The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China

Abstract

KnowledgeSelf-care a b s t r a c t Purpose: To investigate the knowledge and behaviours on foot self-care in patients with type 2 diabetes mellitus; analyse the influential factors, and provide information for the intervention study.Methods: A total of 5961 patients with type 2 diabetes mellitus from 144 hospitals in China were included in the study. The investigation content included patients' demographic data, foot self-care knowledge and behaviours. The investigation tools were the questionnaires on the general diabetes information, on the foot self-care knowledge, and on the foot selfcare behaviours.Results: The foot self-care knowledge was medium and the foot self-care behaviour was poor. The status of knowledge and behaviours were influenced by education, duration of diabetes mellitus, periodic inspection, and education about diabetic complications. Pearson analysis demonstrated that there was positive correlation between knowledge score and behaviour score (r ¼ 0.27, p < 0.001).Conclusions: The status of foot self-care knowledge and behaviours are not optimistic. According to the patients' own characteristics, the theory of knowledge, attitude and practice applies to encouraging patients to go for periodic inspection and education about diabetic complications so as to enhance the knowledge and promote the self-care behaviours.

Knowledge and Practice of Foot Care in Patients With Type 1 and 2 Diabetes at National Institute of Diabetes and Endocrinology in Cairo

“…In the same line other researchers have published similar findings (Magbanua & Lim-Alba, 2017). In contrast to this a study done in China (Li, Yuan & Guo et al, 2014) found that the state of practice was influenced by duration of diabetes mellitus.…”

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

“…This lack of knowledge can be explained because most diabetic patients in Indonesia do not receive foot care management information. Based on the knowledge, attitude, and behavior theory, knowledge provides the basis for a positive attitude, and a positive attitude powers behavioral change [18,38]. According to this theory, persons will do something if they believe that it will have a significant value for themselves.…”

“…Previous studies in other countries revealed that the factors which influence foot care behavior include demographic variables like age, educational level, and occupation [17,18]. Other factors such as peripheral neuropathy [19], diabetes distress [20], family support [21], depression [22], have also been identified as predictors of foot self-care behavior in diabetic patients.…”

Diabetic foot self-care: awareness and practice among type 2 diabetic patients in primary healthcare centers, Dubai Health Authority

“…Studies conducted on prevention of foot ulcers in India and another study conducted in China on knowledge and practice of foot care reveal similar results. 19,26 A study conducted in the U.S.A. found that foot self-care practices were better in patients with duration of diabetes more than or equal to 10 years. 27 Such a significant relation was not found in this study.…”