- Türkiye Diyabet ve Obezite Dergisi
- Vol: 7 Issue: 1
- Diabetes Burden and Self-Efficacy Levels As Determinants of Foot Care Behaviors in Older Adults: Des...
Diabetes Burden and Self-Efficacy Levels As Determinants of Foot Care Behaviors in Older Adults: Descriptive Comparative Study
Authors : Merve Çanli Duran, Alime Selçuk Tosun
Pages : 41-51
Doi:10.25048/tudod.1199550
View : 8 | Download : 3
Publication Date : 2023-04-28
Article Type : Research
Abstract :Aim: This study aimed to determine foot care behaviors, diabetes burden, and self-efficacy levels of older adults with and without diabetic foot ulcer and to examine the determinants affecting their foot care behaviors. Material and Methods: This descriptive comparative study was included 115 older adults with diabetic foot and 115 older adults without diabetic foot. Descriptive statistics, chi-square test, t test, one way anova, mann whitney u, kruskal wallis test and multiple regression analysis were used in the analysis of the data. Results: Being literate (β=0.674), living in a city (β=0.549), not complying with the diabetes diet (β=0.408), having four chronic diseases (β=0.838), using insulin (β =0.761), not measuring blood glucose level (β=0.398), visiting a doctor once a year or more (β=0.573), not being hospitalized due to diabetes complications in the last year (β =0,789), mean scores for the overall Self-Efficacy Scale (β=0.832) and its subdimensions, mean scores for the overall Elderly Burden Diabetes Scale (β=0.838) and its subdimensions (p<0.001). Being literate (β=0.745), not complying with diabetes diet (β=0.823), not doing regular physical exercise (β=0.736), mean scores for the overall Self-Efficacy Scale (β = 0.801) and its subdimensions, mean scores for the overall Elderly Burden Diabetes Scale (β=0.817) and its subdimensions were predictors of foot care behaviors of the older adults without diabetic foot ulcer (p<0.001). Conclusion: Older adults without diabetic foot ulcer displayed poor foot care behaviors. It was determined that the diabetes burden and self-efficacy levels of older adults had a effect on predicting foot care behaviors. In line with this result, increasing the self-efficacy level of older adults may reduce the burden of disease. It may also positively affect foot care behaviors.Keywords : Tip 2 diyabet, Diyabet yükü, Ayak bakım davranışı, Yaşlı birey