The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study.
Yunita Sari, Saldy Yusuf, Haryanto Haryanto and 2 others
PMID 34411445WHAT IT FOUND
Indonesian patients with type 2 diabetes did not know how to care for their feet.
They prioritised glucose, feared cost or judgement, and trusted sandals. Daily ablution and Prolanis social activity were facilitators nurses could use.
Key findings
01None of the diabetic patients interviewed understood how to perform foot care, and nurses said there was no foot care education programme.
02Researchers found 24 of the 25 participants had dry feet, thick calluses, cracked heels and fissures, candida and toenail fungus.
03Washing feet during daily ablution and wanting to stay active in Prolanis social meetings were reported as motivations for foot care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper gives different patient counts: 24 patients were said to be included, but the results describe 25 participants and 34 interviews. Most participants were Javanese and were recruited from Purwokerto, so the themes may not apply to other Indonesian regions or cultures. Patients who could not perform foot care themselves were excluded, so the findings may miss people with more severe disease or greater disability. Only 2 physicians, 3 nurses and 4 family members were interviewed, so provider and family perspectives are limited. Qualitative interviews describe perceptions and reported practices; they do not show that foot care education works.
Declared interests
The authors declared no competing interests. Funding was from Kementerian Pendidikan, Kebudayaan, Riset, dan Teknologi.
The easy way to misread this
Do not read these themes as proof that foot care education prevents ulcers or amputation. The study explored perceptions in 25 mostly Javanese patients and did not test an intervention.