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Understanding the fear and approval of risk management for foot care in type 2 diabetic patients referred to diabetes clinics in North Khorasan province: Using a developed parallel process model
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| Author:
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HAMIDREZAMOHADDES HAKKAK, SEYEDHAMID HOSSEINI, REZVAN RAJABZADEH, HAMIDREZA SHORAKA, MOHAMMAD AHMADPOUR, DAVOODROBATSARPOOSHI*
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| Abstract:
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Diabetes is one of the most serious noncommunicable diseases worldwide, categorized as a global epidemic. Diabetes
mellitus is among the most debilitating complications of diabetes, causing long-term hospitalization and many
amputations in limbs. The aim of this study was to determine the status of diabetic foot using a parallel development
model developed in patients referred to diabetes clinics of North Khorasan Province, Iran, in 2016.The present
descriptive-analytic study investigated the self-care behaviors of patients with diabetes visiting diabetes clinics in North
Khorasan Province in 2016. Sampling was performed using the multi-stage (stratified randomized, systematic) method.
Data were collected through interviews and a questionnaire containing a section for demographic characteristics and
items on the development process and self-care model. The collected data were entered into the SPSS 16 software
and analyzed using Spearman's correlation coefficient, and independent samples t-test as well as descriptive
statistics.The mean age of 361 participants was 55.74 years and the age of diabetes was 46.43 years with the
averageBMI of 27.47. The average perceived self-efficacy score of the patientswas higher than other structures of the
model (88%) and the average score of knowledge and self-care was moderate (60% and 69%, respectively).Spearman's
correlation coefficient between age, self-care, perceived effectiveness, and perceived utilityrevealeda
significantnegative correlation. Independent samples t-test showed a statistically significant differenceonlyinthe mean
perceived effectiveness score betweenthe two sexes(p<0.05). The average score of men was higher than that
forwomen. Also, results of Kruskal-Wallistest demonstrated a significant difference inthe self-care score of subjects
based on the scores of knowledge, perceived effectiveness, perceived sensitivity, and perceived utility.The findings of
the studyindicated a low level of knowledge and lack of observance of some issues regarding self-care and prevention
of diabetic foot in patients with diabetes, showingthe need for a training program to significantly decrease the
incidence of diabetic foot. Therefore, we recommend that those in charge of curriculum design use modified and
educational programs based on models and behavior change theories as an effective way to change the high-risk
behaviors of patients with diabetes
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| Keyword:
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Diabetic foot, Parallel extended process model, North Khorasan
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2018.10.03.048
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| Download:
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