikasi. Semarang: Badan Penerbit Universitas Diponegoro.
Mcinnes, A. et al. (2011) ‘Consensus Statement Foot care education in patients with diabetes at low risk of complications : a consensus statement’, pp. 12–14. doi: 10.1111/j.1464-5491.2010.03206.x.
Mekonen, E. G. and Demssie, T. G. (2022) ‘Preventive foot self ‑ care practice and associated factors among diabetic patients attending the university of Gondar comprehensive specialized referral hospital ’, BMC Endocrine Disorders, pp. 1–11. doi: 10.1186/s12902-022-01044-0.
Menteri Kesehatan RI (Indonesian Minister of Health) (2014) ‘Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang (Regulation of the Minister of Health of the Republic of Indonesia Number 41 of 2014 Concerning Balanced Nutrition Guidelines)’.
Mishra, S. C. et al. (2017) ‘Diabetic foot: Clinical Update (Open Acces)’, Bmj, 359(Supp1), pp. 1–7. doi: 10.1136/bmj.j5064.
National Clinical Programme for Diabetes (2021) Diabetic Foot Model of Care.
Netten, J. J. Van et al. (2020) ‘Prevention of foot ulcers in the at-risk patient with diabetes : a systematic review’, Diabetes Metab Res Rev., 36(S1), pp. 1–22. doi: 10.1002/dmrr.3270.
Regas, A. et al. (2021) ‘Diabetes and Clinical Research Magnitude of Diabetic Foot Ulcer and Associated Factors among Diabetic Patients Who Attended Diabetic Follow-up Clinics in Gamo and Gofa Zones , Southern Ethiopia’, . Int J Diabetes Clin Res, 8(2), pp. 1–9. doi: 10.23937/2377-3634/1410139.
Riegel, B. et al. (2019) ‘Integrating symptoms into the middle-range theory of self-care of chronic illness’, Advances in Nursing Science, 42(3), pp. 206–215. doi: 10.1097/ANS.0000000000000237.
Schaper, N. C. et al. (2019) Guidelines, Practical Development, Guideline Chapters: IWGDF Guidelines on the prevention and management of diabetic foot disease IWGDF Guidelines.
Song, M. (2010) ‘Diabetes Mellitus and the Importance of Self-care’, Journal of Cardiovascular Nursing, 25(2), pp. 93–98.
Subrata, S. A. et al. (2020) ‘Improving clinical outcomes of diabetic foot ulcers by the 3-month self- and family management support programs in Indonesia: A randomized controlled trial study’, Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), pp. 857–863. doi: 10.1016/j.dsx.2020.05.028.
Thojampa, S. and Acob, J. R. U. (2020) ‘Self-management behavior and its impact to glycated hemoglobin among clients medically diagnosed with diabetes mellitus: A correlational study’, Belitung Nursing Journal, 6(4), pp. 111–115. doi: 10.33546/BNJ.1102.
Thotad, P. N., Bharamagoudar, G. R. and Anami, B. S. (2023) ‘Diabetic foot ulcer detection using deep learning approaches’, Sensors International, 4(December 2022), p. 100210. doi: 10.1016/j.sintl.2022.100210.
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