The Behavior of Patients with Type 2 Diabetes Mellitus in Monitoring Blood Glucose Levels and Foot Care: A Cross-sectional, Community-Based Study

Authors

DOI:

https://doi.org/10.35882/ijahst.v2i2.9

Keywords:

blood sugar; diabetic foot; diabetes mellitus

Abstract

Hyperglycemia in patients with Diabetes Mellitus (DM) can lead to complications such as diabetic foot ulcers. Therefore, efforts are needed to prevent this chronic complication through proper foot care. This study aimed to determine the behavior of patients with type 2 diabetes mellitus (T2DM) in performing blood glucose monitoring and correct foot care. This study is a descriptive cross-sectional study, with a sample size of 125 patients with T2DM from the Community Health Center in Surabaya Indonesia. Data was collected with the use of a self-made questionnaire from May to October 2018. The variables of the study were patient characteristics, random blood glucose levels, blood glucose monitoring and foot care skills. The data analysis used was Spearman rho to determine the factors associated with foot care behaviors.  Fifty-six percent (56%) of the participants have poor behavior on foot care, 36 % have moderate and only 7.2% have good.  Factors that were significantly associated with foot care behavior were signs and symptoms (p = 0.023), blood glucose monitoring (p = .000), and random blood glucose levels (p = 0.040). The behaviors of patients with T2DM in blood glucose monitoring and foot care need to be improved to prevent complications from diabetic foot ulcers. Nurses must provide health education about the importance of regular foot care to patients and their families. The results of this study can be used to further improve the programs and services to prevent DM and delay the progression of chronic complications like diabetic foot ulcers at the community level.

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References

REFERENCES

Kementerian Kesehatan RI, “InfoDATIN 2018.” p. 8, 2019.

World Health Organization, Global Report on Diabetes. 2016.

International Diabetes Federation, “IDF Diabetes Atlas Eighth edition 2017,” 2017. doi: http://dx.doi. org/10.1016/S0140- 6736(16)31679-8.

J. J. Eva et al., “Self-care and self-management among adolescent T2DM patients: A review,” Front. Endocrinol. (Lausanne)., vol. 9, no. Oct, pp. 1–7, 2018, doi: 10.3389/fendo.2018.00489.

P. V. Rao et al., “RSSDI consensus on self-monitoring of blood glucose in types 1 and 2 diabetes mellitus in India,” Int. J. Diabetes Dev. Ctries., vol. 38, no. 3, pp. 260–279, 2018, doi: 10.1007/s13410- 018-0677-3.

American Diabetes Association, “Glycemic Targets : Standards of Medical Care in Diabetes d 2019,” vol. 42, no. January, pp. 61–70, 2019, doi: 10.2337/dc19-S006.

Z. Kaya and A. Karaca, “Evaluation of Nurses’ Knowledge Levels of Diabetic Foot Care Management,” Nurs. Res. Pract., pp. 1–12, 2018, doi: 10.1155/2018/8549567.

S. A. Bus et al., “IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes,” Diabetes. Metab. Res. Rev., vol. 32, no. Suppl 1, pp. 16–24, 2016, doi: 10.1002/dmrr.2696.

J. J. van Netten et al., “Prevention of foot ulcers in the at-risk patient with diabetes: A systematic review,” Diabetes. Metab. Res. Rev., vol. 32, no. Suppl 1, pp. 84–98, 2016, doi: 10.1002/dmrr.2701.

S. C. Mishra, K. C. Chhatbar, A. Kashikar, and A. Mehndiratta, “Diabetic foot: Clinical Update (Open Acces),” Bmj, vol. 359, no. Supp1, pp. 1–7, 2017, doi: 10.1136/bmj.j5064.

S. Wendling and V. Beadle, “The relationship between self-efficacy and diabetic foot self-care,” J. Clin. Transl. Endocrinol., vol. 2, no. 1, pp. 37–41, 2015, doi: 10.1016/j.jcte.2015.01.001.

Y. Y. Usta, Y. Dikmen, S. Yorgun, and I. Berdo, “Predictors of foot care behaviours in patients with diabetes in Turkey,” PeerJ, vol. 2019, no. 2, pp. 1–12, 2019, doi: 10.7717/peerj.6416.

R. Naemi, N. Chockalingam, J. K. Lutale, and Z. G. Abbas, “Predicting the risk of future diabetic foot ulcer occurrence: a prospective cohort study of patients with diabetes in Tanzania,” BMJ open diabetes Res. care, vol. 8, no. 1, pp. 1–13, 2020, doi: 10.1136/bmjdrc-2019-001122.

S. Waheida, M. B. Elshemy, and A. A. aziz Basal, “Effect of Educational Program about Foot Care on Nurses ’ Knowledge , practiceand Outcomes for Patients with,” OSR J. Nurs. Heal. Sci., vol. 4, no. 6, pp. 67–77, 2015, doi: 10.9790/1959-04666777.

N. C. Schaper, J. J. Van Netten, J. Apelqvist, B. A. Lipsky, and K. Bakker, “Prevention and management of foot problems in diabetes: A Summary Guidance for Daily Practice 2015, based on the IWGDF guidance documents,” Diabetes Res. Clin. Pract., vol. 32, no. Suppl 1, pp. 7–15, 2017, doi: 10.1016/j.diabres.2016.12.007.

S. A. Soelistijo et al., Konsensus Pengendalian dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015 (Consensus on Control and Prevention of Type 2 Diabetes Mellitus in Indonesia 2015). 2015.

N. Nejaddadgar, M. Solhi, S. Jegarghosheh, M. Abolfathi, and H. Ashtarian, “Self-Care and Related Factors in Patients with Type 2 Diabetes,” Asian J Biomed Pharm. Sci, vol. 7, no. 61, pp. 6–10, 2017, [Online]. Available:

https://www.alliedacademies.org/articles/selfcare-and-related- factors-in-patients-with-type-2-diabetes.html.

I. A. M. Kshanti et al., Pedoman Pemantauan Glukosa Darah Mandiri (Independent Blood Glucose Monitoring Guidelines). 2019.

L. . Berard, R. Siemens, and V. Woo, “2018 Clinical Practice Guidelines - Monitoring Glycemic Control,” Can. J. Diabetes, vol. 42, pp. S48–S53, 2018.

J. Proboningsih, A. Joeliantina, A. Novitasari, and D. Purnamawati, “Complementary treatment to reduce blood glucose levels of type 2 diabetes mellitus patients,” Int. J. Public Heal. Sci., vol. 9, no. 3, pp. 267–271, 2020, doi: 10.11591/ijphs.v9i3.20434.

A. Joeliantina, H. N. Anugrahini, and J. Proboningsih, “The health beliefs of patient with type 2 diabetes mellitus who use herbs as a complement to self-care,” Int. J. Public Heal. Sci., vol. 10, no. 2, pp. 265–271, 2021, doi: 10.11591/ijphs.v10i2.20729.

Y. Alsanawi et al., “Pathogenesis and management of diabetic foot ulcers,” Int. J. Community Med. Public Heal., vol. 5, no. 11, pp. 4953–4958, 2018, doi: 10.18203/2394-6040.ijcmph20184249.

A. M. Raoufi, X. Tang, Z. Jing, X. Zhang, Q. Xu, and C. Zhou, “Blood Glucose Monitoring and Its Determinants in Diabetic Patients: A Cross-Sectional Study in Shandong, China,” Diabetes Ther., vol. 9, no. 5, pp. 2055–2066, 2018, doi: 10.1007/s13300-018- 0499-9.

D. G. Armstrong, A. J. M. Boulton, and S. A. Bus, “Diabetic Foot Ulcers and Their Recurrence,” N. Engl. J. Med., vol. 376, no. 24, pp. 2367–75, 2017, doi: 10.1056/nejmra1615439.

American Diabetes Association, “Microvascular complications and foot care: Standards of medical care in Diabetesd2018,” Diabetes Care, vol. 41, no. January, pp. S105–S118, 2018, doi: 10.2337/dc18- S010.

N. Amin and J. Doupis, “Diabetic foot disease: From the evaluation of the ‘foot at risk’ to the novel diabetic ulcer treatment modalities,” World J. Diabetes, 2016, doi: 10.4239/wjd.v7.i7.153.

A. Joeliantina, M. Agil, M. B. Qomaruddin, Kusnanto, and O. Soedirham, “Family support for diabetes self-care behavior in T2DM patients who use herbs as a complementary treatment,” Medico- Legal Update., vol. 19, no. 1, pp. 238–243, 2019, doi: 10.5958/0974- 1283.2019.00048.3.

M. M. Putra, K. Kusnanto, C. P. Asmoro, and T. Sukartini, “Application of Health Promotion Model for Better Self-Care Behavior in Patients with Diabetes Mellitus,” Belitung Nurs. J., vol. 5, no. 6, pp. 239–245, 2019, doi: 10.33546/bnj.913.

A. Delamater, “Improving patient adherence,” Clin. Diabetes, vol.

, no. 2, pp. 71-77 5p, 2006, doi: 10.2337/diaclin.24.2.71.

S. Indrayana, S. E. Guo, C. L. Lin, and S. Y. Fang, “Illness Perception as a Predictor of Foot Care Behavior Among People With Type 2 Diabetes Mellitus in Indonesia,” J. Transcult. Nurs., vol. 30, no. 1, pp. 17–25, 2019, doi: 10.1177/1043659618772347.

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Published

2022-03-26

How to Cite

[1]
A. Joeliantina, J. . Proboningsih, H. N. . Anugrahini, and J. L. . Mejilla, “The Behavior of Patients with Type 2 Diabetes Mellitus in Monitoring Blood Glucose Levels and Foot Care: A Cross-sectional, Community-Based Study”, International Journal of Advanced Health Science and Technology, vol. 2, no. 2, pp. 104–109, Mar. 2022.

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Health Science