Barriers of Foot Care Practice among Older Adults with Diabetes in Alexandria, Egypt
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Background: Diabetes has a multiple complications such as foot ulcers and amputations, which has devastating drawbackson the older adults and the community. Although this complication can be prevented by prompt foot care, there are multifactorial barriers to practice foot care among them. These barriers should be identified to develop effective strategies to overcome them. Aim of the study: was to identify barriers of foot care practice among older adults with diabetesin Alexandria, Egypt. Materials and Method: A descriptive correlational research design was selected. Setting: Smouha, El Zaher, El Farana diabetic outpatient clinics,which are affiliated to the General Authority of Health Insurance in Alexandria. Subjects: 300 ofolder adults with diabetes who were selected conveniently from the previous settings. Tools of data collection: I- Older Adults' with Diabetes Socio-demographic and Health Profile Structured Interview Schedule, II-Older Adults' with DiabetesKnowledge Structured Interview Schedule, III- Nottingham Assessment of Functional Foot Care (NAFF) & IV- Foot Care Confidence Scale (FCCS). Results: There are a significant relation of foot care practice of older adults and their socio demographic characteristics except their age. Also, there are a significant relation between their practice and their health profile such as having musculoskeletal diseases, physical disability, vision problems and feeling of pain. It was found that61.0% of older adults who had unsatisfactory level of knowledge reported poor practice for their foot care andthere is a statistically significant difference X: 39.55 P: ˂0.000. Also, 69.9% of them who reported poor foot confidence had poor practice for their foot, and the difference is a statistically significant X: 63.29 P: ˂0.000. Conclusion: there are multiple barriers facing the older adults with diabetes when performing foot care practice as sex, marital status, education, occupation before retirement, income, living arrangement, presence of comorbidities, physical disability, having pain, lack of receiving foot care education,poor knowledge &poor foot care confidence. Recommendations: The gerontological nurses should plan for continuous patient's assessment, follow up and education about foot care. Also, providing in-service training program to the health care personnel working in the diabetic outpatient clinic for identifyingwho are at riskto develop foot complications.
Authors and Affiliations
Abeer Abd El-Rahman Mohamed, Abeer Abd El-Galeel Abd El-Moneam, Nancy Mahmoud El-Sahky
Keywords
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