An Integrative Review of Diabetes Knowledge and Self-Care Management Among People with Diabetic Foot Ulcers

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Saneh Khunkaew
Ritin Fernandez
Jenny Sim
Alisa Khunkaew
Nuntakarn Paksee


          Diabetic foot ulcers have become a major public health problem and their prevalence is rapidly increasing. The purpose of this study was to synthesise the primary and secondary research to provide knowledge relating to diabetes self-care management for adults living with diabetic foot ulcers. An integrative literature review was undertaken, using hand searched and publications indexed in MEDLINE, CINAHL, PsycINFO and Scopus published up to December 2020. Primary research published in peer reviewed journals were appraised against quality assessment criteria using CASP checklist by one author and checked by a second author. Twelve papers met the selection criteria for synthesis. Three themes were identified: 1) Knowledge as an enabler 2) Actual foot self-care practices and 3) Impact of diversity on diabetic foot ulcer development. This integrative review has identified the impact knowledge and foot-self-care management strategies can have on development of diabetic foot ulcers care. These findings can assist health care providers to make decisions on the types of education and self-care management practices to educate people with diabetes.


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บทความวิจัย (Research articles)


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