Non-adherence to foot-care activities and its associated factors among patients with type 2 diabetes mellitus in an urban area of South India: a cross sectional study

Chappidi, Mounica; Chidambaram, Priyadarshini; Sivananjiah, Shalini; Somanna, Shivaraj Nallur

doi:10.18203/2394-6040.ijcmph20184745

Cited by 4 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[13][14][15] However, despite provision of appropriate information and guidance, patients' self-care is often suboptimal, and adherence to foot self-care recommendations and compliance to medication remains low. [16][17][18][19] In addition, although early detection and referral of patients is crucial, [20][21][22] there are still a number of patients who delay reporting foot symptoms to health professionals, and up to 40% to 60% of amputations are related to patient delay. 23 Singapore has the highest rate of DLEA in the world, 24 and the trend is increasing.…”

Section: Introductionmentioning

confidence: 99%

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

Zhu

Lee²,

Chew³

et al. 2021

International Wound Journal

View full text Add to dashboard Cite

Self-management and self-care are the cornerstone of diabetes care and an essential part of successfully preventing or delaying diabetes complications. Yet, despite being armed with the required information and guidance for self-management, self-care and adherence to foot self-care recommendations and compliance to medication among patients with diabetic foot ulcer and diabetic lower extremity amputations remain low and suboptimal. This study reveals in-depth account of nine such patients' beliefs and perceptions around their illness, their self-care, and their health-seeking behaviours. Patients living with diabetic lower extremity amputation displayed profound lack of knowledge of self-care of diabetes and foot and passive health-related behaviours. The overarching sense that "when nothing happens, nobody is afraid," points to a lack of motivation in taking charge of one's own health, whether this is with reference to treatment or care adherence, following recommended self-care advice, or seeking timely treatment. The Health Beliefs Model provides the theoretical framework for probing into the factors for the participants' suboptimal self-care and passive health-seeking behaviours. Two themes emerged from data analysis: profound knowledge deficit and passive healthrelated behaviours. The beliefs and perceptions around self-care and healthseeking behaviours for patients with lower extremity amputation are interpreted as the "ignorant self" with passive health-seeking behaviours. Patients with diabetes and diabetic foot diseases may benefit from personalized education, motivational interviewing, and family support.

show abstract

Section: Introductionmentioning

confidence: 99%

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

Zhu

Lee²,

Chew³

et al. 2021

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…112,113 However, patient education might not result in behavioural change because the required change is lifelong practices and people may not take the advice seriously and translate knowledge into practice. 114 In support of this, difficulties in integrating proper foot care into daily practices were noticed among two groups of people living in Turkey with type 2 diabetes (having a diagnosis of mental illness versus no diagnosis of mental illness). 115 However, both groups believed good self-care might prevent the progression of the disease and avoid the necessity to take insulin.…”

Section: Discussionmentioning

confidence: 95%

“…People with diabetes do not have the capacity to feel heat because of peripheral neuropathy and/or poor judgement, thereby people with diabetes/care givers need to be warned of the risk of the application of heat even if the temperature is low 112,113 . However, patient education might not result in behavioural change because the required change is lifelong practices and people may not take the advice seriously and translate knowledge into practice 114 . In support of this, difficulties in integrating proper foot care into daily practices were noticed among two groups of people living in Turkey with type 2 diabetes (having a diagnosis of mental illness versus no diagnosis of mental illness) 115 .…”

Section: Discussionmentioning

confidence: 99%

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

Abu‐Qamar

Kemp

Whitehead

2022

International Wound Journal

View full text Add to dashboard Cite

The objective of this systematic review was to collate evidence published in case reports on the reported origins of external traumas that contribute to the development of diabetic foot ulcers and their outcomes. The review also aimed to suggest reporting criteria for external traumas contributing to the development of diabetic foot ulcers. The search strategy led to the identification of 1224 articles across six electronic databases. Additional articles were also sourced from other electronic platforms (Google scholar) and the reference lists of the included case reports. Ninety-four articles met the inclusion criteria and were published between 1989 and 2020. The included case reports were independently assessed for methodological quality using a Joanna Briggs Institute (JBI) checklist. Following the verbatim extraction of data, the JBI three steps approach to "meta-aggregation" for managing qualitative data was used to synthesise the data on external traumas that contributed to the development of foot ulcers along with the reported outcome. Information on the included case report characteristics was also extracted. The case reports included 155 patients. Average age was 57.2 years with a range from 17 to 86 years. External traumas were mainly experienced in the domestic setting and were categorised into two main categories, mechanical trauma (n = 87, 60%) or burns (n = 58, 40%). The most frequently reported origins of external trauma were contact with a hot surface, animal bites, friction, and puncture wounds. Although healing was the most frequent outcome, a prolonged time was recorded for the ulcers to heal highlighting the importance of prevention. Prevention might not eradicate origins of external trauma 100%, showing the importance of patient and/or family role in monitoring domestic risks, early detection of ulcer and seeking immediate professional care. Foot ulcers need to be reported against standardised criteria considering local characteristics of the ulcer and the individual's general profile.

show abstract

“…[ 13 23 24 ] In the present study, foot care practice was regularly followed by patients with higher education (OR = 2.42) and those who were treated by a physician or endocrinologist (OR = 1.82). Other earlier studies revealed that male gender, monthly family income >30,000 INR,[ 25 ] and patients with more than 10 years duration of diabetes were more likely to follow foot care practice. [ 11 ] Suguna A et al .…”

Section: Discussionmentioning

confidence: 99%

Factors influencing adherence to self-care practices among patients of type 2 diabetes mellitus from Saurashtra region of Gujarat: A conclusive research

Joshi

Patel²,

Gandhi³

et al. 2022

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Background: It is commonly understood that diabetes self-care practice is critical in the management of the disease. However, the magnitude and determinants of self-care practices are not well evaluated at the community level. Methods: A community based cross-sectional study was conducted among 178 type 2 DM patients. Self-care practices were evaluated for the last seven days and each item was scored from 0 (none of the days in a week) to 7 (all 7 days were followed). Results: Adherence to medication (89.3%) and blood glucose monitoring (65.2%) were relatively higher than other domains. Factors associated with dietary adherence were secondary level education and above (OR = 22.1, 95% CI = 6.85 to 71.3), physician or endocrinologist treating doctors (OR = 3.36, 95% CI = 1.24 to 11.32), joint and three-generation family (OR = 3.32, 95% CI = 1.23 to 8.92) and upper and middle socioeconomic class (OR = 2.5, 95% CI = 1.1 to 6.2). Good glycemic control was significantly associated with dietary adherence (OR = 6.81, 95% CI = (2.71 to 17.16), medication adherence (OR = 4.59, 95% CI = 1.3 to 16.24) and regular exercise (OR = 3.65, 95% CI = 1.62 to 8.19). Conclusion: There is need to develop structured diabetes self-care education programs with involvement of private practitioners as a majority of the patients consult private practitioners for treatment. Health educators might have to place emphasis on self-care education to patients as well as caregivers belonging to low socioeconomic class and having lower education.

show abstract

Non-adherence to foot-care activities and its associated factors among patients with type 2 diabetes mellitus in an urban area of South India: a cross sectional study

Cited by 4 publications

References 11 publications

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

“When nothing happens, nobody is afraid!” beliefs and perceptions around self‐care and health‐seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care

The reported external traumas among people with diabetes‐related foot ulcers and their outcomes: A systematic review of case reports

Factors influencing adherence to self-care practices among patients of type 2 diabetes mellitus from Saurashtra region of Gujarat: A conclusive research

Contact Info

Product

Resources

About