FACTORS IN RELATION WITH RISK OF FOOT ULCER AND SELF CARE TO PREVENT FOOT ULCER OF PATIENTS WITH DIABETIC MELLITUS TYPE 2

Abstract

This study was a descriptive research.The methodology was a mixed method. The objectives were to study factors in relation with risk of foot ulcer and self care to prevent foot ulcer. The samples were 90 diabetic patients in the project of screening foot ulcer at Uthong hospital, Supunburi province. The instruments were 1) personal data form, 2) foot assessment form, 3) the interview of foot care behavior. 4) in - depth interview guide. Analysis data by frequency, percentage, standard deviation, and Spearman Rank Correlation Coefficient and content analysis.The results show that: the average age were69.3 yrs, 66.7 % female, 33.3% male, 10 - 20 yrs for DM sickness, no organ loss. The factors risk of foot ulcer were statistically significant level of .01 by ordering 1) peripheral neuropathy r_s = .9632) peripheral artery obstruction r_s = .649 3) foot care behavior r_s = .638 4) duration of sickness r_s = .546 5) age r_s = .280. The 4 patients of high level and 15 patients of moderate level were in - depth interviewed. The interviewed results showed that they could not care their foot correctly in 4 aspects: 1) did not clean and dry feet especially between toes. 2) preferring to put their feet in the warm water don't test the temperature 3) cutting their nails close to hangnail, 4) bare foot walking in the house.