Knowledge towards exercise and foot care among individuals with uncontrolled type 2 diabetes mellitus in secondary care settings in northeastern Thailand: a cross-sectional study
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Abstract
Type 2 diabetes mellitus (T2DM) poses a global public health concern due to complications arising from insufficient knowledge of self-care practices. Despite the significant impact on blood glucose control and the prevention of foot amputation, research on the knowledge of exercise and foot care among individuals with uncontrolled T2DM in northeastern Thailand is lacking. Accurate comprehension of foot care and exercise knowledge is essential for these individuals to avoid inefficacy and potential harm. The objective of this study was to investigate knowledge toward exercise and foot care among individuals with uncontrolled T2DM at secondary care setting in northeastern Thailand. Data were gathered through a self-developed questionnaire with high internal consistency (KR-20 = 0.87) distributed to 170 uncontrolled T2DM patients residing in the Warichaphum district, Sakon Nakhon province. Descriptive statistics were employed for data analysis. Among these respondents, 58.82% demonstrated a ‘Good’ level of knowledge regarding exercise, while 85.71% showed a ‘Good’ level of knowledge regarding foot care. Nonetheless, respondents provided incorrect answers to several key items, highlighting the need to correct misconceptions for better comprehension. This study offers valuable insights for designing and implementing initiatives aimed at enhancing knowledge and promoting better exercise habits for blood sugar control among uncontrolled T2DM patients.
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References
World Health Organization. Background paper: non-communicable diseases in low and middle income countries. Geneva: WHO; 2010.
Apidechkul T, Chomchoei C, Upala P. Epidemiology of undiagnosed type 2 diabetes mellitus among hill tribe adults in Thailand. Sci Rep 2022; 12(1): 3969.
Leon BM, Maddox TM. Diabetes and cardiovascular disease: Epidemiology, biological mechanisms, treatment recommendations and future research. World J Diabetes 2015; 6(13): 1246-58.
Sakboonyarat B, Pima W, Chokbumrungsuk C, Pimpak T, Khunsri S, Ukritchon S, et al. National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018. Sci Rep 2021; 11(1): 14260.
Poosakaew T, Kesssomboon P, Smith JF. Risk factors for hospitalization due to hypoglycemia in diabetic patients in northeast Thailand. JDM 2014; 4(03): 165-71.
Sakunphanit T. Universal health care coverage through pluralistic approaches: Experience from Thailand. ILO Subregional Office for East Asia, Bangkok 2016:1-4.
Kanaley JA, Colberg SR, Corcoran MH, Malin SK, Rodriguez NR, Crespo CJ, et al. Exercise/physical activity in individuals with type 2 diabetes: A consensus statement from the American college of sports medicine. Med Sci Sports Exerc 2022; 54(2): 353-68.
Rathnayake A, Saboo A, Malabu UH, Falhammar H. Lower extremity amputations and long-term outcomes in diabetic foot ulcers: A systematic review. World J Diabetes 2020; 11(9): 391-9.
Ahmad F, Joshi SH. Self-care practices and their role in the control of diabetes: A narrative review. Cureus 2023; 15(7): e41409.
Yammine K, Estephan M. Telemedicine and diabetic foot ulcer outcomes. A meta-analysis of controlled trials. The Foot 2022; 50: 101872.
Lertsirimunkong J, Thavornwattanayong W, Yongrat K, Huengraksa N, Chakranon P, Nimnuan P. The protocol for diabetic foot care services by community pharmacists in Thailand. Pharm Sci Asia 2019; 46(3): 140-6.
Krittiyawong S, Ngarmukos C, Benjasuratwong Y, Rawdaree P, Leelawatana R, Kosachunhanun N, et al. Thailand diabetes registry project: Prevalence and risk factors associated with lower extremity amputation in Thai diabetics. J Med Assoc Thai 2006; 89 (1): 43.
Diabetes association of Thailand under the patronage of her royal highness princess Maha Chakri Sirindhorn. Clinical practice guideline for diabetes 2017. Bangkok: Romyen Media Co., Ltd. 2017.
Tienthavorn V, Eaktasang N. Surveillance, control, and prevention systems of hypertension in Singburi, Thailand: Policy to action. Eur J Cardiovasc Nurs 2015; 14: S104-5.
Arun J. Statistics for health science research. 4th ed. Bangkok: Wittayapat, Ltd; 2015.
Awotidebe TO, Adedoyin RA, Afolabi MA, Opiyo R. Knowledge, attitude and practice of exercise for plasma blood glucose control among patients with type-2 diabetes. Diabetes Metab Syndr 2016; 10(2): S1-6.
Yeh JZ, Wei CJ, Weng SF, Tsai CY, Shih JH, Shih CL, et al. Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan. BMC Public Health 2018; 18(1): 1062.
Rahaman KS, Majdzadeh R, Holakouie Naieni K, Raza O. Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metab 2017; 15(3): e12555.
Mansy W, Wajid S, Alwhaibi A, Alghadeer SM, Alhossan A, Babelghaith S, et al. Assessing outpatients’ knowledge, attitude, and practice toward managing diabetes in Saudi Arabia. Inquiry 2022; 59: 469580221082781.
Fincham JE. Response rates and responsiveness for surveys, standards, and the journal. Am J Pharm Educ 2008; 72(2): 43.
Ciarambino T, Crispino P, Leto G, Mastrolorenzo E, Para O, Giordano M. Influence of gender in diabetes mellitus and its complication. Int J Mol Sci 2022; 23(16): 8850.
Mwimo JL, Somoka S, Leyaro BJ, Amour C, Mao E, Mboya IB. Knowledge, attitude and practice of physical activity among patients with diabetes in Kilimanjaro region, Northern Tanzania: A descriptive cross-sectional study. BMJ Open 2021; 11(9): e046841.
Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetesrelated complications. Phys Ther 2008; 88(11): 1254-64.
Cole JB, Florez JC. Genetics of diabetes mellitus and diabetes complications. Nat Rev Nephrol 2020; 16(7): 377-90.
Hicks CW, Selvarajah S, Mathioudakis N, Sherman RE, Hines KF, Black JH, et al. Burden of infected diabetic foot ulcers on hospital admissions and costs. Ann Vasc Surg 2016; 33: 149-58.
Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. Jama 2005; 293(2): 217-28.
Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med 2017; 376(24): 2367-75.
Lavery LA, Hunt NA, Ndip A, Lavery DC, Van Houtum W, Boulton AJ. Impact of chronic kidney disease on survival after amputation in individuals with diabetes. Diabetes Care 2010; 33(11): 2365-9.
Ragnarson Tennvall G, Apelqvist J. Healthrelated quality of life in patients with diabetes mellitus and foot ulcers. J Diabetes Complications 2000; 14(5): 235-41.
Coffey L, Gallagher P, Horgan O, Desmond D, MacLachlan M. Psychosocial adjustment to diabetes-related lower limb amputation. Diabet Med 2009; 26(10): 1063-7.
Mahatthanapradir P, Kanato M, Leyatikul P. Foot-care knowledge of diabetic patients of KuKaew community hospital, KuKaew district, UdonThani province. Srinagarind Srinagarind Med J 2018; 33(6): 520-5.
Abu-Qamar MZ, Kemp V, Whitehead L. The reported external traumas among people with diabetes-related foot ulcers and their outcomes: A systematic review of case reports. Int Wound J 2022; 19(6): 1370-88.
Kanchan S, Gaidhane A. Social media role and its impact on public health: A narrative review. Cureus 2023; 15(1): e33737.
Ubolwan K, Kheokao J, Yingrengreong S, Chuaintha E. Evaluation of factors associated with ehealth literacy among older adult social media users in Thailand. Southeast Asian J Trop Med Public Health 2020; 51(5): 754-62.