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27-03-2023 | Care | ORIGINAL PAPER

A Descriptive Study of Spiritual Well-Being and Foot Care Practices Administered to Turkish Patients Diagnosed with Type 2 Diabetes

Authors: Rukiye Burucu, Canan Güngör

Published in: Journal of Religion and Health | Issue 6/2023

Abstract

The aim of the study is the determination of factors affecting the moral well-being of individuals with type 2 diabetes, their foot care behaviors, and the relationship between their spiritual well-being and foot care behaviors. This is a descriptive and relationship-seeking study. The population of the study was comprised of patients with type 2 diabetes who continued their treatment in the same hospital. The sample group consisted of 157 people determined by power analysis (0.05 margin of error, 0.85 power, and 0.447 effect size). For data collection, the Participant Information Form, Spiritual Well-being Scale, and the Foot Care Behavior Scale were used. The mean age of the participants was 59.50 ± 4.858, the body cure index was 29.97 ± 4.233, the foot care awareness score was 51.04 ± 9.884, and the spiritual well-being score was 19.44 ± 7.423. The spiritual well-being subdimension scores were as follows: meaning: 5.17 ± 3.226, belief: 9.79 ± 4.277, and peace and tranquility: 4.48 ± 2.608. Foot care awareness and spiritual well-being scores of the patients were moderate. Individuals' awareness of foot care is affected by their willingness to use medication and to receive education about diabetes; while the income level affects their moral well-being. There is a weak and positive relationship between the two scale scores. It would be appropriate to address the patients spiritually and to provide care with an integrated understanding of care. The adoption of foot care by nurses will make nursing more visible and will be effective for the protection of public health.

Abrar, E. A., Yusuf, S., Sjattar, E. L., & Rachmawaty, R. (2020). Development and evaluation educational videos of diabetic foot care in traditional languages to enhance knowledge of patients diagnosed with diabetes and risk for diabetic foot ulcers. Primary Care Diabetes, 14(2), 104–110. https://doi.org/10.1016/j.pcd.2019.06.005CrossRefPubMed

ADA. (2020). Introduction: Standards of medical care in diabetes—2020. American Diabetes Association. Date of access: 06.07.2021. https://diabetes.org/

Akturk, U., Erci, B., & Araz, M. (2017). Functional evaluation of treatment of chronic disease: Validity and reliability of the Turkish version of the spiritual well-being scale. Palliative & Supportive Care, 15(6), 684–692. https://doi.org/10.1017/S1478951517000013CrossRef

Asiret, G. D. (2019). Determination of the relationship between drug compliance levels and spiritual wellbeing of hypertension patients. Journal of Cardiovascular Nursing, 10, 122–128. https://doi.org/10.5543/khd.2019.66376CrossRef

Atan, G., Özer, Z., & Bahçecioğlu Turan, G. (2020). Assessment of hopelessness and spiritual care perception in cancer patients. Journal of Contemporary Medicine. https://doi.org/10.16899/jcm.649645CrossRef

Balcı, K. E. (2019). Diyabet Tanı ve Tedavi Rehberi. Türk Diabet Vakfı, Date of access: 03.11.2023. https://www.turkdiab.org/admin/PICS/files/Diyabet_Tani_ve_Tedavi_Rehberi_2019.pdf

Borges, W. J., & Ostwald, S. K. (2008). Improving foot self-care behaviors with Pies Sanos. Western Journal of Nursing Research, 30(3), 325–341. https://doi.org/10.1177/0193945907303104CrossRefPubMed

Boztilki, M., & Ardıç, E. (2017). Spirituality and health. Journal of Academic Research in Nursing, 3, 39–45. https://doi.org/10.5222/jaren.2017.1008CrossRef

Çelik, P., & Tel Aydın, H. (2020). The effect of preventive patient educational program about diabetic foot development on patients’ knowledge and practice of foot care. Turkish Journal of Diabetes and Obesity, 4(2), 90–97. https://doi.org/10.25048/tudod.586127CrossRef

Çelik, S., Taşkın Yilmaz, F., Bağdemir, E., & Dinççağ, N. (2021). Foot care behaviors in individuals diagnosed with diabetes and related factors. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 14(1), 23–34. https://doi.org/10.26559/mersinsbd.734210CrossRef

Celik, S., Taskin Yilmaz, F., & Anataca, G. (2022). The effect of religious coping on disease acceptance and management among patients with diabetes in Turkey. Journal of Religion and Health, 61(3), 1980–1993. https://doi.org/10.1007/s10943-021-01260-3CrossRefPubMed

Choi, S. A., & Hastings, J. F. (2019). Religion, spirituality, coping, and resilience among African Americans with diabetes. Journal of Religion & Spirituality in Social Work, 38(1), 93–114. https://doi.org/10.1080/15426432.2018.1524735CrossRef

Coffey, L., Mahon, C., & Gallagher, P. (2019). Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta-synthesis. International Wound Journal, 16(1), 183–210. https://doi.org/10.1111/iwj.13010CrossRefPubMed

Darvyri, P., Christodoulakis, S., Galanakis, M., Avgoustidis, A. G., Thanopoulou, A., & Chrousos, G. P. (2018). On the role of spirituality and religiosity in type 2 diabetes mellitus management—a systematic review. Psychology, 09(04), 728–744. https://doi.org/10.4236/psych.2018.94046CrossRef

Equador. (2019). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Date of access: 10.12.2019. https://www.equator-network.org/reporting-guidelines/strobe/

Erişen, M., & Karaca Sivrikaya, S. (2017). Spiritual care and nursing. Gümüşhane UniversityJournal of HealthSciences, 6, 184–190.

FACİT. (2022). FACIT measures & searchable library. Date of access: 02.11.2022. https://www.facit.org/

Faghani, S., Samsalinia, F., Ghaffari, F., & Yadegari, N. (2018). The relationship between spiritual well-being and life orientation in elderly people with type 2 diabetes. Journal of Gerontology and Geriatrics, 66, 142–148.

Frida, F. (2019). Effect of health counseling on tinea pedis on farmers attitudes in prevention of Tinea Pedis in Sukodono village, Karangrejo district, Tulungagung regency, 2017. Journal of Global Research in Public Health, 4(1), 75–77.

Fujii, K., Komoda, T., Maekawa, A., & Nishikawa, M. (2020). Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: A cross- sectional study. BMC Nursing, 19(75), 2–15. https://doi.org/10.1186/s12912-020-00467-1CrossRef

Hadi Sulistyo, A. A., Sae Sia, W., & Maneewat, K. (2018). The effect of a foot care camp on diabetic foot care knowledge and the behaviours of individuals with diabetes mellitus. Journal of Research in Nursing, 23(5), 416–425. https://doi.org/10.1177/1744987118765903CrossRefPubMedPubMedCentral

Hvidt, N. C., Nielsen, K. T., Korup, A. K., Prinds, C., Hansen, D. G., Viftrup, D. T., & Waehrens, E. E. (2020). What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping. British Medical Journal Open, 10(12), e042142. https://doi.org/10.1136/bmjopen-2020-042142CrossRef

Indrayana, S., Guo, S. E., Lin, C. L., & Fang, S. Y. (2019). Illness perception as a predictor of foot care behavior among people with type 2 diabetes mellitus in Indonesia. Journal of Transcultural Nursing, 30(1), 17–25. https://doi.org/10.1177/1043659618772347CrossRefPubMed

Javanmardifard, S., Heidari, S., Sanjari, M., Yazdanmehr, M., & Shirazi, F. (2020). The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes. Journal of Diabetes & Metabolic Disorders, 19(2), 941–950. https://doi.org/10.1007/s40200-020-00586-1CrossRef

Jia, S., & Zhang, L. (2020). Health education based on internet platform for improving cognitive function of patients with type 2 diabetes. Journal of Medical Imaging and Health Informatics, 10(12), 2920–2924. https://doi.org/10.1166/jmihi.2020.3232CrossRef

Jiang, X. J., Jiang, H., Lu, Y. H., Liu, S. L., Wang, J. P., Tang, R. S., & Li, M. Z. (2019). The effectiveness of a self-efficacy-focused structured education programme on adults with type 2 diabetes: A multicentre randomised controlled trial. Journal of Clinical Nursing, 28(17–18), 3299–3309. https://doi.org/10.1111/jocn.14908CrossRefPubMed

Kalayci, Ö., Açıkgöz, B., Bayraktaroğlu, T., & Ayoğlu, F. N. (2020). Evaluation of foot care of diabeted patients and the knowledge attitude and behavior about diabetic foot. Turkish Journal of Diabetes and Obesity, 4(2), 98–107. https://doi.org/10.25048/tudod.622852CrossRef

Kara Polat, A., Akin Belli, A., Gore Karaali, M., & Koku Aksu, A. E. (2020). The attitudes, behaviors, and opinions about non-pharmacological agents in patients with tinea pedis. Dermatologic Therapy. https://doi.org/10.1111/dth.14041CrossRefPubMedPubMedCentral

Karadakovan, A., & Eti Aslan, F. (2014). [Care for internal and surgical diseases]. 3. Baskı, Akademisyen Tıp Kitabevi, Ankara(2014), p. 25–35, 47–60, 105–125, 279–306.

Karahan Okuroğlu, G., EcevİT Alpar, Ş, Ulu, G., Doğan, Y., Akay, Ş, Erdem, N., & Bayram, K. (2021). Evaluation of foot care behaviors of type 2 diabetic individuals. Turkiye Klinikleri Journal of Nursing Sciences, 13(1), 87–95. https://doi.org/10.5336/nurses.2020-76143CrossRef

Kılıç, S. (2014). Effect size. Journal of Mood Disorder, 4(1), 44–46.CrossRef

Kintsurashvili, N., Kvlividze, O., & Galdava, G. (2020). Prevalence and risk factors of tinea pedis in Georgian Defense Forces. BMJ Military Health. 167(6), 433-436. https://doi.org/10.1136/bmjmilitary-2019-001397CrossRefPubMed

Kır Biçer, E. (2011). Foot care in patients with diabetes its applications and effectiveness evaluation. Istanbul University Institute of Health Sciences Doctoral Thesis, Internal Medicine Nursing Department. Date of access: 03.02.2020. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp

Kır Biçer, E., & Enç, N. (2014). Ayak Bak›m Davran›flfl Ölçe¤i Türkçe Formu Geçerlik ve Güvenirli¤i. Diyabet Obezite ve Hipertansiyonda Hemşirelik Forumu, 6(2), 35–39

Larson, J. (1996). The World Health Organization’s Definition of Health: Social versus Spiritual Health. Social Indicators Research, 38(2), 181–192.CrossRef

Liu, J., Lu, Q., Pang, D., Yang, P., Jin, S., Yuan, G., & Guo, X. (2020). Foot care education among patients with diabetes mellitus in China: A cross-sectional study. Journal of Wound Ostomy Continence Nursing, 47(3), 276–283. https://doi.org/10.1097/WON.0000000000000653CrossRef

Mumcu, C., & İnkaya, B. (2020). Diabetes Self-care management by web-based education. Acta Medica Nicomedia, 3(2), 88–91.

Özdamar, K. (2018). SPSS Uygulamalı Temel İstatistik (Regresyon). Nisan Kitabevi, 183–198.

Özsoy, S., & Özsoy, G. (2013). Effect Size Reporting in Educational Research. Elementary Education Online, 12(2), 334–346.

Sari, Y., Yusuf, S., Haryanto, H., Sumeru, A., & Saryono, S. (2021). The barriers and facilitators of foot care practices in diabetic patients in Indonesia: A qualitative study. Nursing Open. https://doi.org/10.1002/nop2.993CrossRefPubMedPubMedCentral

Saritas, S., & Buyukbayram, Z. (2021). The relation between the spiritual orientation and quality of life in hemodialysis patients. Medicine Science International Medical Journal, 10(1), 82–87. https://doi.org/10.5455/medscience.2020.07.138CrossRef

Sasagawa, Y. (2019). Internal environment of footwear is a risk factor for tinea pedis. Journal of Dermatology, 46(11), 940–946. https://doi.org/10.1111/1346-8138.15060CrossRefPubMed

Subrata, S. A., Phuphaibul, R., Grey, M., Siripitayakunkit, A., & Piaseu, N. (2020). Improving clinical outcomes of diabetic foot ulcers by the 3-month self- and family management support programs in Indonesia: A randomized controlled trial study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(5), 857–863. https://doi.org/10.1016/j.dsx.2020.05.028CrossRef

TEMD. (2020). Dİabetes Mellİtus Ve Komplİkasyonlarinin Tani, Tedavİ ve İzlem Kilavuzu 2020. Türkiye Endokrinoloji ve Metabolizma Derneği, 14. Basım(BAYT Bilimsel Araştırmalar Basın Yayın ve Tanıtım Ltd. Şti. Ankara). Date of access: 06.07.2021. https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf

Toygar, I., Hancerlioglu, S., Utku, T., Simsir, I. Y., & Cetinkalp, S. (2020). Effect of an educational intervention based on Bandura’s theory on foot care self-efficacy in diabetes: A prospective quasi-experimental study. The International Journal of Lower Extremity Wounds, 17, 1534734620948327. https://doi.org/10.1177/1534734620948327CrossRef

Ugwu, E., Adeleye, O., Gezawa, I., Okpe, I., Enamino, M., & Ezeani, I. (2019). Burden of diabetic foot ulcer in Nigeria: Current evidence from the multicenter evaluation of diabetic foot ulcer in Nigeria. World Journal of Diabetes, 10(3), 200–211. https://doi.org/10.4239/wjd.v10.i3.200CrossRefPubMedPubMedCentral

Weathers, E. (2019). What is spirituality? In F. Timmins & S. Caldeira (Eds.), Spirituality in healthcare: Perspectives for innovative practice (pp. 1–22). Switzerland: Springer Nature. https://doi.org/10.1007/978-3-030-04420-6_1CrossRef

WHO. (2021). Diabetes. World health orgnization. Date of access: 01.02.2021. https://www.who.int/health-topics/diabetes#tab=tab_1

Woody, J. (2020). Overview of diabetic foot care for the nurse practitioner. The Journal for Nurse Practitioners, 16(1), 28–33. https://doi.org/10.1016/j.nurpra.2019.08.011CrossRef

Yıldırım Kaptanoğlu, A. (2013). Sağlık Alanında Hipotezden Teze. Beşir Kitabevi. İstanbul.

Title: A Descriptive Study of Spiritual Well-Being and Foot Care Practices Administered to Turkish Patients Diagnosed with Type 2 Diabetes
Authors: Rukiye Burucu
Canan Güngör
Publication date: 27-03-2023
Publisher: Springer US
Keywords: Care
Type 2 Diabetes
Published in: Journal of Religion and Health / Issue 6/2023
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-023-01787-7

Keynote webinar | Spotlight on medication adherence

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A Descriptive Study of Spiritual Well-Being and Foot Care Practices Administered to Turkish Patients Diagnosed with Type 2 Diabetes

Abstract

Keynote webinar | Spotlight on medication adherence

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