{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:27:24Z","timestamp":1781245644720,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPD1E0151"],"award-info":[{"award-number":["CMRPD1E0151"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine prehospitalised diabetes\u2010related foot ulcer (DFU) self\u2010management behaviours and explore the factors associated with these behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Although there are many studies that explore DFU prevention and treatment, to our knowledge, there are no quantitative studies of DFU self\u2010management behaviours.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2015\u2013June 2016, 199 hospitalised patients with DFU were given a survey questionnaire at a medical centre in northern Taiwan. DFU self\u2010management behaviours, diabetes foot self\u2010care behaviours, beliefs in regard to barriers to DFU self\u2010management behaviours, and knowledge regarding warning signs of DFU deterioration were assessed by well\u2010designed measurement tools. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used to ensure quality reporting during this observational study (see Supporting Information Appendix ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results revealed that 62.8% of participants never monitored their blood glucose level when they had foot ulcers, and 63.8% never sought treatment for their wounds when their wounds were not painful. After controlling for demographic and medical variables, stepwise multiple regression analysis revealed that the following eight significant variables were associated with DFU self\u2010management behaviours: two DFU self\u2010management barrier beliefs, foot self\u2010care behaviour, no treatment for diabetes, poor financial status, employment, knowledge regarding the warning signs of DFU deterioration, and number of DFU hospitalisations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Diabetes\u2010related foot ulcer self\u2010management behaviours were insufficient. Some modifiable factors and high\u2010risk groups for insufficient DFU self\u2010management behaviour were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Diabetes\u2010related foot ulcer self\u2010management behaviours should be promoted. Interventions that modify the risk factors that were identified in this study can be designed to promote the performance of DFU self\u2010management behaviours.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14822","type":"journal-article","created":{"date-parts":[[2019,2,21]],"date-time":"2019-02-21T19:17:22Z","timestamp":1550776642000},"page":"2253-2264","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Factors associated with foot ulcer self\u2010management behaviours among hospitalised patients with diabetes"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2841-1445","authenticated-orcid":false,"given":"Yen\u2010Fan","family":"Chin","sequence":"first","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University Taoyuan City Taiwan"},{"name":"Division of Endocrinology and Metabolism Chang Gung Memorial Hospital Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1288-6545","authenticated-orcid":false,"given":"Tzu\u2010Ting","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University Taoyuan City Taiwan"},{"name":"Healthy Aging Research Center, College of Medicine Chang Gung University Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brend Ray\u2010Sea","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism Chang Gung Memorial Hospital Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6926-988X","authenticated-orcid":false,"given":"Li\u2010Chueh","family":"Weng","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University Taoyuan City Taiwan"},{"name":"Department of General Surgery Chang Gung Memorial Hospital Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Ching","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism Chang Gung Memorial Hospital Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-11-27"},{"key":"e_1_2_10_3_1","first-page":"398","volume-title":"Wound care essentials: Practice principles","author":"Asten V. 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