Dündar C, Akıncı GE. Knowledge and Practice of Foot Care in Diabetic Inpatients: A Descriptive Cross-Sectional Study. Erciyes Med J 2017; 39(4): 160-4. (original) (raw)
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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.
Assessment of Preventive Foot Care Practices among Patients with Diabetes Mellitus Type II
Journal of the Faculty of Medicine-Baghdad
Background: Diabetic foot problems are one of the most important complications of diabetes mellitus which causing a worldwide high cost morbidity which could be due to poor self-practices. Objectives: To assess the preventive food care practices among diabetic patients and to find out any significant association of these practices with selected socio-demographical and diabetic related characteristics. Patients and Methods: A descriptive cross-sectional study was conducted in Baquba city from the period of 20 th Septembers, 2016 up to 20 th March, 2017, by selecting a sample of (120) patients by using a structured questionnaire, the questionnaire composed of three parts, the first part contains information related to patients' demographic characteristics, the second part contains some information related to diabetic characteristics and the third part of the questionnaire consists of different questions about preventive foot care practices which consist of 14 positive items. Each one of these items must be answered either with (Always, Never or Sometimes). A three levels Likert scale was used to measure the variables. Finally, the data analyzed using SPSS (Ver.18) and the Chisquare was used to find out any association between studied data and preventive foot care practices. P ≤ 0.05 was considered significant in the present study. Results: Out of 120 diabetic patients, (40%) of them were over 60 years, (52.5%) were male patients, about one third (32.5%) were illiterate, most of them (40.8%) had moderate monthly income, majority of them (66.7%) were living in urban areas. Also the current study showed that the patient responses to preventive foot care practices were satisfactory at all studied items, except at the these items "drying my feet after washing, regular use of lotion or oil to moisturizing foot, taking care when clipping my toenail and visiting doctor after foot injury , their responses assessment were unsatisfactory. It was found that (62.5%) of the studied patients had an acceptable and good foot care practices. Conclusions: It concluded from this study that most of the diabetic patients had an acceptable and good foot care practices, and didn't indicates a significant association between the patients' age, gender, residency, duration of disease and previous history of foot ulcer with overall assessment of preventive foot care practices, and there was only significant association with overall assessment of the studied preventive diabetic foot care practices with patients' educational level and monthly income.
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...
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.
Are We Telling the Diabetic Patients Adequately About Foot Care?
Journal of Ayub Medical College, Abbottabad : JAMC
Diabetes mellitus affects more than 285 million people worldwide. The prevalenceis expected to rise to 439 million by the year 2030. Diabetic foot ulcers precede 84% of non-traumatic amputations in diabetics. One lower limb is lost every 30 seconds around the worldbecause of diabetic foot ulceration. Apart from being lengthy, the treatment of diabetic foot is alsovery expensive. There is very limited emphasis on foot care in diabetic patients. Even indeveloped countries patients feel that they do not have adequate knowledge about foot care. Thisstudy was conducted to find out how much information is imparted by doctors to diabetic patientsabout foot care. This cross-sectional study was conducted in admitted patients of theDepartment of Medicine, DHQ Hospital, Abbottabad from May 2014 to June 2015. One hundredand thirt-nine diabetic patients more than 25 years of age were included by non-probability consecutive sampling. The mean age was 57.17 (±11.1) years. 35.3% of patients weremal...
KNOWLEDGE AND PRACTICE REGARDING FOOT CARE AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS
Diabetes is a chronic illness associated with higher rates of morbidity and mortality. Much of the care plan for this disease is interwoven with the daily life behaviors, thus diabetic individuals are responsible for control and management of disease. Objective of this paper is to assess the knowledge and practice regarding foot care and prevalence of foot problems among patient with type 2 Diabetic Mellitus. Methodology: 120 patients with type II diabetes mellitus aged between 20-60 years of age were included in the study. Structured interview schedules and inflows 60-second Diabetic foot screen checklist were used for data collection. Results and Discussion:9% of people are recommended for foot screening every 6 months. 77% of patients had inadequate knowledge regarding diabetic foot care. 22% of patients had inadequate knowledge regarding diabetic foot care. Mean knowledge score was 30.075 & standard deviation 5.461. Mean practice score was 10.775 and standard deviation was 3.265. Assessment of practice shows 64% of patients had poor diabetic foot care practice. There is a low correlation between knowledge and practice. There was a statistically significant association found between knowledge and practice with the selected demographic variables of patient with type 2 Diabetic Mellitus. Conclusion: The study suggests that patients with type2 diabetes mellitus need to be educated about foot care and regular checkups must be emphasized.
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.
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.