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

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  • Eun Jo Kim
  • Kuem‐Sun Han

Abstract

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.

Suggested Citation

  • 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.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:9-10:p:1712-1722
    DOI: 10.1111/jocn.15215
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    References listed on IDEAS

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    1. Cassidy Devarajooh & Karuthan Chinna, 2017. "Depression, distress and self-efficacy: The impact on diabetes self-care practices," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-16, March.
    2. 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.
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    Cited by:

    1. Chava Kurtz & Ronit Geron & Efrat Shadmi, 2021. "Interest and perceived capability of self‐care in haemodialysis units," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 645-654, March.

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