Foot self-care behavior and its predictors in diabetic patients in Indonesia

Abstract

Objectives: Previous studies have shown that diabetic foot ulcers are principally associated with improper foot selfcare. Since appropriate foot self-care is essential to prevent diabetic foot-ulcers, any factors which can predict foot self-care behavior should be identified. However, until now, foot self-care behavior data and predictors of foot-care behavior in Indonesia remain unclear since such studies on Indonesian diabetic patients is very limited. Therefore, the purpose of this study was to investigate foot self-care behavior and to identify its predictors in Indonesia. The design of this study was cross-sectional. Cluster sampling was used, involving 546 type 2 diabetes mellitus patients registered in 22 primary healthcare centers. The questionnaires used in this study included the Diabetes Distress Scale, Beck Depression Inventory II, Family APGAR, Foot-Care Knowledge and Modified Diabetic Foot Care Behaviors. Results: Foot self-care behavior and knowledge about foot care were poor. The predictors of foot self-care behavior were age, educational level, diabetes distress, family support, and knowledge. It needs the program to improve foot self-care knowledge and the program to reduce the diabetes distress in Indonesian diabetic patients. In performing of these programs, families should be involved to improve the support toward foot self-care behavior in patients.

Measuring Self-Care and Diabetes Distress Among Diabetic Patients

“…The results of this study also found the highest sequence of self-care behaviors starting to be the lowest: Special diet, general diet, physical exercise, blood sugar testing and, foot care. These results were in line with previous research showing that foot care in DM patients was still low [25]. Foot care behavior was influenced by several factors namely age, education level, diabetes distress, family support, and, knowledge [25].…”

“…These results were in line with previous research showing that foot care in DM patients was still low [25]. Foot care behavior was influenced by several factors namely age, education level, diabetes distress, family support, and, knowledge [25].…”

Self-care of liver, kidney and bone marrow transplant patients with diabetes

“…The lack of financial resources and the inconvenience involved in the procedure may be related to the lack of compliance with home blood glucose monitoring. [26] Regarding foot care, a study carried out in Indonesia to describe foot self-care found an unsatisfactory level of this behavior, [27] corroborating our study findings on the item 'inspecting inside shoes before putting them on'.…”

Case-Control Study of Risk Factors and Self-Care Behaviors of Foot Ulceration in Diabetic Patients Attending Primary Healthcare Services in Palestine

“…Sriyani et al also found that illiteracy was a predictor of increased risk for DFUs in their study conducted in Sri Lanka [4]. This could be explained by the fact that people who are less educated tend to be less aware and have inadequate knowledge regarding health-related issues such as warning signs and regular foot inspection [14,15]. However, our study also showed that the DFU group had a higher percentage of patients with university diplomas compared to the NFU group.…”