Evaluation of the relationship among foot wound risk, foot self-care behaviors, and illness acceptance in patients with type 2 diabetes mellitus

Published:February 27, 2020DOI:


      • 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.



      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).


      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.


      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.


      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.


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