The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

Sari, Yunita; Yusuf, Saldy; Haryanto, Haryanto; Sumeru, Annas; Saryono, Saryono

doi:10.1002/nop2.993

Cited by 16 publications

(32 citation statements)

References 57 publications

(56 reference statements)

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“…The overall management of a patient with diabetic with DFU needs an integrated approach that includes the involvement of a clinician, a podiatrist, counsellors, foot care nurses, a dietician, physiotherapists and so on to holistically manage the diabetic feet and optimise glycaemic control. This was also mentioned in several other studies supporting the approach of having a multiteam approach in the management of patients with DM and foot care 20 21. HCWs attitudes towards patients can also affect the quality of foot care they give.…”

Section: Discussionmentioning

confidence: 73%

“…This is worrisome because HCWs must have adequate scientific knowledge about DM, DFU and foot care so they can be confident in disseminating such information and advice to patients. They must also be able to demonstrate the correct techniques of foot care to patients and possess the skills and knowledge to conduct foot examinations in order to diagnose them based on their risk level of developing DFU 20–23. Two studies showed nurses possess more practical knowledge on DFU that theoretical knowledge 12 23.…”

Section: Discussionmentioning

confidence: 99%

“…A few other studies however have also highlighted the gaps in the knowledge of HCWs and recommended ways of improving HCWs’ level of knowledge. With greater knowledge, HCWs would be more empowered to provide effective education to their patients and empower their patients 21 23 24…”

Section: Discussionmentioning

confidence: 99%

“…They must also be able to demonstrate the correct techniques of foot care to patients and possess the skills and knowledge to conduct foot examinations in order to diagnose them based on their risk level of developing DFU. [20][21][22][23] Two studies showed nurses possess more practical knowledge on DFU that theoretical knowledge. 12 23 A few other studies however have also highlighted the gaps in the knowledge of HCWs and recommended ways of improving HCWs' level of knowledge.…”

Section: Open Accessmentioning

confidence: 99%

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Healthcare workers’ perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative study

Ranuve

Mohammadnezhad

2022

BMJ Open

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ObjectivesTo explore the perception of healthcare workers (HCWs) on diabetic foot ulcers (DFU) and foot care in Rotuma, Fiji.DesignUsing a qualitative study design, two focus group discussions (FGDs) were conducted among HCWs. A semistructured open-ended questionnaire was used to guide the discussion session. Each FGD was audiorecorded and was transcribed. The transcriptions were then manually analysed using thematic analysis.SettingRotuma hospital, Fiji.ParticipantsHCWs who were working in Rotuma hospital for at least a year and were involved in clinical foot care of type 2 diabetes mellitus patients were included.ResultsThere were five main themes, namely, depth of knowledge, quality of care in practice, factors of influence on practice, lack of resources and capacity building. Participants had superficial knowledge that showed lack of in-depth scientific knowledge. A lack of staffing in the clinics affected the delivery of service. Additionally, patients defaulting clinics, late presentations with DFU and traditional medicine also affected the quality of healthcare service in clinics. There was also a need for a multidisciplinary team to prevent and manage DFU. HCWs mostly advised on glycaemic control and ignored offering foot care advice in clinics due mainly to the lack of sound knowledge on foot care. There was also a lack of resources, infrastructure, space and professional development opportunities, which negatively impacted how HCWs deliver foot care services to patients.ConclusionHCWs lack significant in-depth knowledge on DFU and foot care. In addition, these are the availability of traditional medicine that delays presentations to hospital, further reducing the quality of services. HCWs need to keep their knowledge and skills updated through regular in-service training on foot care. Resources, infrastructure and supply chains need to be maintained by those in power to ensure HCWs deliver quality foot care services.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

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Healthcare workers’ perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative study

Ranuve

Mohammadnezhad

2022

BMJ Open

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“…Previous studies found a lack of knowledge regarding DM and its management is a barrier to self-care [47][48][49]. This study found that subjects generally understood diabetes, its symptoms, and its management and did not consider their knowledge a barrier to management.…”

Section: Knowledge Attitudes and Beliefsmentioning

confidence: 66%

How can tuberculosis services better support patients with a diabetes co-morbidity? A qualitative study in the Philippines

Hashiguchi

Cox

Edwards

et al. 2023

Preprint

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Background People with diabetes mellitus (DM) have an estimated two- to three times greater risk of adverse tuberculosis (TB) treatment outcomes compared to those without DM. Blood glucose control is a primary aim of managing DM during TB treatment, yet TB programmes are not generally adapted to provide DM services. The purpose of this study was to understand perceptions and the lived experiences of diabetic patients in TB treatment in the Philippines, with a view to informing the development of disease co-management strategies. Methods This qualitative study was conducted within a prospective cohort of adults newly-starting treatment for drug-sensitive and drug-resistant TB at 13 public TB clinics in three regions of the Philippines. Within the subset of 189 diabetic persons who either self-reported a prior DM diagnosis, or were diagnosed by screenings conducted through the TB clinic, a purposively-selected sample of 31 people participated in semi-structured interviews. Participants were selected within glycaemic outcomes determined by the degree of glycaemic control (controlled or uncontrolled), ascertained using repeated blood glucose measurements collected in TB treatment. All audio-recorded data was transcribed and thematic analysis performed. Results In both glycaemic control types, participants were generally knowledgeable about diabetes and its management. However, a minority of participants were aware of the impact of DM on TB treatment and outcomes. Many participants newly-diagnosed with DM at enrolment in TB treatment had not perceived any diabetic symptoms prior and would have likely not sought clinical consult otherwise. Access to free glucose-lowering medications through TB clinics was a key enabling resource. However, participants expressed fear of side effects and interrupted access to glucose-lowering medications, and a preference for phytotherapy. Many participants felt that the physical and financial impact of TB and its treatment were challenges to DM management. Conclusions and recommendations Results of this study indicate that public TB clinics can provide diabetic patients with additional health care resources and education to address co-morbidity. TB programmes might consider identifying patients with complicated DM, and offering diabetic monitoring and management, as DM and diabetic complications may compound the burden of TB and its treatment.

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Factors influencing foot care behaviour among patients with diabetes: An integrative literature review

Woo

Cui

2023

Nursing Open

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Aim:The aim of the study was to examine factors influencing diabetic foot care behaviours (DFCBs) among patients with diabetes.Design: An Integrative review using the Whittemore & Knafl five-stage framework. Methods:A systematic search was performed to retrieve relevant peer-reviewed literature published in English between 2011 and 2021 across three electronic databases: CINAHL, Medline (PubMed) and Scopus. Following the quality appraisal, 35 papers were included in this review.Results: This review revealed that patients' DFCBs were suboptimal. Additionally, four emerging themes were identified as the predictors of DFCB, namely: demographic characteristics as predictors of diabetic foot care behaviour; illness beliefs and perceptions as predictors of diabetic foot care behaviour; foot care knowledge as a predictor of diabetic foot care behaviour and foot care education as a predictor of diabetic foot care behaviour. This calls for nurses to devise educational strategies that adequately address these determinants to drive long-term positive DFCB among patients. K E Y W O R D S diabetic foot care behaviour, diabetic foot care practice, integrative review [Corrections added on 9 May 2023 after first online publication: The year 2020 has been updated to 2021 in the Methods section of the abstract and Ming Wei Jeffrey Woo's degrees have been updated.]

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The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study

Cited by 16 publications

References 57 publications

Healthcare workers’ perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative study

Healthcare workers’ perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative study

How can tuberculosis services better support patients with a diabetes co-morbidity? A qualitative study in the Philippines

Factors influencing foot care behaviour among patients with diabetes: An integrative literature review

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