Korean Journal of Community Nutrition

Original Article

[English]
Lifestyle, Diet, Self-care, and Diabetes Fatalism of Diabetic Patients with and without Diabetic Foot: Jungha Choi, Juhee Kang, Hongmie Lee; Korean J Community Nutr 2014;19(3):241-249. Published online June 30, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.3.241

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.

Citations

Citations to this article as recorded by

Factors Influencing Glycemic Control by gender in Workers with Diabetes Mellitus
Eun Hee Jang
The Korean Journal of Rehabilitation Nursing.2018; 21(2): 121. CrossRef
Association of selected health behaviors with perceived health, depressive symptom and fatalism among the aged 50-69 living in Seoul
Eun Jin Choi, Min Hye Kim
Korean Journal of Health Education and Promotion.2015; 32(2): 53. CrossRef

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