Prevalence and associated factors of foot self-care practice among diabetic patients in Africa: systematic review and meta-analysis.

IF 3.9 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Frontiers in Endocrinology Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI:10.3389/fendo.2025.1527402

Yibeltal Assefa Atalay, Bersufekad Wubie Alemie, Kelemu Abebe Gelaw

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引用次数: 0

Abstract

Introduction: Nowadays, diabetes mellitus is a major global health issue with serious social, economic, and developmental impacts. One of its most severe complications is foot problems. Research shows that poor self-care practices in managing diabetic feet are a key factor in ulcer development.

Objective: This study aimed to determine the pooled prevalence of foot self-care practice and associated factors among diabetic patients in Africa.

Methods: We found articles using electronic databases, including PubMed, Cochrane Library, Google Scholar, Web of Science, African Journals Online, and Science Direct. Accordingly, we identified 143 published articles. A total of 31 eligible studies were included in the systematic review. Data extraction used a standardized checklist, and analysis was conducted with STATA 14 statistical software. Various methods were used to assess the presence of publication bias, including funnel plots and the Begg and Egger regression test. A significance level of P ≤0.05 was used to indicate potential publication bias. Heterogeneity between included studies was assessed using the I2 statistics. The random effect model was used to estimate the pooled estimates.

Results: The pooled prevalence of foot self-care practices among diabetic patients in Africa was 46.93% (95%CI (39.44-54.41)). Diabetic foot self-care practices were significantly associated with rural residence (AOR: 2.50, 95% CI (1.65-3.80)), educational level (AOR: 3.00, 95%CI (2.07-4.34)), and knowledge level of diabetes patients (AOR: 3.41, 95%CI (2.22-5.23)).

Conclusions: In conclusion, more than half of diabetic patients had poor diabetes foot self-care practices. Diabetic foot self-care practice was associated with a level of education, rural residence, and the knowledge level of diabetic foot care. Therefore, intervention programs ought to prioritize enhancing the knowledge base of individuals with diabetes to promote better self-care practices for their feet.

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非洲糖尿病患者足部自我保健实践的患病率和相关因素：系统回顾和荟萃分析。

导言：目前，糖尿病是一个重大的全球性健康问题，具有严重的社会、经济和发展影响。最严重的并发症之一是足部问题。研究表明，管理糖尿病足的不良自我保健做法是溃疡发展的关键因素。目的：本研究旨在确定非洲糖尿病患者足部自我保健实践的总体患病率及其相关因素。方法：我们使用PubMed、Cochrane Library、b谷歌Scholar、Web of Science、African Journals Online和Science Direct等电子数据库查找文章。据此，我们确定了143篇已发表的文章。系统评价共纳入了31项符合条件的研究。数据提取采用标准化检查表，采用STATA 14统计软件进行分析。我们使用了各种方法来评估发表偏倚的存在，包括漏斗图和Begg和Egger回归检验。采用P≤0.05的显著性水平表示潜在的发表偏倚。采用I2统计量评估纳入研究之间的异质性。随机效应模型用于估计合并估计。结果：非洲糖尿病患者足部自我保健行为的总患病率为46.93% （95%CI(39.44-54.41)）。糖尿病足自我保健行为与农村居住（AOR: 2.50, 95%CI(1.65 ~ 3.80)）、文化程度（AOR: 3.00, 95%CI(2.07 ~ 4.34)）、糖尿病患者知识水平（AOR: 3.41, 95%CI(2.22 ~ 5.23)）显著相关。结论：半数以上的糖尿病患者糖尿病足自我保健行为较差。糖尿病足自我护理实践与文化程度、农村居住、糖尿病足护理知识水平相关。因此，干预计划应优先加强糖尿病患者的知识基础，以促进更好的足部自我保健实践。

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来源期刊

Frontiers in Endocrinology Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

5.70

自引率

9.60%

发文量

3023

审稿时长

14 weeks

期刊介绍： Frontiers in Endocrinology is a field journal of the "Frontiers in" journal series. In today’s world, endocrinology is becoming increasingly important as it underlies many of the challenges societies face - from obesity and diabetes to reproduction, population control and aging. Endocrinology covers a broad field from basic molecular and cellular communication through to clinical care and some of the most crucial public health issues. The journal, thus, welcomes outstanding contributions in any domain of endocrinology. Frontiers in Endocrinology publishes articles on the most outstanding discoveries across a wide research spectrum of Endocrinology. The mission of Frontiers in Endocrinology is to bring all relevant Endocrinology areas together on a single platform.