Perspectives on factors influencing foot self-care to prevent diabetic foot ulcer - A qualitative systematic review
Keywords:
self-care, prevention, qualitative study, diabetes, foot ulcerAbstract
Diabetes eventually affected every part of the body, but it frequently involved the feet first. Foot self-care was crucial to prevent diabetic foot ulcer (DFU). Though great efforts have been made, there were changing factors on foot self-care considering diverse personal demands, community environment, and particular cultural context. This review aimed to synthesize knowledge of perspectives on factors influencing foot self-care of DFU prevention. A qualitative review followed by a thematic synthesis was applied. A total of 25 articles were established for analysis. Three themes were identified: knowledge, attitude and practice; factors influence on DFU prevention; motivators to promote DFU prevention practice. The findings underscored a spectrum of barriers and facilitators in foot care experienced by individuals with diabetes. The elements encompassing physical obstacles, psychological concerns, limitations in healthcare services, and cultural practices were found to be significantly associated with the effective implementation of foot self-care. This study shed light on factors related to foot self-care and provided evidence for optimal intervention on foot self-care in the future.
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