Lifestyle, Diet, Self-care, and Diabetes Fatalism of Diabetic Patients with and without Diabetic Foot.
10.5720/kjcn.2014.19.3.241
- Author:
Jungha CHOI
1
;
Juhee KANG
;
Hongmie LEE
Author Information
1. Department of Food Science & Nutrition, Daejin University, Pocheon, Kyeonggi-do, Korea. hmlee@daejin.ac.kr
- Publication Type:Original Article
- Keywords:
diabetes fatalism;
lifestyle;
diet;
diabetic foot;
foot care
- MeSH:
Diabetic Foot*;
Diet*;
Drinking;
Education;
Foot;
Humans;
Life Style*;
Surveys and Questionnaires;
Self Care*;
Smoke;
Smoking;
Stress, Psychological
- From:Korean Journal of Community Nutrition
2014;19(3):241-249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: This study was to determine diabetes fatalism of diabetic patients with and without diabetic foot and its association with lifestyle, diet, and self-care. METHODS: The subjects were diabetic patients with (male/female 48/21) and without diabetic foot (male/female 33/26). We administered the questionnaires which were designed to determine diabetes fatalism, lifestyle, diet, and self-care. Diabetes fatalism was determined by Diabetes fatalism scale (DFS), which consisted of total 12 items in three subscales namely, emotional stress, religiou.spiritual coping, and perceived self-efficacy. RESULTS: The patients with diabetic foot had undesirable diets more frequently (1.37 and 0.91 days/week respectively) and their desirable diets (2.74 and 3.61 days/week respectively) and foot care (4.61 and 5.53 days/week respectively) were less frequent than those without diabetic foot (p < 0.05). An item analysis of the 12 DFS items revealed a Chronbach' alpha of 0.614 and 0.869, respectively in diabetic patients with and without diabetic foot. Perceived self-efficacy related DFS of subjects without diabetic foot was positively associated with smoking (r = 0.350, p < 0.01), undesirable diet (r = 0.295, p < 0.05), and drinking (r = 0.257, p < 0.05), while its negative association with exercise (r = -0.224, p < 0.088) and foot care (r = -0.247, p < 0.059) did not reach to statistical significance. CONCLUSIONS: This work was the first study reporting the potential usefulness of DFS, especially perceived self-efficacy related subscale as a predictor of lifestyle, diet and self-care on the Korean diabetic patients, at least those without severe diabetic foot to screen those who should be the first target for diabetes education.