Development, validation and psychometric analysis of the diabetic foot self-care questionnaire of the University of Malaga, Spain (DFSQ-UMA)

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

doi:10.1016/j.jtv.2014.11.001

Cited by 43 publications

(66 citation statements)

References 35 publications

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“…Guidelines for the treatment of DFU (Lavery et al, 2016) suggest the following self‐care for patients: daily inspection, wearing protective footwear, use of offloading methods such as crutches and heel relief shoes, intake of sufficient protein, irrigating and cleaning the wound and a moist wound dressing. These behaviours not only contribute to early intervention, but are also effective in the healing process of the wound (Aliasgharpour & Nayeri, 2012; Navarro‐Flores, Morales‐Asencio, Cervera‐Marín, Labajos‐Manzanares, & Gijon‐Nogueron, 2015). However, many patients with DFU did not perform adequate self‐care, and diabetic foot self‐care management programmes, interventions and research studies on this are limited (Bonner, Foster, & Spears‐Lanoix, 2016; Chiwanga & Njelekela, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Diabetic foot care was previously measured only as a sub‐factor of diabetes management. However, an instrument for measuring the level of diabetic foot care was recently developed because of the importance of this practice (Chin & Huang, 2013; Navarro‐Flores et al, 2015). Although diabetic foot care is one of the most essential self‐management behaviours (Chin & Huang, 2013), few studies investigated diabetes management and diabetic foot care using each of the tools, and the factors affecting diabetic foot care have not been elucidated in detail.…”

Section: Introductionmentioning

confidence: 99%

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Factors related to self‐care behaviours among patients with diabetic foot ulcers

Kim

Han

2020

Journal of Clinical Nursing

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Aims and objectives:To examine the level of self-care behaviours among patients with diabetic foot ulcers and identify factors related to their self-care behaviours.Background: This study focused on the self-care behaviours of patients diagnosed with diabetic foot ulcers, a complication of diabetes. Design:A cross-sectional study design was adopted.Methods: From July-August 2018, 131 outpatients and inpatients with diabetic foot ulcers were given a survey questionnaire regarding self-care behaviours and expected related factors at two Korean hospitals. In this study, self-care behaviours were diabetes management and diabetic foot care. Demographic, disease-related and laboratory characteristics were collected. The data were analysed in terms of descriptive statistics, a t test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. STROBE checklist was used as the guideline for this study. Results:Moderate levels of self-care behaviours were found. The stepwise multiple regression analysis revealed that diabetes management was significantly related to perceived family support, experience of diabetic education, perceived stress, a problem-focused coping style, experience of hospitalisation and comorbidity. Furthermore, diabetic foot care was significantly associated with the experience of diabetic education, perceived family support, and serum level of erythrocyte sedimentation rate and haemoglobin A1C. Conclusions:Perceived family support was the main factor affecting diabetes management, and diabetic foot care was greatly affected by the experience of diabetic education. It is necessary to develop diabetes education programmes and nursing interventions to increase family support to improve the self-care behaviours of patients with diabetic foot ulcers.Relevance to clinical practice: Self-care behaviours among patients with diabetic foot ulcers are important, as they affect healing of the wound and the quality of life.Further development of family-based diabetes education or programmes is recommended to promote the self-care behaviours of patients with diabetic foot ulcers. K E Y W O R D S diabetes management, diabetic foot care, diabetic foot ulcers, self-care behaviour | 1713 KIM and Han S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section. How to cite this article: Kim EJ, Han K-S. Factors related to self-care behaviours among patients with diabetic foot ulcers. J

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors related to self‐care behaviours among patients with diabetic foot ulcers

Kim

Han

2020

Journal of Clinical Nursing

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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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“…• други облици дијабетеса (моногенски дијабетес, болест егзокриног панкреаса, дијабетес узрокован хормонима и лековима) 1,[5][6][7][8]9 . Поред примене инсулина и других лекова, веома су важне и друге мере у лечењу дијабетеса и превенцији компликација: примена дијете, више физичке активности, и едукација о контроли болести, терапији, компликацијама болести и терапије, као и о последицама непридржавања терапије [9][10][11][12][13][14][15] . Најчешће компликације дијабетеса су: дијабетесна кетоацидоза, лактатна ацидоза, дијабетесно некетогено хиперосмоларно стање, хипо-и хипергликемије, ретинопатија, нефропатија, кардиоваскуларна обољења, полинеуропатија, дијабетесно стопало и друго 5,6,[15][16][17][18][19] .…”

Section: уводunclassified

Development of the scale for measuring patients' knowledge about diabetes

Tomić¹

2018

Racion ter

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Introduction: Diabetes as a chronic metabolic disease is serious health problem with a prevalence of 9% in the population older than 18 years. Мortality caused by diabetes in 2012 globally was 2.7%, and in Serbia 3.4%. A patient with his behavior might influence the outcome of the disease itself, and therefore adequate training Сања Томић 14 of diabetics is important for prevention of complications of this disease. Materials and Methods: The study was designed as observational, analytical, cross-sectional investigation, based on a questionnaire for collection of data. The study population consisted of patients suffering from diabetes type one or two, treated at Endocrinology ward of Clinical Center Kragujevac. The study was approved by the Ethics Committee of the Clinical Center Kragujevac. Objective: The aims of this study were to establish and validate an instrument for measuring patients' knowledge about diabetes, as well as to review and analyze knowledge of patients about their disease, and association of certain factors with that knowledge. Results: The study included a total of 302 patients suffering from diabetes, both types; there were 146 (48.3%) males, and 156 (51.7%) females. Value of Cronbach's alpha of 0.774 indicated satisfactory reliability of the questionnaire. Exploratory factorial analysis revealed four factors. The following variables were associated with knowledge of the patients about diabetes: the patient's age (β =-0.327; p = 0.000), level of education (β = 0.110; r = 0.032) and duration of the disease (β = 0,395; р = 0,000). Conclusion: Results of this study showed of good psychometric characteristics of the developed instrument. Knowledge of the patients with diabetes about their disease was satisfactory in the study sample, and associated with age, formal education of the patients and duration of the disease.

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Development, validation and psychometric analysis of the diabetic foot self-care questionnaire of the University of Malaga, Spain (DFSQ-UMA)

Cited by 43 publications

References 35 publications

Factors related to self‐care behaviours among patients with diabetic foot ulcers

Factors related to self‐care behaviours among patients with diabetic foot ulcers

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

Development of the scale for measuring patients' knowledge about diabetes

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