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Factors associated with foot ulcer self‐management behaviours among hospitalised patients with diabetes

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  • Yen‐Fan Chin
  • Tzu‐Ting Huang
  • Brend Ray‐Sea Hsu
  • Li‐Chueh Weng
  • Chih‐Ching Wang

Abstract

Aims and objectives To determine prehospitalised diabetes‐related foot ulcer (DFU) self‐management behaviours and explore the factors associated with these behaviours. Background Although there are many studies that explore DFU prevention and treatment, to our knowledge, there are no quantitative studies of DFU self‐management behaviours. Design Cross‐sectional design. Methods From June 2015–June 2016, 199 hospitalised patients with DFU were given a survey questionnaire at a medical centre in northern Taiwan. DFU self‐management behaviours, diabetes foot self‐care behaviours, beliefs in regard to barriers to DFU self‐management behaviours, and knowledge regarding warning signs of DFU deterioration were assessed by well‐designed measurement tools. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used to ensure quality reporting during this observational study (see Supporting Information Appendix S1). Results The results revealed that 62.8% of participants never monitored their blood glucose level when they had foot ulcers, and 63.8% never sought treatment for their wounds when their wounds were not painful. After controlling for demographic and medical variables, stepwise multiple regression analysis revealed that the following eight significant variables were associated with DFU self‐management behaviours: two DFU self‐management barrier beliefs, foot self‐care behaviour, no treatment for diabetes, poor financial status, employment, knowledge regarding the warning signs of DFU deterioration, and number of DFU hospitalisations. Conclusions Diabetes‐related foot ulcer self‐management behaviours were insufficient. Some modifiable factors and high‐risk groups for insufficient DFU self‐management behaviour were identified. Relevance to clinical practice Diabetes‐related foot ulcer self‐management behaviours should be promoted. Interventions that modify the risk factors that were identified in this study can be designed to promote the performance of DFU self‐management behaviours.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:11-12:p:2253-2264
    DOI: 10.1111/jocn.14822
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    References listed on IDEAS

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    1. Yaohui Zhao & Eileen M. Crimmins & Peifeng Hu & Yang Shen & James P. Smith & John Strauss & Yafeng Wang & Yuan Zhang, 2016. "Prevalence, diagnosis, and management of diabetes mellitus among older Chinese: results from the China Health and Retirement Longitudinal Study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(3), pages 347-356, April.
    2. Peter A Lazzarini & Sharon R O’Rourke & Anthony W Russell & Patrick H Derhy & Maarten C Kamp, 2015. "Reduced Incidence of Foot-Related Hospitalisation and Amputation amongst Persons with Diabetes in Queensland, Australia," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-18, June.
    3. 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.
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    Cited by:

    1. Eun Jo Kim & Kuem‐Sun Han, 2020. "Factors related to self‐care behaviours among patients with diabetic foot ulcers," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(9-10), pages 1712-1722, May.

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