Diabetic foot self-care and concordance of 3 diabetic foot risk stratification systems in a basic health area of Gran Canaria

2020 ◽  
Vol 30 (2) ◽  
pp. 72-81
Author(s):  
Héctor González-de la Torre ◽  
M. Luana Quintana-Lorenzo ◽  
Almudena Lorenzo-Navarro ◽  
Juan José Suárez-Sanchez ◽  
Miriam Berenguer-Pérez ◽  
...  
Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  

Objective: Diabetic foot ulcers are an invasive complication of diabetes and are increasing. This study investigates the relationship between health beliefs and foot self-care behaviors, among people with type II diabetes. Methods: A cross-sectional design was adopted, and 98 patients were recruited from outpatient clinics of the endocrine department. The questionnaires of Demographic, Diabetes Foot Ulcer Health Belief Scale (Health Beliefs, DFUHBS), and Diabetes Foot Self-Care Behavior Scale (Self Care, DFSBS) were used to collect data. Results: Among the subjects living alone or who had diabetes less than ten years, the score of DFSBS was significantly lower than among those living with families or who had diabetes for ten years or more. The frequency of performing diabetes foot self-care behavior, among males was lower than among females significantly. Although there was no significant difference in the Health Belief total score, there were differences in the benefit subscale. Those who had junior high school level or less or had diabetes less than ten years, their score was significantly lower than those with senior high school level or more or had diabetes ten years or more. In a multivariable regression model, living with family, diabetes duration, and health beliefs explained 42.9% of the variance of diabetic-foot self-care behaviors. Conclusions: Living alone, shorter duration of diabetes, male gender, and lower health belief scores predict less adequate diabetic foot self-care behavior. Health care providers should assess these factors when designing individual care plans.


Author(s):  
Gopal Teli ◽  
B. G. Ponnappa

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.


Author(s):  
Maryam Aalaa ◽  
Mohammadreza Amini ◽  
Hossein Yarmohammadi ◽  
Hamid Reza Aghaei Meybodi ◽  
Mostafa Qorbani ◽  
...  

2019 ◽  
Vol 13 ◽  
Author(s):  
Nathalia Conceição Gonçalves Dalmacio ◽  
Bruce Edmilson Souza da Costa ◽  
Soraya Cristina da Silva Souza ◽  
Viviane Ferraz Ferreira de Aguiar

RESUMO Objetivo: descrever a percepção das mulheres acometidas por Papiloma Vírus Humano (HPV), em relação à sua situação de saúde e aos tipos de práticas para o autocuidado, baseando-se na Teoria do Autocuidado de Orem. Método: trata-se de um estudo descritivo, qualitativo, realizado com 12 mulheres diagnosticadas com HPV, em duas Unidades Básicas de Saúde, no período de setembro a outubro de 2017. Coletaram-se os dados por meio de entrevista semiestruturada contendo as questões norteadoras, e um questionário para fazer a caracterização dessa mulher em relação à faixa etária, ao estado civil e ao nível de escolaridade. Empregou-se o método de Análise de Dados de Strauss e Corbin, para apresentar os resultados. Resultados: levantou-se que a maioria é jovem, solteira e possui Ensino Fundamental. Emergiram-se duas categorias: 1 - Mulher diagnosticada com HPV: conhecimento sobre a patologia e os sentimentos negativos vivenciados após a descoberta; 2 - O HPV e o autocuidado da mulher. Identificaram-se o desconhecimento sobre a patologia e o uso do preservativo como única forma de prevenção. Conclusão: verificaram-se fatores condicionantes para os requisitos de autocuidado por desvio de saúde, tendo o sistema de apoio-educação como conduta para fortalecer a relação entre o enfermeiro e a mulher. Descritores: Papiloma Vírus Humano; Mulher; Autocuidado; Teoria de Enfermagem; Enfermeira; Unidade Básica de Saúde.ABSTRACTObjective: to describe the perception of women with human papillomavirus (HPV) in relation to their health situation and types of practices for self-care, based on Orem's Self-Care Theory. Method: this is a descriptive, qualitative study of 12 women diagnosed with HPV in two Basic Health Units from September to October 2017. Data were collected through a semi-structured interview containing the guiding questions, and a questionnaire to characterize this woman in relation to age, marital status and educational level. The Data Analysis method of Strauss and Corbin was used to present the results. Results: it was stated that the majority are young, single and have Elementary School. Two categories emerged: 1 - Woman diagnosed with HPV: knowledge about the pathology and the negative feelings experienced after the discovery; 2 - HPV and the woman's self-care. Knowledge about the pathology and the use of condoms as the only form of prevention was identified. Conclusion: there were conditioning factors for the requirements of self-care due to health diversion, with the support-education system as a conduit to strengthen the relationship between nurses and women. Descriptors: Human Papilloma Virus; Woman; Self-care; Nursing Theory; Nurse; Basic health Unit.RESUMENObjetivo: describir la percepción de las mujeres acometidas por Papiloma Virus Humano (HPV), en relación a su situación de salud y a los tipos de prácticas para el autocuidado, basándose en la Teoría del Autocuidado de Orem. Método: se trata de un estudio descriptivo, cualitativo, realizado con 12 mujeres diagnosticadas con HPV, en dos Unidades Básicas de Salud, en el período de septiembre a octubre de 2017. Se recolectaron los datos por medio de entrevista semiestructurada conteniendo las cuestiones orientadoras, y un cuestionario para hacer la caracterización de esa mujer en relación al grupo de edad, al estado civil y al nivel de escolaridad. Se empleó el método de Análisis de Datos de Strauss y Corbin, para presentar los resultados. Resultados: se levantó que la mayoría es joven, soltera y posee Enseñanza Fundamental. Se han emergido dos categorías: 1 - Mujer diagnosticada con HPV: conocimiento sobre la patología y los sentimientos negativos experimentados después del descubrimiento; 2 - El HPV y el autocuidado de la mujer. Se identificaron el desconocimiento sobre la patología y el uso del condón como única forma de prevención. Conclusión: se verificaron factores condicionantes para los requisitos de autocuidado por desvío de salud, teniendo el sistema de apoyo-educación como conducta para fortalecer la relación entre el enfermero y la mujer. Descriptores: Papiloma Virus Humano; las Mujeres; Autocuidado; Teoría de Enfermería; Enfermera; Unidad Básica de Salud.


2021 ◽  
pp. cd200010
Author(s):  
Somayyeh Babamir Satehi ◽  
Mitra Zandi ◽  
Homayoon Bana Derakhshan ◽  
Maliheh Nasiri ◽  
Tahmineh Tahmasbi

Author(s):  
Sheena Marin Thomas ◽  
Ishita Gajjar Nitin ◽  
M. Uday Kiran Reddy ◽  
Harsha Devi S.

Objective: To assess the knowledge with a diabetic foot ulcer, to evaluate the severity and grade of diabetic foot ulcer, to study the self-care behaviour and medication adherence in a patient with diabetic foot ulcer and to counsel the patients.Methods: The KAP, self-care foot behaviour and MMAS-8 questionnaire were given during interview; severity using Wagner’s scale was assessed. Knowledge, attitude, self-care foot practice and adherence was measured based on various parameters such as demographic factors, clinical characteristics, and medication taking characteristics. It was measured before and after the patient counselling to see improvement in the quality of life.Results: In the study period of 6 mo 111 cases were gathered. There were 74 (66%) patients who were illiterate; the patients with low economic status were 63 (56%). Patients who are illiterate have poor knowledge and poor self-care behaviour, in our study 74 (66%) are illiterate which improved after counselling and 59 patients with high knowledge. Medication adherence is also associated with the education of the patient. After counselling and providing knowledge most of the patients are having high KAP scores. Wagner’s scale for the study of the severity shows that most of the patients 30 out of 111 are having Grade 4 of the score which shows the need of counselling and education towards foot care. Improvement in the self-care practice and on safety and prevention was seen after counselling.Conclusion: Knowledge, attitude, self-care practice and adherence of the patient can be improved by establishing a good patient-provider relationship and giving proper patient counselling to the patient or their relatives.


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