Factors Associated with Foot Care Behavior of Type 2 Diabetic Patients Living in Kham Bo Subdistrict, Waritchaphum District, Sakon Nakhon Province. ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมการดูแลเท้าของผู้ป่วยโรคเบาหวานชนิดที่ 2 ตำบลคำบ่อ อำเภอวาริชภูมิ จังหวัดสกลนคร

บทคัดย่อ

            Diabetes patients have a risk of foot ulcers which can lead to foot amputation. The aim of this cross-sectional analytical study was to investigate the factors associated with the foot-care behavior of type 2 diabetic (T2D) patients. The subjects were 257 T2D patients living in Kham Bo Subdistrict, Waritchaphum District, Sakon Nakhon Province. Data were collected using a structured questionnaire. General characteristics of the subjects were analyzed using percentage and mean. Multiple logistic regressions were used to analyze the relationship between the factors and the foot care behavior of T2D patients.

            The results indicated that 79.8% of the T2D patients were females, and their average age was 61 years. A majority (60.3%) had completed elementary education, and their main occupation was agriculture (62.7%). The mean time since the diagnosis of diabetes was 10.5 years. Fifty-four point five percent of T2D patients had the knowledge scores about foot care at the moderate level. A large majority 83.3% of them had good attitude about foot care.  The foot care behavior of the patient was at a high level in 66.9%.The percentages receiving support from public health officers, family members, friends, and village health volunteers were 48.2%, 59.9%, 45.9%, and 39.7% respectively. The factors associated with good foot care behavior of the subjects were the acquisition of information about foot care from public health personnel (OR_adj 3.51, 95% CI =1.47-6.72), receiving diabetes care services at the district hospital (OR_adj 1.88, 95% CI =1.03-3.46) and receiving support from their DM friends (OR_adj 2.91, 95% CI =1.64-5.16). In conclusion, about 33% of T2D patients had poor foot care behaviors. Therefore, the public health personnel involved with diabetes care should provide the information about foot care as appropriate to each patient's needs. The diabetic patients should be encouraged to exchange information with each other to improve their foot care behaviors to meet the standard practice.

              Key words : Type 2 diabetes, foot care behavior