Survey of factors related to diabetic foot pruritus in the elderly in Shanghai

Int Wound J. 2023 Aug;20(6):2020-2027. doi: 10.1111/iwj.14065. Epub 2022 Dec 26.

Abstract

The objective of the study is to explore the status quo of foot pruritus and related factors in elderly diabetics and provide a reference for targeted preventive measures. The study involved a survey using a self-designed foot pruritus assessment scale to understand the status quo of foot pruritus among 411 cases of elderly diabetics from 5 communities in Shanghai. The morbidity rate of foot pruritus in elderly diabetics in the community was 20.1%. Good self-management behaviour was the protective factor, while diabetic peripheral neuropathy, hyperlipidemia, and dry skin were risk factors (all P < 0.05). The incidence of foot pruritus in elderly diabetics was high and influenced by several factors. We recommend that self-management behaviour of patients be improved. Additionally, screening and interventions to address hyperlipidemia, diabetic peripheral neuropathy, and dry skin should be conducted regularly to prevent diabetic foot ulcers.

Keywords: diabetes mellitus; diabetic peripheral neuropathy; elderly; hyperlipidemia; nursing; pruritus.

MeSH terms

  • Aged
  • China / epidemiology
  • Diabetes Mellitus*
  • Diabetic Foot* / diagnosis
  • Diabetic Foot* / epidemiology
  • Diabetic Foot* / therapy
  • Diabetic Neuropathies* / diagnosis
  • Diabetic Neuropathies* / epidemiology
  • Diabetic Neuropathies* / therapy
  • Humans
  • Pruritus / epidemiology
  • Pruritus / etiology
  • Pruritus / therapy
  • Risk Factors