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Impact of action cues, self‐efficacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy

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  • Yen‐Fan Chin
  • Tzu‐Ting Huang
  • Brend Ray‐Sea Hsu

Abstract

Aims and objectives To identify the effects of health belief model factors on daily foot‐exam practice among diabetes mellitus patients with peripheral neuropathy. Background Daily foot exams are one of the most important self‐care behaviours that prevent the occurrence of diabetic foot ulcers and subsequent amputation. Although daily foot exams were under‐practiced in patients with peripheral neuropathy, few studies have explored modifiable social‐psychological factors related to daily foot exams. Design A cross‐sectional survey was used to collect the data. Methods A total of 277 patients with diabetes and peripheral neuropathy were recruited from two hospitals in northern Taiwan. The Family APGAR and Diabetic Foot Ulcer Health Belief Scale (DFUHBS) were used to measure family support and health belief factors respectively. Data on foot‐exam practice, perceived self‐efficacy and action cues were collected through the use of structured questionnaires. The data were analysed using logistic regression. Result The regression model revealed that select action cues (recommendations from family, friends, or health professionals), perceived self‐efficacy and perceived barriers interactively influenced the participants' daily foot‐exam practice. Conclusion Factors related to daily foot‐exam practice were identified. Specifically, action cues played a significant role in motivating daily foot‐exam practice in this group. Relevance to clinical practice This study recognises modifiable factors that influence the daily foot‐exam practice of patients with diabetes and peripheral neuropathy. Using the findings of this study, health professionals can design interventions that aim to modify the above factors as a means to promote daily foot‐exam practice.

Suggested Citation

  • Yen‐Fan Chin & Tzu‐Ting Huang & Brend Ray‐Sea Hsu, 2013. "Impact of action cues, self‐efficacy and perceived barriers on daily foot exam practice in type 2 diabetes mellitus patients with peripheral neuropathy," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(1-2), pages 61-68, January.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:1-2:p:61-68
    DOI: 10.1111/j.1365-2702.2012.04291.x
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    Cited by:

    1. Yen‐Fan Chin & Tzu‐Ting Huang & Brend Ray‐Sea Hsu & Li‐Chueh Weng & Chih‐Ching Wang, 2019. "Factors associated with foot ulcer self‐management behaviours among hospitalised patients with diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2253-2264, June.
    2. Jesse Pocuis & Sam Man-Hoi Li & Mary M. Janci & Hilaire J. Thompson, 2017. "Exploring Diabetic Foot Exam Performance in a Specialty Clinic," Clinical Nursing Research, , vol. 26(1), pages 82-92, February.
    3. Hyun‐E Yeom, 2014. "Association among ageing‐related stereotypic beliefs, self‐efficacy and health‐promoting behaviors in elderly Korean adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1365-1373, May.

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