ASSESSMENT OF FOOT SELF-CARE PRACTICES AMONG PATIENTS WITH DIABETES AT UNIVERSITY MEDICAL CENTER, HO CHI MINH CITY
DOI:
https://doi.org/10.59354/ydth175.2025.438Từ khóa:
foot care, type 2 diabetesTóm tắt
Objective: To assess foot self-care practices and related factors in patients with type 2 diabetes at the University of Medicine and Pharmacy Hospital, Ho Chi Minh City.
Methods: This cross-sectional study was conducted on 216 patients from October 2024 to March 2025. Foot self-care practices were assessed using a questionnaire consisting of 9 questions on protective foot care practices and 8 questions evaluating behaviors that may lead to foot injury.
Results: The median age of the study population was 42 (36–47) with 44.4% male, and 49.9% had education below high school level. As many as 69% of the patients had not received information about foot care. Patients aged ≥ 60, with education below high school level, and lacking foot care information from healthcare staff were found to have lower foot care practice scores (p=0.02).
Conclusion: Foot self-care practices in diabetic patients remain suboptimal, possibly related to education level and a lack of appropriate informational resources. There is a need to implement educational programs on foot care, particularly for high risk groups.
Tài liệu tham khảo
1. International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2025.
2. Chun DI, Kim S, Kim J, Yang HJ, Kim JH, Cho JH, Yi Y, Kim WJ, Won SH. Epidemiology and burden of diabetic foot ulcer and peripheral arterial disease in Korea. J Clin Med. 2019;8(5):748. doi:10.3390/jcm8050748.
3. Prompers L, Huijberts M, Schaper N, Apelqvist J, Edmonds M, Jude E, Mauricio D, Piaggesi A, Reike H, Spraul M, Uccioli L, Van Acker K, Ragnarson-Tennvall G, Bakker K. Resource utilisation and costs associated with the treatment of diabetic foot ulcers: prospective data from the Eurodiale Study. Diabetologia. 2008;51(10):1826 1834. doi:10.1007/s00125-008-1089-6.
4. ElSayed NA, Aleppo G, Aroda VR, et al. Retinopathy, neuropathy, and foot care: Standards of care in diabetes—2023. Diabetes Care. 2023;46(Suppl 1):S203 S215. doi:10.2337/dc23-S012.
5. American Diabetes Association. Standards of medical care in diabetes—2020 abridged for primary care providers. Clin Diabetes. 2020;38(1):10–38. doi:10.2337/cd20-as01.
6. Bus SA, Lavery LA, Monteiro-Soares M, et al. Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes Metab Res Rev. 2020;36(Suppl 1):e3269. doi:10.1002/dmrr.3269.
7. Vileikyte L, Gonzalez JS, Leventhal H, et al. Patient Interpretation of Neuropathy (PIN) Questionnaire: An instrument for assessment of cognitive and emotional factors associated with foot self-care. Diabetes Care. 2006;29(12):2617 2624. doi:10.2337/dc06-1550.
8. Nguyen TP Lan. Foot self-care among patients with diabetes in Vietnam: The effectiveness of an education program to fill the self-care gap. Queensland University of Technology; 2019. (Doctoral dissertation).
9. Duong TN Lan. Assessment of knowledge, practices, and related factors regarding foot care among patients with diabetes treated at Hue University of Medicine and Pharmacy Hospital. Journal of Medicine and Pharmacy. 2022;12(6):8–14.
10. Do DT, Nguyen TTH, Nguyen TTH. Analysis of factors related to knowledge, attitudes, and practices of foot care among patients with diabetes at Saint Paul General Hospital in 2021. Vietnam Medical Journal. 2021;502(2):194–198.


