Korean J Community Nutr.  2014 Jun;19(3):241-249. 10.5720/kjcn.2014.19.3.241.

Lifestyle, Diet, Self-care, and Diabetes Fatalism of Diabetic Patients with and without Diabetic Foot

Affiliations
  • 1Department of Food Science & Nutrition, Daejin University, Pocheon, Kyeonggi-do, Korea. hmlee@daejin.ac.kr
  • 2Department of Food & Nutrition, Suwon Women's Universtiy, Hwasung, Korea.

Abstract


OBJECTIVES
This study was to determine diabetes fatalism of diabetic patients with and without diabetic foot and its association with lifestyle, diet, and self-care.
METHODS
The subjects were diabetic patients with (male/female 48/21) and without diabetic foot (male/female 33/26). We administered the questionnaires which were designed to determine diabetes fatalism, lifestyle, diet, and self-care. Diabetes fatalism was determined by Diabetes fatalism scale (DFS), which consisted of total 12 items in three subscales namely, emotional stress, religiou.spiritual coping, and perceived self-efficacy.
RESULTS
The patients with diabetic foot had undesirable diets more frequently (1.37 and 0.91 days/week respectively) and their desirable diets (2.74 and 3.61 days/week respectively) and foot care (4.61 and 5.53 days/week respectively) were less frequent than those without diabetic foot (p < 0.05). An item analysis of the 12 DFS items revealed a Chronbach' alpha of 0.614 and 0.869, respectively in diabetic patients with and without diabetic foot. Perceived self-efficacy related DFS of subjects without diabetic foot was positively associated with smoking (r = 0.350, p < 0.01), undesirable diet (r = 0.295, p < 0.05), and drinking (r = 0.257, p < 0.05), while its negative association with exercise (r = -0.224, p < 0.088) and foot care (r = -0.247, p < 0.059) did not reach to statistical significance.
CONCLUSIONS
This work was the first study reporting the potential usefulness of DFS, especially perceived self-efficacy related subscale as a predictor of lifestyle, diet and self-care on the Korean diabetic patients, at least those without severe diabetic foot to screen those who should be the first target for diabetes education.

Keyword

diabetes fatalism; lifestyle; diet; diabetic foot; foot care

MeSH Terms

Diabetic Foot*
Diet*
Drinking
Education
Foot
Humans
Life Style*
Surveys and Questionnaires
Self Care*
Smoke
Smoking
Stress, Psychological
Smoke

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