Diabetes Burden and Self-Efficacy Levels As Determinants of Foot Care Behaviors in Older Adults: Descriptive Comparative Study

Authors : Merve ÇANLI DURAN, Alime SELÇUK TOSUN

Pages : 41-51

Doi:10.25048/tudod.1199550

View : 20 | Download : 10

Publication Date : 2023-04-28

Article Type : Research Paper

Abstract :Aim: This study aimed to determine foot care behaviors, diabetes burden, and self-efficacy levels of older adults with and without diabetic foot ulcer and to examine the determinants affecting their foot care behaviors. Material and Methods: This descriptive comparative study was included 115 older adults with diabetic foot and 115 older adults without diabetic foot. Descriptive statistics, chi-square test, t test, one way anova, mann whitney u, kruskal wallis test and multiple regression analysis were used in the analysis of the data. Results: Being literate insert ignore into journalissuearticles values(β=0.674);, living in a city insert ignore into journalissuearticles values(β=0.549);, not complying with the diabetes diet insert ignore into journalissuearticles values(β=0.408);, having four chronic diseases insert ignore into journalissuearticles values(β=0.838);, using insulin insert ignore into journalissuearticles values(β =0.761);, not measuring blood glucose level insert ignore into journalissuearticles values(β=0.398);, visiting a doctor once a year or more insert ignore into journalissuearticles values(β=0.573);, not being hospitalized due to diabetes complications in the last year insert ignore into journalissuearticles values(β =0,789);, mean scores for the overall Self-Efficacy Scale insert ignore into journalissuearticles values(β=0.832); and its subdimensions, mean scores for the overall Elderly Burden Diabetes Scale insert ignore into journalissuearticles values(β=0.838); and its subdimensions insert ignore into journalissuearticles values(p<0.001);. Being literate insert ignore into journalissuearticles values(β=0.745);, not complying with diabetes diet insert ignore into journalissuearticles values(β=0.823);, not doing regular physical exercise insert ignore into journalissuearticles values(β=0.736);, mean scores for the overall Self-Efficacy Scale insert ignore into journalissuearticles values(β = 0.801); and its subdimensions, mean scores for the overall Elderly Burden Diabetes Scale insert ignore into journalissuearticles values(β=0.817); and its subdimensions were predictors of foot care behaviors of the older adults without diabetic foot ulcer insert ignore into journalissuearticles values(p<0.001);. Conclusion: Older adults without diabetic foot ulcer displayed poor foot care behaviors. It was determined that the diabetes burden and self-efficacy levels of older adults had a effect on predicting foot care behaviors. In line with this result, increasing the self-efficacy level of older adults may reduce the burden of disease. It may also positively affect foot care behaviors.
Keywords : Tip 2 diyabet, Diyabet yükü, Ayak bakım davranışı, Yaşlı birey