Factors Related to Diabetic Foot Ulcers in Persons with Type 2 Diabetes

• Main Authors: Tran Thi Bich, อรพรรณ โตสิงห์, Orapan Thosingha, วิมลรัตน์ ภู่วราวุฒิพานิช, Wimolrat Puwarawuttipanit
• Other Authors: มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์
• Format: Article
• Language: English
• Published: 2019
• Subjects: type 2 diabetes; self-efficacy; diabetic foot ulcer; ผู้ป่วยเบาหวานประเภท 2; ความเชื่อมั่นในการดูแลตนเอง; แผลเบาหวานที่เท้า; วารสารพยาบาลศาสตร์; Journal of Nursing Science
• Online Access: https://repository.li.mahidol.ac.th/handle/123456789/44079
• Institution: Mahidol University

Purpose: To investigate the relationship between age, duration of diabetes, HbA1C, co-morbidity, self-efficacy, and diabetic foot ulcer among persons with type 2 diabetes. Design: Descriptive correlational design. Methods: The sample consisted of 136 persons with type 2 diabetes in the outpatient department, at the Bach Mai Hospital, Hanoi, Vietnam. Data were collected using hospital record and a structured questionnaire. The diabetic foot ulcer was assessed using 60 second Diabetic Foot Screen. Spearman, Rho correlation was employed to test the relationship among variables. Main findings: More than half of subjects were female (60.3%) with mean age of 65.3 years. The majority had type 2 diabetes more than 10 years; hypertension was the most common co-morbid disease with 89%. The mean score of self-efficacy was 54.49 (SD = 8.34) while the mean of diabetic foot ulcer score was 6.05 (SD = 3.14). Age, duration of type 2 diabetes, and co-morbidity were significant positively correlated with the diabetic foot ulcer score (rs = .29, rs = .31, rs = .30; p < .05, respectively) while self-efficacy was negatively correlated with the diabetic foot ulcer score (rs = - .42, p < .05). Conclusion and recommendations: Nurses should routinely assess persons with type 2 diabetes using the 60 second Diabetic Foot Screen, control their co-morbid diseases, and promote their self-efficacy. Standard guidelines to take care feet of diabetic persons concerning those related factors should be developed and implemented.