CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2020; 8(01): 013-017
DOI: 10.1055/s-0040-1716812
Original Article

Foot Self-Care Behavior in Patients with Diabetes

1   Depatment of Endocrinology, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
2   Department of Internal Medicine, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
Necla Çay İşçımen
2   Department of Internal Medicine, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
2   Department of Internal Medicine, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
2   Department of Internal Medicine, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
1   Depatment of Endocrinology, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkey
› Author Affiliations
Funding None.


Objective Diabetic foot ulcers (DFUs) are complications of diabetes that can progress with high mortality and morbidity. It is a preventable problem with the determination of risk factors and patient education. Our aim is to examine the knowledge and behavior of diabetic patients in our region about foot care.

Materials and Methods Diabetic individuals who applied to the Endocrine and Internal Medicine Clinic were included in this cross-sectional study. Demographic variables, physical examination, and laboratory findings were recorded. “Diabetic foot information form for diabetic foot care” was used to evaluate the patient’s level of knowledge about diabetic foot and care. The questionnaire consists of 16 questions with two options, right or wrong, according to the suggestions of the guides. A total of 16 points scoring system has been established, 1 point for each correct answer and 0 points for the wrong answer.

Results “Total acknowledgment scores” (TAS) were significantly higher in patients with DFU, amputation, and DFU history (p < 0.001). TAS were significantly lower in patients receiving oral antidiabetic therapy than those receiving insulin therapy (p = 0.005). Total scores were significantly lower in untrained patients compared with primary school graduates (p = 0.005), and in high school graduates compared with university graduates (p < 0.001).

Conclusion In this study, a serious lack of information or insufficiency was found in patients with diabetes. More comprehensive training programs are needed to reduce diabetic foot development and complications.

Publication History

Article published online:
27 October 2020

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