Factors Associated with Preventive Behaviors of Diabetic Foot Ulcers Among Uncontrolled Type 2 Diabetes Mellitus Patients in Mueang District, Udon Thani Province

Abstract

This cross-sectional analytical research aimed to preventive behaviors of diabetic foot ulcer and factors associated with preventive behaviors of diabetic foot ulcer among uncontrolled type 2 diabetes mellitus patients in Mueang District, Udon Thani. The total of 327 samples were selected by stratified random sampling method. Data were collected via questionnaires and analyzed using descriptive statistics and multiple logistics regression, the adjusted odds ratio presented (OR_Adj), 95% confidence interval (95%CI) and p-value at 0.05 level of significance.

The results of the research revealed that the samples had diabetic foot ulcer preventive behaviors at good level, 65.75%. The factors significantly associated with good preventive behaviors of diabetic foot ulcer (p–value < 0.05) were female (OR_Adj = 1.87, 95%CI = 1.05-3.29, p-value = 0.031), non-kidney comorbid (OR_Adj = 5.29, 95%CI = 1.39-19.47, p-value = 0.014), high level of motivation for preventing diabetic foot ulcers (OR_Adj = 2.64, 95%CI = 1.24-5.63, p-value = 0.011) and high level of social support for preventing diabetic foot ulcers (OR_Adj = 4.86, 95%CI = 2.70-8.73, p-value = 0.001). In summary, the correlation among gender, motivation, social support, and preventive behaviors for diabetic foot ulcers suggests that people with diabetes, especially those who also have comorbid kidney disease, need to be more motivated and encouraged to get involved in the community in order to prevent and care for foot ulcers.