Awareness of Diabetic Foot Disease and Practice of Foot Care among Patients with Diabetes Mellitus in Tertiary Healthcare Centers (original) (raw)
Related papers
2019
Background: Diabetes Mellitus is a potential epidemic with an exponentially growing Prevalence across the globe. In the Region of South East Asia including India there is an established prevalence of 82 million as of 2017 with an expected increase by 84% to an estimated 151 million by 2045. About 10-15% of diabetic patients develop foot ulcers at some point of time during the course of the disease. These ulcers frequently become infected and are the common cause of lower extremity amputation. This study was done to determine the level of knowledge and attitude of patients with diabetes mellitus towards diabetic neuropathy and foot ulcer attending a primary health center. Aim: This study was taken up in order to assess the Knowledge and Practices of foot care in patients with diabetes mellitus from an urban area in South India in the Union Territory of Puducherry. Methodology: A cross-sectional study performed by interviewing 60 patients who attended the Diabetic Clinic and Out Patie...
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.
The Knowledge Regarding Foot Care Among the Diabetes Patients
IDC International Journal, 2021
Diabetes Mellitus is recognized as one of the leading causes of death & disability worldwide. India is in leading position with largest number of Diabetes cases. The physical, social & economic factors involved in the occurrence & management of diabetes mellitus. Besides morbidities & increased health care expenditures, diabetes is related to many catastrophic life-threatening complications such as neuropathy [24.6%], coronary heart disease [23.6%], renal disease [21.1%], retinopathy [16.6%], foot ulcers [5.5%], stroke. Similarly, body fat percentage, greater than 25% in males & 30% in females, waist circumference more than 80 cm in females & 90 cm in males is associated with increased of diabetes in Indian population.
2019
Diabetic foot syndrome is common in uncontrolled diabetes and is a constellation of symptoms and signs that include neuropathy, infection, and ischaemia. It has become a global concern and a frequent cause of hospitalisation among diabetics. In this study, the authors’ objective was to assess the knowledge, practices, and risk of diabetic foot syndrome among diabetic patients seeking outpatient care at a tertiary hospital in Bengaluru, India. A cross-sectional study involving 198 patients with diabetes aged ≥18 years was conducted using a structured questionnaire, followed by examination using Inlow’s 60-second diabetic foot screen tool. The results were based on the International Working Group on the Diabetic Foot (IWGDF) risk classification system. The knowledge regarding diabetic foot syndrome was inadequate for fungal infections (23.5%), shoe bites (26.5%), and changes in foot colour and temperature. Footcare practices were satisfactory, with the exception of wearing footwear in...
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.
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.
2019
Diabetes, a global escalating public health problem, primarily because of the increasing prevalence. Both macro vascular and micro vascular complications cause significant morbidity and mortality among diabetic subjects. Lower limb amputations in patients with diabetes are preceded by a foot ulcer, there are no studies in the literature which assess the current level of awareness of diabetic foot care in diabetic patients. Hence, the present community based study is conducted with the objective of assessing the knowledge and practice of foot care among patients with type II diabetes mellitus attending urban health centres. This community based cross-sectional study was done among 270 people more than 25 years of age with a diagnosis of diabetes mellitus. The study period was between October to November 2017 residing in an slum under urban field practice area administrated by Medical College in north Karnataka, using predesigned and pretested questionnaire. Statistical analysis was d...
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.