Abstract
Objective: To describe the current status of foot self-care knowledge among diabetic patients with foot complications receiving treatment at Ha Dong General Hospital in 2025.
Methods: A cross-sectional descriptive study was conducted on 75 diabetic patients with foot complications who were hospitalized in the Endocrinology Department of Ha Dong General Hospital from December 2024 to August 2025. The assessment tool for patients’ knowledge of diabetic foot care was adapted from the study by Ho Phuong Thuy, with a Cronbach’s alpha reliability coefficient of 0.8267. The questionnaire included five domains: knowledge of diabetic foot risks; daily foot care; foot protection from injury; circulation improvement for the feet; and detection and management of foot abnormalities.
Results: Among the participants, 17.3% had good knowledge of foot self-care, 5.3% had moderate knowledge, and 77.4% had poor knowledge.
Conclusion: The findings indicate that patients’ knowledge of diabetic foot self-care remains limited. It is essential to enhance patient education regarding the risks of diabetic foot complications, as well as proper methods of foot inspection, protection, and daily care to prevent serious outcomes.
Keywords
References
Magliano DJ, Boyko EJ, Basu S, et al. IDF Diabetes Atlas, 10th edition. Brussels, Belgium: International Diabetes Federation; 2021.
Cục Quản lý Khám, Chữa bệnh – Bộ Y tế. Gánh nặng bệnh đái tháo đường tại Việt Nam. Available from: http://daithaoduong.kcb.vn
World Health Organization. Global Report on Diabetes. Geneva: World Health Organization; 2016. ISBN: 9789241565257.
Lazzarini PA, Hurn SE, Fernando ME, et al. Direct inpatient burden caused by foot-related conditions: a multisite point-prevalence study. BMJ Open. 2016;6(6):e010811. doi: 10.1136/bmjopen-2015-010811.
Tchanque-Fossuo CN, Majerus SJ, Muresan H, et al. Reclaiming autologous amputated tissue for limb salvage of a diabetic foot burn with underlying critical limb ischemia. Adv Skin Wound Care. 2018;31(9):406–411. doi: 10.1097/01.ASW.0000526604.26748.3d.
Hồ Phương Thúy. Thay đổi kiến thức và thực hành tự chăm sóc bàn chân của người bệnh đái tháo đường type 2 điều trị ngoại trú tại Bệnh viện Đa khoa tỉnh Tuyên Quang năm 2018 [Luận văn Thạc sĩ điều dưỡng]. Trường Đại học Điều dưỡng Nam Định. 2018.
Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017;376(24):2367–2375. doi: 10.1056/NEJMra1615439.
Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Ann Med. 2017;49(2):106–116. doi: 10.1080/07853890.2016.1231932.
Vũ Phương Anh, Nguyễn Thị Nguyệt. Kiến thức và thực hành tự chăm sóc bàn chân của người bệnh đái tháo đường điều trị ngoại trú tại Bệnh viện Thanh Nhàn năm 2021. Tạp chí Khoa học Điều dưỡng. 2022;5(2):25–33. DOI: 10.54436/jns.2022.02.462.
Van Netten JJ, Bus SA, Apelqvist J, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev. 2020;36(S1):e3268. doi: 10.1002/dmrr.3268.
International Working Group on the Diabetic Foot (IWGDF). IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease. 2023.
Hu Y, Bakhotmah BA, Alzahrani OH, Wang D, Hu FB, Alzahrani HA. Predictors of diabetic foot complications among patients with diabetes in Saudi Arabia. Diabetes Res Clin Pract. 2014;106(2):286–294. doi: 10.1016/j.diabres.2014.07.016.
World Health Organization. Package of Essential Noncommunicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings. 2nd ed. Geneva: WHO; 2020.
Lazzarini PA, Hurn SE, Fernando ME, Jen SD, Kuys SS, Kamp MC, et al. Prevalence of foot disease and risk factors in general inpatient populations: a systematic review and meta-analysis. BMJ Open. 2015;5(11):e008544. doi: 10.1136/bmjopen-2015-008544.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2025 Journal of Nursing Science