Implementing Diabetic Foot Care in the Primary Care Setting

Cousart, Tabitha Hunt; Handley, Marilyn

doi:10.1016/j.nurpra.2016.11.009

Cited by 12 publications

(6 citation statements)

References 2 publications

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“…La relación del riesgo de ulceración por pie diabético y los niveles de HbA1c mayores a 9% está documentada en estudios individuales 6 , los que describen un riesgo de sufrir una amputación más de tres veces mayor (Odds Ratio 3,2); al igual que estudios individuales refieren menor incidencia de complicaciones en personas diabéticas que logran compensación metabólica. Sin embargo destaca que existe evidencia que la inspección y examen regular de los pies de las personas diabéticas como tamizaje, con ítem similares a las pautas actuales chilenas, inciden en la reducción de complicaciones del pie diabetico 7,8 .…”

Section: Discussionunclassified

Asociación entre el índice de amputación por pie diabético y los indicadores de atención y manejo de diabetes mellitus tipo 2 en los Centros de Salud del Servicio Metropolitano Oriente, entre 2014 y 2018

Kuschel¹,

Orellana²,

Valdés

2022

Rev. méd. Chile

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Association between the diabetic foot amputation index and metabolic compensation in diabetes mellitusBackground: Diabetic foot amputation is a public health challenge due to the increasing prevalence of type 2 diabetes mellitus (T2D). Although there are many health indicators aimed at the management and control of T2D and its complications, amputations persist. Aim: To evaluate the association between diabetic foot amputation index and indicators of care and management of T2D in primary care centers of the eastern section of Santiago, Chile. Material and Methods: We conducted a mixed ecological study and included information from the Monthly Statistical report of different public health centers from 2014 to 2018. We also analyzed the hospital discharge records from an individual tertiary public health center. The annual index for diabetic foot amputation per 100,000 diabetic patients was used as a response variable. The diabetic compensation percentage was calculated as the proportion of adults with a glycosylated hemoglobin below 7% or the proportion of older people with a value below 8%. The diabetic decompensation percentage was calculated as the proportion of people with a glycosylated hemoglobin over 9%. Results: A high variability in demographic and management indicators was observed between communes and centers in the study period. Bivariate analysis showed a significant correlation between the amputation index, decompensation, and insulin use. In a regression analysis, the amputation index was significantly associated with the diabetic compensation percentage (β = -3.5; p < 0.05) and a high decompensation percentage (β = 12.3; p < 0.005). Conclusions: The diabetic foot amputation index was associated with diabetic compensation and decompensation indicators.

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Section: Discussionunclassified

Asociación entre el índice de amputación por pie diabético y los indicadores de atención y manejo de diabetes mellitus tipo 2 en los Centros de Salud del Servicio Metropolitano Oriente, entre 2014 y 2018

Kuschel¹,

Orellana²,

Valdés

2022

Rev. méd. Chile

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“…The respondents stated that 78.3 21.7 100 Spearman's rho test; 0,001(ρ < 0.05) Correlation coefficient; -0.542* they sometimes walked barefoot outside of the room, that they often wore shoes without socks and that they sometimes use tape on the feet to remove calluses. According to the research, it revealed that the low foot care behavior may occur when people with diabetes mellitus have difficulty checking feet; help from others may be needed (Cousart and Handley, 2017). The results of the respondents ignoring doing their routine foot care for several reasons is that they often forget, are lazy, do it in a manner that is not in accordance with what is usually done, and they feel uncomfortable in the way that it is given.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Self Efficacy on the Foot Care Behavior of Type 2 Diabetes Mellitus Patients in Indonesia

Huda¹,

Sukartini²,

Pratiwi³

2020

J. Ners

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Introduction: Diabetes mellitus (DM) often causes complications, one of which is diabetic foot ulcers (DFUs). One of the factors involved in preventing diabetic foot injuries is performing foot care behavior. To improve patient behavior in terms of performing foot care is to improve self-efficacy. The purpose of this study was to determine the effect of the self-efficacy of diabetes patients on foot care behavior.Methods: This study used a descriptive correlational design to reveal the correlative relationships between the variables with a sample of 106 respondents using probability sampling in the form of cluster random sampling. The data was collected using questionnaires, the foot care confidence scale (FCCS), and the foot care behavior scale for diabetes (FCBS for Diabetes). The independent variable of this study was the self-efficacy of DM sufferers and the dependent variable of this study was the behavior of foot care. The data analysis used the Spearman Rho correlation test (α=0.05).Results: Spearman Rho correlation test showed there to be a relationship between the self-efficacy of people with diabetes mellitus and foot care behavior p value = 0.001 (p<0.05), r= -0.542.Conclusion: The implication of this study is that a high self-efficacy in people with diabetes mellitus will improve the behavior related to foot care, thereby reducing the risk of behaviors that damage the feet.

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“…Cousart and Handley (Cousart & Handley, 2017) Diabetic foot care in primary care was very effective and proved to be beneficial for preventing and healing process foot problems in diabetes mellitus patients. Rumana et al (Rumana et al, 2017) Facebook has proven to be effective to provide correct information regarding diabetic foot care by seeing the positive likes and comments.…”

Section: D'souza Et Al (D'souza Et Al 2016)mentioning

confidence: 99%

“…The treatment given to patients with diabetes mellitus is a life-long treatment, therefore compliance is required to achieve optimal results. The treatment of diabetes mellitus consists of 5 key principles (Cousart & Handley, 2017).…”

Section: Introductionmentioning

confidence: 99%

Support Factors of Self Foot Care for Diabetes Mellitus Patients

Faizah¹,

Sinawang²,

Hermanto³

et al. 2020

J. Ners

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Introduction: Diabetes mellitus is a chronic disease of the endocrine system that has numerous complications such as diabetic foot ulcers. Amputation is the last frontier for the treatment of diabetic foot ulcers but they can be prevented through proper self-foot-care behavior. The aim of this study was to explain the support factors of self foot care for diabetes mellitus patients.Methods: The methods used were self-foot-care identification in the literature, with the relevant literature identification based on the topics and titles obtained from Scopus, ScienceDirect and ProQuest. This was as well as analysis of the results from examining the various behaviors that support self-foot-care behavior in the literature. The references included was the research conducted from 2013 - 2019 as follows: 2 descriptive correlation studies, 3 descriptive studies, 2 prospective studies, 1 prospective cohort study, 1 pre-experimental study, 3 quasi-experimental studies, 1 case study and 3 cross-sectional studies.Results: All of the journals included discussed foot care behavior. Education programs regarding foot care are a major factor that supports foot care behavior.Conclusion: All of the journals that were obtained stated that there was a positive influence on the diabetic foot condition where routine foot care behavior was implemented. Self-foot-care behavior also requires other supporting factors to obtain the maximum results.

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Implementing Diabetic Foot Care in the Primary Care Setting

Cited by 12 publications

References 2 publications

Asociación entre el índice de amputación por pie diabético y los indicadores de atención y manejo de diabetes mellitus tipo 2 en los Centros de Salud del Servicio Metropolitano Oriente, entre 2014 y 2018

Asociación entre el índice de amputación por pie diabético y los indicadores de atención y manejo de diabetes mellitus tipo 2 en los Centros de Salud del Servicio Metropolitano Oriente, entre 2014 y 2018

The Impact of Self Efficacy on the Foot Care Behavior of Type 2 Diabetes Mellitus Patients in Indonesia

Support Factors of Self Foot Care for Diabetes Mellitus Patients

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