Adherence to wearing footwear for diabetic footproblems in Sawangdandin district
Keywords:
diabetic footwear, diabetic foot ulcer, Sawangdandin districtAbstract
Pressure from ill-fitting shoes is an important factor contributing to foot ulcers in diabetic patients. Regularly wearing a diabetic footwear is an effective way to prevent diabetic foot ulcers. Sawangdaendin Hospital has provided diabetes foot care services, but did not know how the patients use the footwear given by the hospital. This descriptive study aimed to study the adherence of diabetic footwear and to investigate patients’ opinion and satisfaction on diabetic footwear. The data was collected from 140 patients who have received diabetic footwear from 1 January 2015 to 31 December 2017. The questionnaires were sent to medical staff who worked in health promoting hospitals. Our staff interviewed the patients and sent the collected data back to Sawangdaendin Hospital via Google form or post.
This study found 4 of 88 respondents refused to wear diabetic shoes (4.5%). The average duration of diabetic footwear use was 3.55 hours per day. The most activity of wearing diabetic shoes was hospital visiting (68.2%). The reasons for not to wear diabetic shoes were due to damaged shoes (37.7%), difficult to put on and off shoes (22.6%), concerning of the shoes being old (20.8%) and not suitable for daily living (20.8%). Patients rated score of overall satisfaction for 7.78, general appearance for 7.42, and comfort in walking for 8.10.
This study concluded that although most patients had positive opinion toward diabetic footwear, the adherence to wear diabetic footwear was quite low. The most common cause of not wearing diabetic shoes were due to damaged shoes. Therefore, the healthcare providers should provide a regular follow-up after patients received diabetic shoes to check the shoes and to emphasize the importance of wearing diabetic footwear to each patient.
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