Highlights
- •Foot self-care behaviors of diabetes patients were at a moderate level.
- •Training in foot care positively affects foot care behaviours.
- •As the acceptance of the disease decreases, the number of signs / symptoms on foot increases.
- •Nurses play a significant role in the regular monitoring and training of patients and in helping them adopt protective behaviors.
Abstract
Aims
Due to insufficient data in primary care, this study was designed to assess the influence
of patient’s foot self-care behaviors and illness acceptance on the risk of developing
diabetic foot ulcers (DFU) in adults diagnosed with type 2 diabetes mellitus (DM).
Methods
This is a descriptive study with a clinical assessment element. Data were collected
using a number of validated psychometric questionnaires that assess the participant’s
foot self care behavior, acceptance of Illness, symptoms and neuropathy. The study
included 246 patients diagnosed with type 2 DM attending a designated family health
center in Konya, Turkey.
Results
In the present study, there was a significant difference between DFSBS scores and
gender and whether the patients resided in urban or rural areas (p < 0.05). A significant
difference between AIS score and gender, educational status, social security, place
of residence, and economic status of the participants was observed (p < 0.05). According
to the results of regression analysis, gender, frequency of physician control visit
(monthly), and foot care training predicted the DFSBS score, whereas gender, education,
economic status, presence of other non-infectious diseases, hospitalization in the
previous year, and OTNS results predicted the AIS score. Furthermore, the AIS and
OTNS scores predicted the MNSI-Q score.
Conclusions
In the family health centers, individuals who are at risk must be initially identified
and efforts should be made to prevent complications and increase illness acceptance.
Keywords
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Article info
Publication history
Published online: February 27, 2020
Accepted:
February 19,
2020
Received in revised form:
January 23,
2020
Received:
September 20,
2019
Identification
Copyright
© 2020 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
