Diabetic Foot Ulcers and Risk Fall in People with Type 2 Diabetes Mellitus in BLUD RSUD Dr. Ben Mboi Manggarai Regency, NTT

Oliva Suyen Ningsih, Kornelia Romana Iwa, Maria Getrida Simon, Kataria Anastasia Sinar

Abstract

The prevalence of diabetes mellitus in Manggarai Regency in 2019 is 535 people and some of them have diabetic foot ulcers. Patients with diabetic foot ulcers had a higher risk of falling than others.This study was to determine the risk factors for diabetic foot ulcers and the risk of falls in patients with type 2 diabetes mellitus. A quantitative study using a cross-sectional study was conducted at BLUD RSUD dr. Ben Mboi  in April-June 2020 (n = 51).The sampling technique used was purposive sampling with a questionnaire of diabetic foot screening and risk stratification form and Morse scale. Logistic regression results showed that there was a significant relationship between claudication (AOR: 8.409, 95% CI 1.664-42.500, p value 0.010), history of previous diabetic foot ulcers (AOR: 5,680, 95% CI 1,151-28,035, p value 0.033) with diabetic foot ulcers. There was a significant relationship between hypertension (AOR: 0.152, 95% CI 0.028-0.834, p value 0.030), diabetic foot ulcers (AOR: 11.392, 95% CI 1.277-101.651, p value 0.029) with the risk of falling for patients with type 2 diabetes mellitus.  Assessment of the risk of diabetic foot ulcers and the risk of falls should be done in patients with diabetes mellitus with or without neuropathy peripheral

Keywords

Diabetic Foot Ulcer; Risk of Fall

Full Text:

PDF

References

Abdissa, D., Adugna, T., Gerema, U., & Dereje, D. (2020). Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients on Follow-Up Clinic at Jimma Medical Center, Southwest Ethiopia, 2019: An Institutional-Based Cross-Sectional Study. Journal of Diabetes Research, 2020, 1–6. https://doi.org/10.1155/2020/4106383

Acar, S., Demirbüken, ?., Algun, C., Malkoç, M., & Tekin, N. (2015). Is hypertension a risk factor for poor balance control in elderly adults? Journal of Physical Therapy Science, 27(3), 901–904. https://doi.org/10.1589/jpts.27.901

ACE (Agency for Care Effectiveness). (2019). Appropriate care guide : foot assesment in people diabetes. Retrieved August 5, 2019, from www.ace-hta.gov.sg

Alexiadou, K., & Doupis, J. (2012). Management of diabetic foot ulcers. Diabetes Therapy, 3(1), 1–15. https://doi.org/10.1007/s13300-012-0004-9

Almaramhy, H., Mahabbat, N. A., Fallatah, K. Y., Al-Ahmadi, B. A., Al-Alawi, H. H., & Guraya, S. Y. (2018). The correlation of fasting blood glucose levels with the severity of diabetic foot ulcers and the outcome of treatment strategies. Biomedical Research (India), 29(9), 1961–1967. https://doi.org/10.4066/biomedicalresearch.29-18-502

Azidah, A. K., Hasniza, H., & Zunaina, E. (2012). Prevalence of falls and its associated factors among elderly diabetes in a tertiary center, Malaysia. Current Gerontology and Geriatrics Research, 2012, 1–5. https://doi.org/10.1155/2012/539073

Cardoso, H. C., Zara, A. L. D. S. A., Rosa, S. D. S. R. F., Rocha, G. A., Rocha, J. V. C., Araújo, M. C. E. De, … Mrué, F. (2019). Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System. Journal of Diabetes Research, 2019. https://doi.org/10.1155/2019/5319892

Crews, R. T., Yalla, S. V., Fleischer, A. E., & Wu, S. C. (2013). A growing troubling triad: Diabetes, aging, and falls. Journal of Aging Research, 2013, 1–6. https://doi.org/10.1155/2013/342650

Dinas Kesehatan Kabupaten Manggarai. (2019). Profil Kesehatan Kabupaten Manggarai. Ruteng.

Fawzy, M. S., Alshammari, M. A., Alruwaili, A. A., Alanazi, R. T. R., Alharbi, J. A. M., Almasoud, A. M. R., … Toraih, E. A. (2019). Factors associated with diabetic foot among type 2 diabetes in Northern area of Saudi Arabia: A descriptive study 11 Medical and Health Sciences 1103 Clinical Sciences 11 Medical and Health Sciences 1117 Public Health and Health Services. BMC Research Notes, 12(1), 1–7. https://doi.org/10.1186/s13104-019-4088-4

G, T., & S, V. (2017). Assessment of Prevalence and Risk Factors of Peripheral Arterial Disease in Diabetic Foot Ulcer. International Journal of Surgery and Medicine, 1. https://doi.org/10.5455/ijsm.diabetic-foot-ulcer-pad

Garrett, M., York, S., Shea, C. O., Shaw, L., Angus, F., Clarke, J., & Ballance, K. (2010). Welcome to the Diabetes Foot Screening and Risk Stratification Tool ., 31(7).

Hewston, P., & Deshpande, N. (2016). Falls and Balance Impairments in Older Adults with Type 2 Diabetes: Thinking Beyond Diabetic Peripheral Neuropathy. Canadian Journal of Diabetes, 40(1), 6–9. https://doi.org/10.1016/j.jcjd.2015.08.005

IDF. (2017). IDF Diabetes Atlas. Retrieved December 6, 2019, from http://fmdiabetes.org/wp-content/uploads/2018/03/IDF-2017.pdf

Ji, L., Bai, J., Sun, J., & Wang, Z. (2016). Nursing care for diabetic toe ulcers : A case series report and literature review *. International Journal of Nursing Science 3, 3, 332–336. https://doi.org/10.1016/j.ijnss.2016.04.007

Khan, Y., Khan, M. M., Jain, A., & Namdev, R. K. (2018). A study of association of Diabetic Foot Ulcers and Peripheral Vascular Disease. International Journal of Advances in Medicine, 5(6), 1454. https://doi.org/10.18203/2349-3933.ijam20184756

Level, R. (2006). Falls : Morse Fall Scale, 1–2. Retrieved from www.primaris.org

Mariam, T. G., Alemayehu, A., Tesfaye, E., Mequannt, W., Temesgen, K., Yetwale, F., & Limenih, M. A. (2017). Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study. Journal of Diabetes Research, 2017, 1–8. https://doi.org/10.1155/2017/2879249

Prabowo, E., Puspitasari, L. A., Banyuwangi, K. G., Java, E., Banyuwangi, K. G., & Java, E. (2017). Risk Factors Analysis of Diabetic Foot Ulcers Among Individual. Proceeding 3rd International Nursing Conference, 15–23.

Rashedi, V., Iranpour, A., Mohseni, M., & Borhaninejad, V. (2019). Risk factors for fall in elderly with diabetes mellitus type 2. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 13(4), 2347–2351. https://doi.org/10.1016/j.dsx.2019.06.001

Reeves, N. D., Machekhina, L. V, & Jude, E. B. (2019). Falls risk and the diabetic foot. The Diabetic Foot Journal, 22(2), 23–27.

Rogers, L. C., Frykberg, R. G., Armstrong, D. G., Boulton, A. J. M., Edmonds, M., Ha Van, G., … Uccioli, L. (2011). The Charcot foot in diabetes. Diabetes Care, 34(9), 2123–2129. https://doi.org/10.2337/dc11-0844

Roman de Mettelinge, T., Cambier, D., Calders, P., Van Den Noortgate, N., & Delbaere, K. (2013). Understanding the Relationship between Type 2 Diabetes Mellitus and Falls in Older Adults: A Prospective Cohort Study. PLoS ONE, 8(6), 2–6. https://doi.org/10.1371/journal.pone.0067055

Tsimihodimos, V., Gonzalez-Villalpando, C., Meigs, J. B., & Ferrannini, E. (2018). Hypertension and Diabetes Mellitus Coprediction and Time Trajectories. Hypertension, 71(3), 422–428. https://doi.org/10.1161/HYPERTENSIONAHA.117.10546

Xia, N., Morteza, A., Yang, F., Cao, H., & Wang, A. (2019). Review of the role of cigarette smoking in diabetic foot. Journal of Diabetes Investigation, 10(2), 202–215. https://doi.org/10.1111/jdi.12952

Yang, Y., Hu, X., Zhang, Q., & Zou, R. (2016). Diabetes mellitus and risk of falls in older adults: a systematic review and meta-analysis. Age and Ageing, 45(6), 761–767. https://doi.org/10.1093/ageing/afw140

Yazdanpanah, L., Shahbazian, H., Nazari, I., Arti, H. R., Ahmadi, F., Mohammadianinejad, S. E., … Hesam, S. (2018). Incidence and risk factors of diabetic foot ulcer: A population-based diabetic foot cohort (ADFC study)-two-year follow-up study. International Journal of Endocrinology, 2018. https://doi.org/10.1155/2018/7631659

DOI: http://dx.doi.org/10.20884/1.jks.2021.16.3.1561

Refbacks

  • There are currently no refbacks.


Bookmark and Share