Assessment of Foot Self-Care in Patients With Diabetes

Navarro‐Flores, Emmanuel; Gijón-Noguerón, Gabriel; Cervera-Marín, José Antonio; Manzanares, María Teresa Labajos

doi:10.1177/1938640015585963

Cited by 13 publications

(28 citation statements)

References 22 publications

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“…Of all the variables included in the model, we observed that “low educational level” increases the risk of losing protective sensitivity (OR: 31.4, 95% CI: 2.5‐383.3, P = .007); however, the confidence interval is quite high, so the risk—although present—may be overestimated by the sample size. Those with a lower level of education typically have poorer health habits, causing increased obesity, physical inactivity, and susceptibility to psychosocial risks, which increases the risk of suffering from neuropathy . Therefore, it is important to establish preventative programs aimed at less educated populations to reduce the prevalence of PN.…”

Section: Discussionmentioning

confidence: 99%

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Chicharro‐Luna

Pomares

Ortega-Ávila

et al. 2019

International Wound Journal

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Diabetic neuropathy is defined as the presence of symptoms and signs of peripheral nerve dysfunction in diabetics. The aim of this study is to develop a predictive logistic model to identify the risk of losing protective sensitivity in the foot. This descriptive cross-sectional study included 111 patients diagnosed with diabetes mellitus. Participants completed a questionnaire designed to evaluate neuropathic symptoms, and multivariate analysis was subsequently performed to identify an optimal predictive model. The explanatory capacity was evaluated by calculating the R 2 coefficient of Nagelkerke. Predictive capacity was evaluated by calculating sensitivity, specificity, and estimation of the area under the receiver operational curve. Protective sensitivity loss was detected in 19.1% of participants. Variables associated by multivariate analysis were: educational level (OR: 31.4, 95% CI: 2.5-383.3, P = .007) and two items from the questionnaire: one related to bleeding and wet socks (OR: 28.3, 95% CI: 3.7-215.9, P = .001) and the other related to electrical sensations (OR: 52.9, 95% CI: 4.3-643.9, P = .002), which were both statistically significant. The predictive model included the variables of age, sex, duration of diabetes, and educational level, and it had a sensitivity of 81.3% and a specificity of 95.5%. This model has a high predictive capacity to identify patients at risk of developing sensory neuropathy.

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Section: Discussionmentioning

confidence: 99%

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Chicharro‐Luna

Pomares

Ortega-Ávila

et al. 2019

International Wound Journal

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“…Consequently, the SDFQ reflects awareness of diabetic foot self-care in study subjects, and it can also be used to evaluate the post-interventional differences to determine the state of foot health within the population. 17,19,38 The main purpose of the research is the measurement of diabetic foot self-care population using a questionnaire, adapted to the Italian language the SDFQ as a valid measure. 13…”

Section: Key Messagesmentioning

confidence: 99%

“…Diabetic foot self‐care must be a daily routine, patients must develop this habit from the beginning of diabetic symptoms such as a right administration of the chronic process. 15 It has been estimated that self‐care conduct on diabetic subjects is one of the main aspects to take the control of basic pathology. The self‐efficacy model has important results related to self planification about benefits conduct.…”

Section: Introductionmentioning

confidence: 99%

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Transcultural adaptation and validation of Italian Selfcare diabetic foot questionnaire

Navarro‐Flores

Romero‐Morales

Villafañe

et al. 2021

International Wound Journal

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The Italian Selfcare diabetic foot questionnaire, (SDFQ-IT) is considered a diabetic foot self-care evaluation tool with 16 questions for assessing diabetic foot health disorders. To date, SDFQ has been validated in different languages, but an Italian version was lacking. Consequently, the purpose of this study was to translate and validate the Italian version of the SDFQ-IT (SDFQ-IT). A suitable method was developed for the translation protocol and cross-cultural validation from Spanish to Italian. Regarding the total marks from each sub-scale, agreement degrees, and confidence were analysed using the Cronbach's α and intraclass correlation coefficient (ICC), respectively. In addition, the mean ± SD differences between pre and post-tests were calculated and completed using the Bland and Altman distribution plots. Excellent agreement between the two versions based on Cronbach's α was demonstrated. Three sub-scales consisting of knowledge of foot hygiene, the appropriate use of footwear and socks, and podiatric self-care were added together to obtain the total score. Excellent retest reliability was shown for the total score. Test/retest reliability was excellent for the self-care domain, and shock and shoe sub-scales. There were no significant differences among any domain (P > .05). There were no statistically significant differences (P = .000) for the mean ± SDs differences between pre-and post-tests (92.9200 ± 12.914) [89.25-96.59] and 92.9200 ± 13.012 [89.22-96.62] points, respectively). Bland and Altman plots or clinically pertinent variations were not statistically significantly different. The SDFQ-IT is considered a strong and valid questionnaire with adequate repeatability in the Italian community.

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“…2 Although most patients with diabetic peripheral neuropathy experience no pain, approximately 11% of patients have chronic, painful symptoms which decrease their quality of life, disrupt sleep, and can lead to depression. 3,4 Painful diabetic neuropathy can significantly impair patients' quality of life 3 and affect many areas of everyday life. [5][6][7] The number of amputations is growing due to the increasing incidence of diabetes and vascular disease, as well as due to population aging.…”

Section: Introductionmentioning

confidence: 99%

Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome

Krzemińska¹,

Kostka²

2021

DMSO

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The aim of the study was to evaluate the relationship between pain and quality of life and illness acceptance, anxiety and depression in a group of patients with complicated diabetic foot syndrome, following lower limb amputation. Patients and Methods: The studies were carried out in three stages: 7 days, 6 months and 12 months after surgery in a group of 100 patients after amputation of the lower limb due to complications resulting from type 2 diabetes. The study was performed using standardised instruments: WHOQOL-BREF, the Acceptance of Illness Scale (AIS), the Hospital Anxiety and Depression Scale (HADS), and the Visual Analog Scale (VAS) for pain intensity assessment. Results: Pain occurred in the examined patients throughout the study. The greatest intensity of pain was observed in the postoperative period and significantly weakened over time. Pain intensity was significantly associated with worse overall QoL perceived (−0.255, p=0.011/-0.283, p=0.005) and QoL scores in the physical and psychological domains at the first and second stage of the study (physical domains −0.257, p=0.011/-0.219, p=0.03 and psychological −0.22, p=0.029/-0.24/0.018). The intensity of pain negatively correlates with the acceptance of the disease in all three stages of the study, the greater the severity of pain, the lower the acceptance of illness (−0.298, p=0.003/-0.326, p=0.001/-0.26, p=0.009). The occurrence of anxiety and depression is highly dependent on the severity of pain, especially at the first and second stage of the study (anxiety 0.203, p=0.045/0.257, p=0.01, depression 0.299, p=0.003/0.253, p=0.012). The stronger the pain, the greater the severity of mood disorders. Conclusion: Pain and its severity are associated with QoL in the patients with complicated diabetic foot syndrome following lower limb amputation. Disease acceptance was lower in patients experiencing more severe pain at all stages of the study. There is an association of pain with the occurrence of anxiety and depression in amputees, especially 6 months after surgery.

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Assessment of Foot Self-Care in Patients With Diabetes

Abstract: Therapeutic, Level III: Systematic review of level I-III studies.

Cited by 13 publications

References 22 publications

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Predictive model to identify the risk of losing protective sensibility of the foot in patients with diabetes mellitus

Transcultural adaptation and validation of Italian Selfcare diabetic foot questionnaire

Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome

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