An estimation of diabetes foot self-care based on validated scores: A systematic review and meta-analysis. Issue 2 (May 2022)

• Record Type: Journal Article
• Authors: He, Qiuyao; Zhang, Jing; Chen, Xin
• Is Part Of: Journal of tissue viability. Volume 31:Issue 2(2022)
• Page Start: 302
• Page End: 308
• Publication Date: 2022-05
• Subjects: Diabetes foot ulcer -- Diabetes foot care -- Diabetes -- Meta-analysis -- Score; Wounds and injuries -- Periodicals; Ulcers -- Periodicals; Bedsores -- Periodicals; Bedsores; Ulcers; Wounds and injuries; Electronic journals; Periodicals; 617.1406
• DOI: 10.1016/j.jtv.2021.11.004
• Languages: English
• ISSNs: 0965-206X

Abstract

Abstract: A diabetic foot ulcer is a preventable complication of diabetes, which could lead to lower extremity amputation and increased mortality and morbidity. Self-care behaviors play a key role in the prevention of diabetic foot ulcers. This study aimed to estimate the total score of diabetic foot self-care behaviors. We searched databases such as Web of Science, Medline (PubMed), and Scopus using various keywords, including diabetic foot, diabetic feet, diabetic problem, diabetic foot ulcer, and self-care, for relevant articles with no time limit. The heterogeneity of the studies was assessed using Cochran's Q test and I 2 statistic. Data were analyzed using STATA software version 12 using the meta-analysis method and a random effects model. In total, eight studies were analyzed with a sample size of 2, 493. The pooled score of diabetes foot self-care was 62.84% and this score was higher in the studies conducted on two groups of patients with type I and type II diabetes compared to those performed only on patients with type II diabetes. The results also indicated correlation between the self-care score and year of publication (P < 0.001), and the self-care scores significantly declined during 2015–2021 (P < 0.001). Overall, the diabetic foot self-care score was moderate, which highlights the need to provide self-care education to diabetic patients. Highlights: The total score of diabetic foot self-care was 62.84%. The score of diabetic foot self-care was 56.50% & 68.84% in 2 types diabetes respectively. There is a significant correlation between the year of publication and score of diabetic foot self-care. The score of diabetic foot self-care significantly decreased in the articles published during 2015–2021.