Kumar Gupta Saurabh, Rastogi Ashu, Kaur Manmeet, Malhotra Sunita, Lakshmi P V M
Department of Community Medicine and School of Public Health, 29751Post Graduate Institute of Medical Education and Research, Chandigarh, 160012.
Department of Endocrinology, 29751Post Graduate Institute of Medical Education and Research, Chandigarh, 160012.
Int J Low Extrem Wounds. 2022 Jun 26:15347346221110074. doi: 10.1177/15347346221110074.
The objective of this study was to ascertain the foot self-care behaviour and its associated factors among people with type 2 diabetes mellitus (T2DM) living in the rural resource-constrained health setting of Punjab, North India. A community based cross sectional study was undertaken in the randomly selected underserved rural area of District Fatehgarh Sahib, Punjab, North India. A pre-validated Nottingham Assessment of Functional Footcare (NAFF) scale was administered to assess foot self-care behaviour, and participants were classified based on the percentage of a maximum possible score of 84 on the scale, as poor, if the score was <50%, satisfactory if score 50%-70% and >70% good foot self-care behaviour. A total of 700 participants' responses were recorded. The study results revealed that 84% (588) of the respondents had poor, 16% (112) had satisfactory, and none were following good foot self-care behaviour. An outcome of multivariable logistics regression suggested satisfactory foot self-care behaviour was significantly associated with foot self-care education, with an adjusted odds ratio (aOR) of 2.83 (95%, CI:1.62 - 4.93; <0.01) among respondents who had received foot self-care education, literate than illiterate (aOR 2.50 95%, CI:1.31- 4.74; <0.01) and women compared to men (aOR 1.69 95%, CI: 1.06 -2.70; -0.26). This study revealed that foot self-care behaviours were alarmingly low among people with T2DM living in rural resource-constrained health settings of Punjab, North India, suggesting an urgent need to disseminate foot self-care education to prevent diabetes foot related complications.
本研究的目的是确定生活在印度北部旁遮普邦资源有限的农村地区的2型糖尿病（T2DM）患者的足部自我护理行为及其相关因素。在印度北部旁遮普邦法塔赫加尔·萨希卜区随机选择的服务不足的农村地区进行了一项基于社区的横断面研究。采用预先验证的诺丁汉功能性足部护理评估（NAFF）量表来评估足部自我护理行为，参与者根据该量表最高可能得分84分的百分比进行分类，得分<50%为差，得分50%-70%为满意，得分>70%为良好的足部自我护理行为。共记录了700名参与者的回答。研究结果显示，84%（588）的受访者足部自我护理行为较差，16%（112）的受访者行为满意，没有人有良好的足部自我护理行为。多变量逻辑回归结果表明，足部自我护理行为满意与足部自我护理教育显著相关，在接受足部自我护理教育的受访者中，调整后的优势比（aOR）为2.83（95%，CI：1.62-4.93; P<0.01），识字者比文盲者（aOR 2.50，95%，CI：1.31-4.74; P<0.01），女性比男性（aOR 1.69，95%，CI：1.06-2.70; P = 0.26）。本研究表明，生活在印度北部旁遮普邦资源有限的农村地区的T2DM患者的足部自我护理行为低得惊人，这表明迫切需要开展足部自我护理教育以预防糖尿病足相关并发症。
