Knowledge and Practice of Diabetic Foot Care in an In- Patient Setting at a Tertiary Medical Center

Abstract

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 foot care knowledge while 97 patients (61.8%) had poor diabetic foot care practice as compared to the median score. Based on the chi square test of relatedness, there was no significant association between knowledge and practice with any of the variables.In conclusion, the majority of patients admitted for diabetic foot infections had poor knowledge and practice of diabetic foot care. Education regarding foot care strategies should be emphasized and empowered within the diabetic population.

Diabetic Foot Care: Knowledge and Practice

“…There was no significant difference between males and females for this indicator. This finding was comparable with other related studies, which also reported the same pattern of scoring for knowledge and practice of foot care [16,17]. Many other studies showed the presence of inadequate knowledge of self-foot-care in diabetic patients [18,19].…”

“…This result seems to be in contrast with the available literature on foot care, where there is either no gender difference between both sexes [16] or males are usually reluctant to acknowledge their health problems and seek professional care [25,26].…”

“…This tool was developed after consulting relevant studies conducted in Saudi Arabia [13,14] and elsewhere [16,17]. The final version of the questionnaire consisted of 47 classified into main five sections.…”

Assessment of Foot Care Knowledge among Diabetic Amputees at National Orthopaedic Hospital Enugu

“…Thirdly, these patients have been to a healthcare facility where it is generally presumed that education about foot care will be communicated to them before discharge. Some authors have cited the busy clinic duty schedule of the doctors as part of the reasons for this poor communication [8]. In our hospital it may be worse, as the patient to doctor ratio is quite high, which may leave the doctor with little time to spend with each patient.…”

Retrospective Evaluation of Twenty Seven Patients with Diabetic Foot Infection

“…DAE'lerin; iş gücü kaybına, sakatlıklara ve hastayı umutsuzluğa sürükleyen psikososyal travmalara da yol açabilmesi, buzdağının görünmeyen kısmıdır (9). Önceki yıllarda anaerob bakteriler ve Gram pozitif koklarla DAE sıklığı daha yaygın iken, artık pek çok ilaca dirençli Gram negatif bakterilerle oluşan enfeksiyonlar klinisyeni zorlamakta, etkin bir şekilde tedavi edilemeyen DAE'ler sonrası ayak ampütasyonu riski artmaktadır (2,10,11 Önceki ampütasyon varlığı (n) 1…”