Korean J Adult Nurs.  2018 Feb;30(1):106-114. 10.7475/kjan.2018.30.1.106.

Factors Contributing to Diabetic Foot Ulcer among Patients with Type 2 Diabetes Mellitus

• Park SJ
• Yang T
• Lee JY
• Kim J

• KMID: 2405704
• DOI: http://doi.org/10.7475/kjan.2018.30.1.106

Abstract

PURPOSE
The purpose of this study was to identify the factors contributing to diabetic foot ulcers (DFU) among patients with type 2 diabetes mellitus (DM).
METHODS
Data were collected from 131 patients who had been diagnosed with DM for more than six months. Patients recruited from three hospitals in Gwangju city were given both a foot examination to confirm the presence of a foot ulcer and an individual time of survey using questionnaires about foot care knowledge and self management behavior.
RESULTS
Factors contributing to DFU were male (adjusted odds ratio [aOR]=4.86, 95% confidence interval [CI]=1.16~20.44), history of DM-related hospitalization (aOR=4.56, 95% CI=1.17~17.84), duration of DM (aOR=13.75, 95% CI=2.31~82.66 for those with time since diagnosis of 11~15 years; aOR=6.37, 95% CI=1.09~37.36 for those with time since diagnosis of 16-20 years; aOR=12.97, 95% CI=2.26~74.32 for those with time since diagnosis of over 21 years), DM diet (aOR=0.13, 95% CI=0.03-0.64 for those who did not practice dietary control), and exercise (aOR=15.59, 95% CI=3.49~69.64 for those who did not engage in regular exercise).
CONCLUSION
The factors identified in this study provided strategic information for developing educational program targeting patients with DM to prevent DFC.

MeSH Terms

Diabetes Mellitus, Type 2*
Diabetic Foot*
Diagnosis
Diet
Foot
Foot Ulcer
Gwangju
Hospitalization
Humans
Male
Odds Ratio
Self Care
Ulcer*

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