Abstract
ObjectivesPrevious studies have shown that diabetic foot ulcers are principally associated with improper foot self-care. Since appropriate foot self-care is essential to prevent diabetic foot-ulcers, any factors which can predict foot self-care behavior should be identified. However, until now, foot self-care behavior data and predictors of foot-care behavior in Indonesia remain unclear since such studies on Indonesian diabetic patients is very limited. Therefore, the purpose of this study was to investigate foot self-care behavior and to identify its predictors in Indonesia. The design of this study was cross-sectional. Cluster sampling was used, involving 546 type 2 diabetes mellitus patients registered in 22 primary healthcare centers. The questionnaires used in this study included the Diabetes Distress Scale, Beck Depression Inventory II, Family APGAR, Foot-Care Knowledge and Modified Diabetic Foot Care Behaviors.ResultsFoot self-care behavior and knowledge about foot care were poor. The predictors of foot self-care behavior were age, educational level, diabetes distress, family support, and knowledge. It needs the program to improve foot self-care knowledge and the program to reduce the diabetes distress in Indonesian diabetic patients. In performing of these programs, families should be involved to improve the support toward foot self-care behavior in patients.
Highlights
Indonesia is one of the top ten countries with diabetes mellitus (DM) patients [1]
It needs the program to improve foot self-care knowledge and the program to reduce the diabetes distress in Indonesian diabetic patients. In performing of these programs, families should be involved to improve the support toward foot self-care behavior in patients
We found that diabetes distress is one predictor of foot self-care practice
Summary
Indonesia is one of the top ten countries with diabetes mellitus (DM) patients [1]. It is predicted there will be 14,1 million diabetic patients in Indonesia by 2035 [2]. One of the most feared and serious complications of DM in developing countries are diabetic foot ulcers [3]. Compared with US and worldwide prevalence, which ranges between 1.4% and 5.9%, the prevalence of diabetic foot ulcer in Indonesia is high, since it is 12% in hospitals and 24% in community settings [3–8]. The presence of a diabetic foot ulcer can affect both the physical and psychosocial life domains, resulting in a reduction in the quality of life, and even mortality [9, 10].
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