Prevalence and Factors Associated with Peripheral Arterial Disease in Diabetes Patients At Sawankhaloke Hospital Sukhothai Province

Abstract

This study was a descriptive research which had objectives: to determine prevalence factors associated with peripheral arterial disease and foot care behaviors in diabetes with peripheral arterial disease. A samples of 353 diabetes patients at Sawankhaloke Hospital. Data were collected during January to February 2018. Material and method: Diabetes patients were randomly sampled by inclusion and exclusion criteria and interviewed for background information, diseases medications, claudication symptoms were foot examination foot protective sensory test with monofilament and automated BP at two brachial and ankle to calculated Ankle Brachial Index (ABI). Diabetes patients with peripheral arterial disease were to assess foot care behaviors and attended to knowledge learning skill about 10 tips for diabetic foot care before and after intervention. Data analyzed by count, percentage, mean, standard deviation and inferential statistic by chi-square fisher’s exact test and t- test. Results : Prevalence of peripheral arterial disease in diabetes patients was 15.6% . The factors associated with peripheral arterial disease were female (odds ratio = 4.18, 95% CI 1.735-10.105) and smoking (odds ratio = 0.23, 95% CI 0.092-0.619) statistical significant (p < 0.001). The score of foot care behaviors after knowledge attended learning skill about10 tips for diabetic foot care was statistical significant higher than before (p < 0.001). Conclusion :15.6 % of diabetes patients were peripheral arterial disease by female and smoker patients higher proportion. Knowledge and learning skill about10 tips for diabetic foot care can promote foot care behaviors in high level. These finding suggest ABI measurement for peripheral arterial disease diagnosis in all diabetes patients and promote foot care behaviors for prevent foot ulcer and lower limb amputation.