Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study

Abstract Background and purpose The lack of timely foot care among individuals with diabetics often lead to ulceration followed by infection and amputation. This study aimed to evaluate the foot self-care status and foot screening practices among patients with type 2 diabetes in various cities acros...

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Main Authors: Mohammad Reza Amini, Mahnaz Sanjari, Mohamad Reza Mohajeri Tehrani, Ensieh Nasli, Leila Yazdanpanah, Zohreh Mousavi, Farzad Forghan, Neda Valizadeh, Mohammad Hossein Gozashti, Mohammad Afkhami-Ardekani, Mansour Siavash, Katayoun Vahdat, Abbas Shamsi, Donya Sadeghi, Bagher Larijani, Neda Mehrdad, Maryam Aalaa
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Endocrine Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12902-023-01401-7
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author Mohammad Reza Amini
Mahnaz Sanjari
Mohamad Reza Mohajeri Tehrani
Ensieh Nasli
Leila Yazdanpanah
Zohreh Mousavi
Farzad Forghan
Neda Valizadeh
Mohammad Hossein Gozashti
Mohammad Afkhami-Ardekani
Mansour Siavash
Katayoun Vahdat
Abbas Shamsi
Donya Sadeghi
Bagher Larijani
Neda Mehrdad
Maryam Aalaa
author_facet Mohammad Reza Amini
Mahnaz Sanjari
Mohamad Reza Mohajeri Tehrani
Ensieh Nasli
Leila Yazdanpanah
Zohreh Mousavi
Farzad Forghan
Neda Valizadeh
Mohammad Hossein Gozashti
Mohammad Afkhami-Ardekani
Mansour Siavash
Katayoun Vahdat
Abbas Shamsi
Donya Sadeghi
Bagher Larijani
Neda Mehrdad
Maryam Aalaa
author_sort Mohammad Reza Amini
collection DOAJ
description Abstract Background and purpose The lack of timely foot care among individuals with diabetics often lead to ulceration followed by infection and amputation. This study aimed to evaluate the foot self-care status and foot screening practices among patients with type 2 diabetes in various cities across Iran. Methods The cross-sectional descriptive study was performed on patients with type 2 diabetes in 10 main cities of Iran. The information about demographic and lifestyle factors, diabetes history, and diabetic foot self-care (DFSQ) was assessed. Additionally, the neurological and vascular condition of the foot were screened by Inlow’s 60-Second Screen. Results The study included 1094 diabetic patients with, with a majority being female (64.8%) and married (92.5%). The average age of the participants was 57.6 ± 10.21 (mean ± SD), and the mean duration of diabetes was 11.56 ± 7.41 years. Based on Inlow’s 60-Second Screen criteria, 58% of the patients should undergo yearly foot ulcer screening, 47% exhibited peripheral neuropathy, and 37% were found to have inappropriate footwear. Conclusion The high prevalence of peripheral neuropathy observed in approximately half of the participants across different regions of Iran underscores the importance of continuous patient education regarding foot care and appropriate footwear. Furthermore, regular foot ulcer screenings, following the recommended intervals outlined in Inlow’s screening protocol, should be implemented to effectively manage diabetic foot complications.
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spelling doaj.art-ad63f4a057494acc86eb3aca67b3ffe22023-11-20T09:42:23ZengBMCBMC Endocrine Disorders1472-68232023-08-0123111010.1186/s12902-023-01401-7Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter studyMohammad Reza Amini0Mahnaz Sanjari1Mohamad Reza Mohajeri Tehrani2Ensieh Nasli3Leila Yazdanpanah4Zohreh Mousavi5Farzad Forghan6Neda Valizadeh7Mohammad Hossein Gozashti8Mohammad Afkhami-Ardekani9Mansour Siavash10Katayoun Vahdat11Abbas Shamsi12Donya Sadeghi13Bagher Larijani14Neda Mehrdad15Maryam Aalaa16Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDiabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDiabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical SciencesMetabolic Syndrome Research Center, Mashhad University of Medical SciencesGilan University of Medical SciencesMaternal and Childhood Obesity Research Center, Urmia University of Medical SciencesEndocrine and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical SciencesShahid Sadoughi University of Medical SciencesIsfahan Endocrine and Metabolism Research Center, Isfahan University of Medical SciencesThe Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical SciencesDepartment of Clinical Psychology, Khomein Branch, Islamic Azad UniversityFaculty of Nursing and Midwifery, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesElderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesDepartment of e-Learning in Medical Education, Center of Excellence for e-Learning in Medical Education, School of Medicine, Tehran University of Medical SciencesAbstract Background and purpose The lack of timely foot care among individuals with diabetics often lead to ulceration followed by infection and amputation. This study aimed to evaluate the foot self-care status and foot screening practices among patients with type 2 diabetes in various cities across Iran. Methods The cross-sectional descriptive study was performed on patients with type 2 diabetes in 10 main cities of Iran. The information about demographic and lifestyle factors, diabetes history, and diabetic foot self-care (DFSQ) was assessed. Additionally, the neurological and vascular condition of the foot were screened by Inlow’s 60-Second Screen. Results The study included 1094 diabetic patients with, with a majority being female (64.8%) and married (92.5%). The average age of the participants was 57.6 ± 10.21 (mean ± SD), and the mean duration of diabetes was 11.56 ± 7.41 years. Based on Inlow’s 60-Second Screen criteria, 58% of the patients should undergo yearly foot ulcer screening, 47% exhibited peripheral neuropathy, and 37% were found to have inappropriate footwear. Conclusion The high prevalence of peripheral neuropathy observed in approximately half of the participants across different regions of Iran underscores the importance of continuous patient education regarding foot care and appropriate footwear. Furthermore, regular foot ulcer screenings, following the recommended intervals outlined in Inlow’s screening protocol, should be implemented to effectively manage diabetic foot complications.https://doi.org/10.1186/s12902-023-01401-7Diabetic FootScreeningPeripheral neuropathySelf-careIran
spellingShingle Mohammad Reza Amini
Mahnaz Sanjari
Mohamad Reza Mohajeri Tehrani
Ensieh Nasli
Leila Yazdanpanah
Zohreh Mousavi
Farzad Forghan
Neda Valizadeh
Mohammad Hossein Gozashti
Mohammad Afkhami-Ardekani
Mansour Siavash
Katayoun Vahdat
Abbas Shamsi
Donya Sadeghi
Bagher Larijani
Neda Mehrdad
Maryam Aalaa
Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
BMC Endocrine Disorders
Diabetic Foot
Screening
Peripheral neuropathy
Self-care
Iran
title Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
title_full Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
title_fullStr Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
title_full_unstemmed Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
title_short Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study
title_sort evaluation of foot self care status and foot screening problems in patients with diabetes in iran a national multicenter study
topic Diabetic Foot
Screening
Peripheral neuropathy
Self-care
Iran
url https://doi.org/10.1186/s12902-023-01401-7
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