Foot self-care capability is an important factor in diabetic foot ulceration,
especially in disadvantaged rural areas. Aim:
To explore the causes of foot ulceration and practice foot self-care behaviors
before and after diabetic foot ulceration. Method:
A descriptive, retrospective design was conducted in a rural hospital in
southern Taiwan. Results: A total of
49 participants with diabetic foot ulcers participated in this study. More than
half were male (63.3%), still working in farming or fishing (61.2%). All participants
were suffering from peripheral neuropathy (100%) and 71.5% showed claudication.
Nearly two thirds reported not having received diabetic foot care education and
82% not having received regular vasculopathy assessment before the wound
appeared. The common reasons for foot ulcers were unnoticed trauma, neglect of
foot self-care. Conclusions: Most
diabetic foot ulcers are preventable, since they result from a high prevalence
of peripheral neuropathy, inadequate provision of vasculopathy assessment and
inappropriate management of foot self-care. Community health nurses can focus
care toward screen regularly for early diabetic foot problems.
Cite this paper
Lee, C. , Chang, C. , Chen, C. , Lai, L. , Chang, C. and Chen, M. (2013) The devil is in the detail: Prevention of diabetic foot ulceration in rural area is possible. Open Journal of Nursing
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