Evaluation of foot self-care status and foot screening problems in patients with diabetes in Iran: a national multicenter study

BMC Endocrine Disorders

Research

Abbas Shamsi¹  Maryam Aalaa²  Ensieh Nasli³  Mohammad Reza Amini³  Leila Yazdanpanah⁴  Neda Mehrdad⁵  Mohammad Hossein Gozashti⁶  Mohamad Reza Mohajeri Tehrani⁷  Bagher Larijani⁷  Donya Sadeghi⁸  Farzad Forghan⁹  Mansour Siavash^1,10  Neda Valizadeh^1,11  Zohreh Mousavi^1,12  Mahnaz Sanjari^1,13  Mohammad Afkhami-Ardekani^1,14  Katayoun Vahdat^1,15 

[1]Department of Clinical Psychology, Khomein Branch, Islamic Azad University, Khomein, Iran

[2]Department of e-Learning in Medical Education, Center of Excellence for e-Learning in Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

[3]Evidence Based Medicine Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of medical Sciences, Tehran, Iran

[4]Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

[5]Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

[6]Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

[7]Endocrine and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran

[8]Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

[9]Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

[10]Gilan University of Medical Sciences, Gilan, Iran

[11]Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

[12]Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran

[13]Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

[14]Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

[15]Shahid Sadoughi University of Medical Sciences, Yazd, Iran

[16]The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran

关键词: Diabetic Foot;    Screening;    Peripheral neuropathy;    Self-care;    Iran;   

DOI  :  10.1186/s12902-023-01401-7

 received in 2023-05-01, accepted in 2023-07-03,  发布年份 2023

来源: Springer

【 摘 要 】

Background and purposeThe lack of timely foot care among individuals with diabetics often lead to ulceration followed by infection and amputation. This study aimed to evaluate the foot self-care status and foot screening practices among patients with type 2 diabetes in various cities across Iran.MethodsThe cross-sectional descriptive study was performed on patients with type 2 diabetes in 10 main cities of Iran. The information about demographic and lifestyle factors, diabetes history, and diabetic foot self-care (DFSQ) was assessed. Additionally, the neurological and vascular condition of the foot were screened by Inlow’s 60-Second Screen.ResultsThe study included 1094 diabetic patients with, with a majority being female (64.8%) and married (92.5%). The average age of the participants was 57.6 ± 10.21 (mean ± SD), and the mean duration of diabetes was 11.56 ± 7.41 years. Based on Inlow’s 60-Second Screen criteria, 58% of the patients should undergo yearly foot ulcer screening, 47% exhibited peripheral neuropathy, and 37% were found to have inappropriate footwear.ConclusionThe high prevalence of peripheral neuropathy observed in approximately half of the participants across different regions of Iran underscores the importance of continuous patient education regarding foot care and appropriate footwear. Furthermore, regular foot ulcer screenings, following the recommended intervals outlined in Inlow’s screening protocol, should be implemented to effectively manage diabetic foot complications.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023