A study to determine the knowledge and practice of foot care in patients with chronic diabetic ulcers (original) (raw)
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Erciyes Medical Journal, 2017
Objective: To determine whether diabetic patients have adequate information regarding foot care. Materials and Methods: We evaluated history of diabetic foot ulcer (DFU) and data on self-foot care practices collected through face-to-face interviews from 64 diabetic inpatients in a university hospital. Foot care practices were scored based on 20 questions. Questions under the categories of "beware of risky behavior," "foot and nail care," and "elaborate on footwear" were grouped, and the practice subscores and total scores were calculated. A total score of >70% was assessed as "good practice", 50%-70% as "satisfactory practice," and <50% as "poor practice." Results: Fourteen (21.9%) patients had previous or ongoing DFU and five (7.8%) had undergone amputation. Only 44% of the patients stated that they had been informed about the prevention of diabetic foot after the diagnosis was established. This group differed from the uninformed group significantly in terms of regular medical control (p=0.006). The average foot care practice score was 72 for the informed group and 49 for the uninformed group; the percentage of "good practice" score was 46% in the informed group and 11% in the uninformed group. The percentages of having good practice score were found to be significantly high in women, those without DFU, and those informed about foot care (p<0.01). Conclusion: Foot care practices of the patients were found to be mainly inadequate. Health care providers and diabetic patients should be encouraged for good foot care practices.
Diabetic foot care: knowledge and practice
BMC Endocrine Disorders, 2020
Background: Diabetic foot ulcers (DFUs) are common problems in diabetes. One of the most important factors affecting the quality of diabetes care is knowledge and practice. The current study aimed at determining the knowledge and practice of patients with diabetes regarding the prevention and care of DFUs. Methods: The current analytical, cross sectional study was conducted in Guilan Province (north of Iran) on 375 patients registered in the medical records as type 2 diabetes mellitus. Demographic characteristics, knowledge, and practice of participants were recorded in a questionnaire during face-to-face interviews conducted by the researcher. Descriptive and inferential statistics were performed using SPSS version18. Results: The mean score of knowledge was 8.63 ± 2.5 out of 15, indicating that the majority of participants had a poor knowledge (84.8%). The mean practice score was 7.6 ± 2.5 out of 15, indicating that a half of them had poor performance (49.6%). There was a significant and direct correlation between knowledge and practice. Knowledge level, place of residence, marital status, and history of admission due to diabetic foot were predictors of practice score. Conclusions: According to the low level of knowledge and practice in patients with diabetes regarding the prevention and care of DFUs, and considering the significant relationship of some demographics of patients with knowledge and practice scores, a targeted educational program is needed to promote knowledge of patients with diabetes.
IP Innovative Publication Pvt. Ltd, 2017
Introduction: Prevalence of Diabetic Foot Ulcer in the southern part of India is higher compared to eastern, northern and western India. Objectives: To assess the knowledge and practices of foot care among patients attended diabetic clinic of a tertiary care hospital of Kolkata. Materials and Method: A cross-sectional study was carried out from 01.05.2016 to 28.05.2016 among275 patients attending the Diabetic OPD using a pre designed structured pre tested schedule. Data Analysis: Epi-info version 6 and SPSS Version 16.0. Results: About 71.27% & 40% had good knowledge & practice respectively; 62.91% checked their feet daily; 42.91% inspect their footwear regularly; 90.81% used footwear outdoors; 6.91% used footwear indoor; washing & drying of feet was present in 78.91% & 18.90% respectively; healthy nail trimming was found in 61.81% of the patients. Gender, residence, education, occupation, income, family history of diabetes, duration, regular use of medication was found to be associated with both knowledge & practice. Conclusions: Patient education on prevention of foot ulceration should be incorporated into the routine care of diabetic patients both in the hospital and in the community.
Knowledge and Practice of Diabetic Foot Care in an In- Patient Setting at a Tertiary Medical Center
Malaysian orthopaedic journal, 2014
Good knowledge and practice regarding diabetic foot care will reduce the risk of diabetic foot complications and ultimately amputation. This study is conducted to assess patients' knowledge and compliance of diabetic foot care. A cross sectional study performed on patients who were admitted to HSNZ from the 1st September 2013 to 30th April 2014 for diabetic foot infections. They were interviewed with a questionnaire of 15 'yes' or 'no' questions on foot care knowledge and practice. Score of 1 was given for each 'yes' answer. The level of knowledge and practice, whether good or poor, was determined based on the median score of each category. The result was tested using a chi-square test in SPSS version 17. A total of 157 patients were included in this study with a mean age of 56.33 years (31-77). There were 72 male (45.9%) and 85 female (54.1%) patients with the majority of them being Malays (154 patients, 98.1%). Majority of the patients (58%) had poor fo...
IOSR Journals , 2019
Introduction: Diabetes mellitus is a disease known for its multifaceted complications and foot ulceration, which often results in lower extremity amputations which is one of the most common complications associated with the disease. The prevalence of diabetic foot ulcers among outpatient and inpatient diabetics in a rural Indian study was found to be 10.4%. Materials and Methods: Present study was hospital based cross-sectional study, conducted in the OPD of Medicine department of a tertiary care centre situated in M.G.M Medical College, Jamshedpur, India. Total 123 patients of diabetic foot who had attended OPD of department of surgery from January 2018 to December 2018 were selected for present study by purposive non probability sampling method. Informed written consent was taken from the participants for the interview. Data was collected by pre formed and pretested self administered questionnaire to assess the patient's level of knowledge and practice of foot care measures. Results: Present study was hospital based cross sectional study in which 123 participants were enrolled. Out of 123 patients, 66 (54%) patients belonged to the age group 51-70 years, 31 (32.52%) patients were from the age group 31-50 years and 16 (13%) patients were 71 years and above age group. Among them, 89 (72.35%) patients were male and 34 (27.64%) patients were female. Total 55 (53.4 %) participants had diabetes for more than 10 years, 27 (26.2%) patients had diabetes for 5-10 years and 21 (20.4%) were suffering from DM for less than 5 years duration. 74 (71.8%) participants had diabetic foot problem first time, while rest of the 29 (28.2%) participants had diabetic foot problem second or more time. Conclusion: Present study infers, overall, there prevails poor knowledge and poor practice of diabetic foot care among the patients of diabetic foot. Which can be explained as a major culprit for the progression of diabetic foot to DFU and lately it may end with amputation of the limb. It can be stressed at this point that, by giving proper education, we can improve the knowledge and practice of the patients for the care of their feet and thereby improve the prognosis of the diabetic foot. This may reduce the morbidity and loss of limb in diabetic patients and that in its turn can save our resources.
Advances in Diabetes and Metabolism, 2018
Diabetic foot complications are a major challenge for the healthcare system, with enormous economic consequences for the patients, their families, and the society and a leading cause of mortality and morbidity in developing countries. Diabetic foot ulcer (DFU) is the most costly and devastating complication, which affects 15% of diabetic patients during their lifetime. Good knowledge, attitude, and practice regarding diabetic foot care will reduce the risk of diabetic foot complications and ultimately amputations. The aim of this study was to assess the knowledge, attitude, and practice of foot care among type 2 diabetic patients and to determine the relationship between proper foot care and diabetic foot lesions. This is an observational, descriptive, cross-sectional, hospitalbased study. It was conducted in the diabetic outpatient clinic at Al-Ribat University Hospital, in Khartoum, Sudan 2016. A total number of 156 type 2 diabetic patients were enrolled in this study; with 75% of the participants were females and 25% males. Duration of DM, exercise, smoking adherent to diabetic diet, type of therapy, co-morbidity, foot lesions, and foot care knowledge, attitude, and practice were tested. Having diabetes longer than 10 years were 37.8%, mean age was 53.4 ± 7.68 years. There was high prevalence of peripheral neuropathy(PN) symptoms 56.4% while 42.3% of the patients had peripheral arterial disease symptoms .17 patients had loss of sensation while only 2 patients had loss of peripheral pulses (dorsalis pedis and posterior artery pulses). Regarding knowledge, attitude, and practice about diabetic foot care, 56.5% had good foot care knowledge, 70.5% had bad attitude, and 62.2% had moderate practice. Based on Chi square test of relationship between proper foot care and diabetic foot ulcer (DFU), there was association between bad knowledge, attitude, and practice about foot care and DFU, P. values: 0,03, 0,000, 0.036 respectively. Advising the diabetics about frequent foot care clinic visits, regular feet examination, proper footwear, exercise program, and smoking cessation would be beneficial in preventing diabetic foot complication. Policy and decision makers should initiate interventional foot care education programs throughout the country, with our ultimate goal is to save limbs.
Nepal journal of epidemiology, 2020
Background: Diabetes Mellitus (DM) causes micro and macro vascular complications. One of the complications of DM is diabetic foot that results in amputations and decreased quality of life. The aim of this study was to assess the awareness and practice about foot care and associated factors among admitted patients in a teaching hospital of coastal Karnataka, India. Material and Methods: A cross-sectional study was conducted in a medical college hospital after obtaining institutional ethics approval from 24th December 2016 to 21st January 2017. Adults with diabetes (N=317) admitted in the hospital were interviewed with a validated structured questionnaire for awareness and practice regarding foot care. The scores obtained were further graded into good and poor. Data was analyzed with SPSS version 22 for descriptive statistics. Bivariate logistic and linear regressions were used to determine the association between variables and awareness/ practice scores. Results: Mean age of the participants was 56.98 (±10.54) years with males constituting the majority (63.4%). Good awareness and practice scores were observed among 69.1% and 41.6% participants, respectively. Good awareness scores were associated with male patients (p=0.027), currently not married (p=0.044), below poverty line socioeconomic status (p=0.014) and presence of foot ulcer (p=0.021). Good practice scores was associated with secondary schooling (p=0.003) and receiving insulin (p=0.045). Moderate correlation with coefficient 0.493 (p<0.001) was observed between awareness and practice scores. Conclusion: Seven and four out of 10 study participants had good awareness and practice scores about foot care, respectively. A tailor-made health education module addressing the lacunae identified in the awareness and practice domains needs to be provided to the patients with diabetes mellitus.
Knowledge and practice of foot care in people with diabetes
Diabetes Research and Clinical Practice, 2004
Aim: To determine knowledge and practice of foot care in people with diabetes. Methods: A questionnaire was completed by patients in Middlesbrough, South Tees, UK. A knowledge score was calculated and current practice determined. Practices that put patients at risk of developing foot ulcers and barriers to good practice were identified. Patients at high risk of ulceration were compared to those at low risk. Results: The mean knowledge score was 6.5 (S.D. 2.1) out of a possible 11. There was a positive correlation between the score and having received advice on foot care (6.9 versus 5.4, P = 0.001). Deficiencies in knowledge included the inability to sense minor injury to the feet (47.3%), proneness to ulceration (52.4%) and effect of smoking on the circulation (44.5%). 24.6% (20.1-29.2) never visited a chiropodist, 18.5% (14.2-22.7) failed to inspect their feet and 83% (79.1-86.9) did not have their feet measured when they last purchased shoes. Practices that put patients at risk included use of direct forms of heat on the feet and walking barefoot. Barriers to practice of foot care were mainly due to co-morbidity. Those with high risk feet showed a higher (6.8) but not significant knowledge score compared to those at low risk (6.5) and their foot care practise was better. Conclusion: The results highlight areas where efforts to improve knowledge and practice may contribute to the prevention of foot ulcers and amputation.
Diabetic Foot Care - A Public Health Problem
Abstract Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention.
Annals of Community Health, 2021
INTRODUCTION D iabetes mellitus has risen to the proportion of epidemics and is a major cause of morbidity and mortality in India. One of the many complications of diabetes mellitus is the diabetic foot ulcer. In diabetes patients, the annual incidence of diabetes foot ulcer has an annual incidence which ranges from 1.0% to 4.1% and has prevalence of 4-10%. This shows that the lifetime incidence of diabetic foot ulcer can be as high as 25%. [1] The treatment of diabetic foot ulcer is labor intensive as well as cost intensive as it needs regular dressings, surgical debridement,