Exercise intervention to reduce the risk of diabetic foot ulcers in diabetics with the health belief model approach
Quasi-experimental studies
Keywords:
exercise, diabetic foot ulcers, diabetics, ankle-brachial indexAbstract
Diabetic foot ulcers are common complication in diabetics. This study aims to explore the effect of exercise on the risk of diabetic foot ulcers in diabetics using the Health Belief Model approach. One of the essential benefits of this study is to reduce the risk of developing diabetic foot ulcers, thereby reducing disability rates. The problem of diabetic foot ulcers can be prevented by implementing exercise interventions. In this experimental study, there were three groups, with 161 diabetics as respondents. Group one and group two were given different interventions, while group three was the control group. In this study, changes in the ankle-brachial index and the effect of Health Belief Model on activeness in the intervention were measured. Follow-up was done after three months of intervention. All aspects of the Health Belief Model scale were different in the three groups. Perceptions of obstacles showed the most significant difference (p=<0.001). All aspects of the Health Belief Model scale also affect the activity of diabetics in doing exercise (p=0.001). The results of the ankle-brachial index measurement showed that there were differences between the three groups (p=0.019) and the “MULDA” exercise group had the highest median value.
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Abbas, Zulfiqarali G., and Andrew J.M. Boulton. 2022. “Diabetic Foot Ulcer Disease in African Continent: ‘From Clinical Care to Implementation’ – Review of Diabetic Foot in Last 60 Years – 1960 to 2020.” Diabetes Research and Clinical Practice 183: 109155. https://doi.org/10.1016/j.diabres.2021.109155.
Adem, Ali Mekonen, Asrat Atsedeweyn Andargie, Achamyeleh Birhanu Teshale, and Haileab Fekadu Wolde. 2020. “Incidence of Diabetic Foot Ulcer and Its Predictors among Diabetes Mellitus Patients at Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia: A Retrospective Follow-up Study.” Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 13: 3703–11.
Almobarak, Ahmed O., Heitham Awadalla, Mugtaba Osman, and Mohamed H. Ahmed. 2017. “Prevalence of Diabetic Foot Ulceration and Associated Risk Factors: An Old and Still Major Public Health Problem in Khartoum, Sudan?” Annals of Translational Medicine 5(17): 1–7.
Baldursdottir, Bergthora et al. 2020. “Multi-Sensory Training and Wrist Fractures: A Randomized, Controlled Trial.” Aging Clinical and Experimental Research 32(1): 29–40. http://dx.doi.org/10.1007/s40520-019-01143-4.
Bossman, Irene Fosuhemaa et al. 2021. “Patients’ Knowledge of Diabetes Foot Complications and Self-Management Practices in Ghana: A Phenomenological Study.” PLoS ONE 16(8 August): 1–15. http://dx.doi.org/10.1371/journal.pone.0256417.
Dai, Jinming, and Li Li. 2019. “Physical Activity Can Help Seniors with Diabetic Foot.” Current sports medicine reports 18(12): 429–30.
Damayanti, I. A. M., Indrayoni, P., Antari, N. W. S., & Padmiswari, A. A. I. M. (2021). Effectiveness of Averrhoa bilimbi leaf extract on spermatogenic cells of mice (Mus Musculus L.) hyperglycemia. International Journal of Health & Medical Sciences, 4(2), 273-279. https://doi.org/10.21744/ijhms.v4n2.1747
El Bilbeisi, Abdel Hamid, Saeed Hosseini, and Kurosh Djafarian. 2017. “The Association between Physical Activity and the Metabolic Syndrome among Type 2 Diabetes Patients in Gaza Strip, Palestine.” Ethiopian journal of health sciences 27(3): 273–82.
Fagher, Katarina, and Magnus Löndahl. 2021. “The Combined Impact of Ankle–Brachial Index and Transcutaneous Oxygen Pressure on Mortality in Patients with Type 2 Diabetes and Foot Ulcers.” Acta Diabetologica 58(10): 1359–65. https://doi.org/10.1007/s00592-021-01731-9.
Hart, Theodore, Ross Milner, and Adam Cifu. 2017. “Management of a Diabetic Foot Guideline Title Management of a Diabetic Foot.” JAMA 318(14): 1387–88.
Jenkins, David W., and Alexander Jenks. 2017. “Exercise and Diabetes: A Narrative Review.” Journal of Foot and Ankle Surgery 56(5): 968–74. http://dx.doi.org/10.1053/j.jfas.2017.06.019.
Lamberti, Nicola et al. 2021. “Don’t Stop Walking: The in-Home Rehabilitation Program for Peripheral Artery Disease Patients during the COVID-19 Pandemic.” Internal and Emergency Medicine 16(5): 1307–15. https://doi.org/10.1007/s11739-020-02598-4.
Matos, Monica, Romeu Mendes, André B. Silva, and Nelson Sousa. 2018. “Physical Activity and Exercise on Diabetic Foot Related Outcomes: A Systematic Review.” Diabetes Research and Clinical Practice 139: 81–90.
McClary, Kaylan N., and Patrick Massey. 2021. Ankle Brachial Index. In: Stat Pearls: Treasure Island (FL). https://europepmc.org/article/MED/30726013.
Melkamu, Lydia, Resom Berhe, and Simegnew Handebo. 2021. “Does Patients’ Perception Affect Self-Care Practices? The Perspective of Health Belief Model.” Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 14: 2145–54.
Miranda, Cesare, Roberto Da Ros, and Raffaele Marfella. 2021. “Update on Prevention of Diabetic Foot Ulcer.” Archives of Medical Science - Atherosclerotic Diseases 6(1): 123–31.
Mohamadian, Hashem, and Mohammad Ghannaee Arani. 2014. “Factors Predicting the Physical Activity Behavior of Female Adolescents: A Test of the Health Promotion Model.” Journal of Preventive Medicine and Public Health 47(1): 64–71.
Muliarta, I. N., Agung, I. G. A. M. S., Adnyana, I. M., & Diara, I. W. (2019). Local decomposer increase composting rate and produce quality rice straw compost. International Journal of Life Sciences, 3(1), 56–70. https://doi.org/10.29332/ijls.v3n1.273
Najafi, Bijan, Naren Patel, and David G. Armstrong. 2018. “Exercise Programs to Improve Quality of Life and Reduce Fall Risk in Diabetic Patients with Lower Extremity Disease.” Diabetes and Exercise, Contemporary Diabetes: 307–18.
Ravidas, Vishnu S., Samadarsi P., and Ajayan G. 2020. “Prospective Observational Study Evaluating the Predictive Value of Ankle Branchial Pressure Index on the Outcomes of Diabetic Foot Ulcers.” International Surgery Journal 7(7): 2352.
Sharma, Manoj. 2022. Theoretical Foundations of Health Edu¬cation and Health Promotion. Fourth. London: Jones & Bartlett Learn¬ing.
Sigal, Ronald J. et al. 2018. “Physical Activity and Diabetes.” Canadian Journal of Diabetes 42: S54–63. https://doi.org/10.1016/j.jcjd.2017.10.008.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Syafril, S. 2018. “Pathophysiology Diabetic Foot Ulcer.” IOP Conference Series: Earth and Environmental Science 125(1).
Triwiyanto, Triwiyanto, Oyas Wahyunggoro, H. A. Nugroho, and Herianto Herianto. 2018. “Muscle Fatigue Compensation of the Electromyography Signal for Elbow Joint Angle Estimation Using Adaptive Feature.” Computers and Electrical Engineering 71(July): 284–93. https://doi.org/10.1016/j.compeleceng.2018.07.026.
Yang, Ming-Chi et al. 2021. “Ankle-Brachial Index Is Independently Associated With Cardiovascular Outcomes and Foot Ulcers in Asian Patients With Type 2 Diabetes Mellitus.” Frontiers in Endocrinology 12(November): 1–7.
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