Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study
Background: As numerous studies highlighted the importance of maintaining proper foot care (FC) behaviours among individuals with diabetes to prevent complications, we sought to assess FC behaviours among patients with diabetes and to identify the factors associated with the practice of diabetic FC....
| Main Authors: | , , , , , , , , , , , , , , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2024
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10356/180617 |
| _version_ | 1824455284854095872 |
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| author | Ang, Chin-Siang Goh, Kelley Fann Ing Lodh, Nandika Qin, Vicky Mengqi Liew, Huiling Sidhu, Harvinder Raj Singh Ng, Jun Jie Subramaniam, Tavintharan Tan, Elaine Koh, Gerald Choon Huat Best, James Wong, Julian Car, Josip Ho, Andy Hau Yan Venkataraman, Kavita |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Ang, Chin-Siang Goh, Kelley Fann Ing Lodh, Nandika Qin, Vicky Mengqi Liew, Huiling Sidhu, Harvinder Raj Singh Ng, Jun Jie Subramaniam, Tavintharan Tan, Elaine Koh, Gerald Choon Huat Best, James Wong, Julian Car, Josip Ho, Andy Hau Yan Venkataraman, Kavita |
| author_sort | Ang, Chin-Siang |
| collection | NTU |
| description | Background: As numerous studies highlighted the importance of maintaining proper foot care (FC) behaviours among individuals with diabetes to prevent complications, we sought to assess FC behaviours among patients with diabetes and to identify the factors associated with the practice of diabetic FC. Methods: We used a cross-sectional design and collected data through self-reported questionnaires administered to a sample of 586 patients from five medical centres. We conducted descriptive and inferential analyses to explore the relationships between potential risk and protective factors and FC behaviours. Results: Overall, 429 individuals (73.2%) had good FC behaviours, while 157 (26.8%) displayed poor FC behaviours. Furthermore, we identified eight influencing factors on FC behaviours, including smoking status, the availability of a caregiver, the presence of diabetic foot ulcers, amputation history, FC knowledge, subjective norms in diabetes selfcare behaviour, diabetes-related stress, and quality of life index values. The logistic regression analysis showed that current smokers were 60% less likely to practice good FC compared to non-smokers (odds ratio (OR) = 0.40; 95%; confidence interval (CI)= 0.22–0.73). Having a caregiver decreased the likelihood of practicing good FC by 50% (OR=0.52; 95% CI=0.33–0.84), while having diabetic foot ulcers doubled it (OR=2.65; 95% CI=1.26–5.54). Additionally, more FC knowledge increased the likelihood by 20% (OR=1.21; 95% CI=1.10–1.33), and higher diabetes-related stress increased it by 1.03 times (OR=1.03; 95% CI=1.02–1.05). Conclusions: Our findings underscore the interplay of various factors influencing FC behaviours among individuals with diabetes and call for targeted interventions and tailored strategies to improve FC practices in this vulnerable population. |
| first_indexed | 2025-02-19T03:35:46Z |
| format | Journal Article |
| id | ntu-10356/180617 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2025-02-19T03:35:46Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | ntu-10356/1806172024-10-20T15:39:21Z Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study Ang, Chin-Siang Goh, Kelley Fann Ing Lodh, Nandika Qin, Vicky Mengqi Liew, Huiling Sidhu, Harvinder Raj Singh Ng, Jun Jie Subramaniam, Tavintharan Tan, Elaine Koh, Gerald Choon Huat Best, James Wong, Julian Car, Josip Ho, Andy Hau Yan Venkataraman, Kavita Lee Kong Chian School of Medicine (LKCMedicine) School of Social Sciences Centre for Population Health Sciences Medicine, Health and Life Sciences Diabetic foot Self care Background: As numerous studies highlighted the importance of maintaining proper foot care (FC) behaviours among individuals with diabetes to prevent complications, we sought to assess FC behaviours among patients with diabetes and to identify the factors associated with the practice of diabetic FC. Methods: We used a cross-sectional design and collected data through self-reported questionnaires administered to a sample of 586 patients from five medical centres. We conducted descriptive and inferential analyses to explore the relationships between potential risk and protective factors and FC behaviours. Results: Overall, 429 individuals (73.2%) had good FC behaviours, while 157 (26.8%) displayed poor FC behaviours. Furthermore, we identified eight influencing factors on FC behaviours, including smoking status, the availability of a caregiver, the presence of diabetic foot ulcers, amputation history, FC knowledge, subjective norms in diabetes selfcare behaviour, diabetes-related stress, and quality of life index values. The logistic regression analysis showed that current smokers were 60% less likely to practice good FC compared to non-smokers (odds ratio (OR) = 0.40; 95%; confidence interval (CI)= 0.22–0.73). Having a caregiver decreased the likelihood of practicing good FC by 50% (OR=0.52; 95% CI=0.33–0.84), while having diabetic foot ulcers doubled it (OR=2.65; 95% CI=1.26–5.54). Additionally, more FC knowledge increased the likelihood by 20% (OR=1.21; 95% CI=1.10–1.33), and higher diabetes-related stress increased it by 1.03 times (OR=1.03; 95% CI=1.02–1.05). Conclusions: Our findings underscore the interplay of various factors influencing FC behaviours among individuals with diabetes and call for targeted interventions and tailored strategies to improve FC practices in this vulnerable population. National Medical Research Council (NMRC) Published version This work was funded by the National Medical Research Council Health Service Research Grant (grant number: MOH-HSRG-DB17Nov-0002). 2024-10-15T04:37:42Z 2024-10-15T04:37:42Z 2024 Journal Article Ang, C., Goh, K. F. I., Lodh, N., Qin, V. M., Liew, H., Sidhu, H. R. S., Ng, J. J., Subramaniam, T., Tan, E., Koh, G. C. H., Best, J., Wong, J., Car, J., Ho, A. H. Y. & Venkataraman, K. (2024). Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study. Journal of Global Health, 14, 04145-. https://dx.doi.org/10.7189/JOGH.14.04145 2047-2978 https://hdl.handle.net/10356/180617 10.7189/JOGH.14.04145 14 2-s2.0-85202003932 14 04145 en MOH-HSRG-DB17Nov-0002 Journal of Global Health © 2024 The Author(s). This is an open-access article distributed under the terms of the Creative Commons License. application/pdf |
| spellingShingle | Medicine, Health and Life Sciences Diabetic foot Self care Ang, Chin-Siang Goh, Kelley Fann Ing Lodh, Nandika Qin, Vicky Mengqi Liew, Huiling Sidhu, Harvinder Raj Singh Ng, Jun Jie Subramaniam, Tavintharan Tan, Elaine Koh, Gerald Choon Huat Best, James Wong, Julian Car, Josip Ho, Andy Hau Yan Venkataraman, Kavita Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title | Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title_full | Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title_fullStr | Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title_full_unstemmed | Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title_short | Foot care behaviours and associated factors among patients with type 2 diabetes: a cross-sectional study |
| title_sort | foot care behaviours and associated factors among patients with type 2 diabetes a cross sectional study |
| topic | Medicine, Health and Life Sciences Diabetic foot Self care |
| url | https://hdl.handle.net/10356/180617 |
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