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KMID : 0367020180300010106
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Journal of Korean Academic of Adult Nursing
2018 Volume.30 No. 1 p.106 ~ p.114
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Factors Contributing to Diabetic Foot Ulcer among Patients with Type 2 Diabetes Mellitus
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Park Seo-Jin
Yang Tae-Young
Lee Jun-Young
Kim Jin-Hee
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Abstract
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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.
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KEYWORD
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Type 2 diabetes mellitus, Diabetic foot, Exercise
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