Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa

Goie, Thea T.; Naidoo, Mergan

doi:10.4102/phcfm.v8i1.1170

Cited by 57 publications

(55 citation statements)

References 39 publications

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“…A study of 249 people with type 2 diabetes mellitus with a risk factor for wounds was around 55.4% and for diabetic foot injuries around 12%, of which the predictors were daily foot examinations, including age, insulin, shoes and belief (Yusuf et al, 2016). Therefore, routine foot care through foot examination is one of the main early interventions for health care services that can be performed on diabetes patients to minimize the risk of diabetic foot injury (Al-Rubeaan et al, 2015;Goie & Naidoo, 2016;Tiwari et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

The Behavior of Foot Care in Patients With Type 2 Diabetes Mellitus: Applying the Theory of Planned Behaviour

Narmawan

Syahrul

Erika

2018

PHI

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Background: Diabetes mellitus (DM) is a chronic non-infectious disease with complications such as diabetic foot, which has the potential for amputation if left untreated. Theory of Planned Behavior (TPB) is a behavior-based theory that can be applied to DM patients including foot care to minimize risk. Some studies related to TPB particularly about physical activity and diet have been explored, however, studies on foot care are still lacking.Objective: This study aims to apply the Theory of Planned Behavior (Intentions, Attitudes, Subjective Norms and Behavioral Control) on the patient's foot care.Methods: This was a cross sectional descriptive study. There were 93 patients diagnosed with type 2 DM recruited at 9 public health centers (Puskesmas) using accidental sampling on April 2018. TPB-based foot care questionnaire from the IWGDF (International Working Group on Diabetic Foot) Diabetic Foot guidelines was used. Data were analyzed in the form of frequency distribution.Results: Of the total number of respondents, 25 males and 68 females with average age of 53.05 ± 8.04 years, approximately 87.1% of them have the intention to wear footwear according to size. The majority of patients think that washing feet every day is a form of good and positive practice. They also agreed that the family expects the patient to examine the presence of bone / joint protrusions independently and believes that monitoring the foot deformities performed by other DM patients is very important as well as having control that the patient can check for signs of boils in the legs and there is a high likelihood of blisters / sores if the socks used are not suitable.Conclusion: The majority of respondents have good intentions, positive attitudes, social support and behavioral controls for foot care.

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Section: Introductionmentioning

confidence: 99%

The Behavior of Foot Care in Patients With Type 2 Diabetes Mellitus: Applying the Theory of Planned Behaviour

Narmawan

Syahrul

Erika

2018

PHI

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“…The same results indicated a good knowledge about diabetic foot care and complications was found among the diabetic subjects in primary health care facilities in KSA (21) . However, in South Africa, the awareness of participants about the diabetic foot complications was suboptimal among most of the participants (22) . The higher levels of educations were correlated with good knowledge.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Knowledge toward Complications of Diabetic Septic Foot among Diabetics Patients in Saudi Arabia

Alhabshan

Huwaymil

Alsaqabi

et al. 2017

Egyptian Journal of Hospital Medicine

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Background: diabetic foot ulcer is a major health problem around the world with a high morbidity and mortality rates. The good knowledge and practice pattern could decrease the diabetic foot ulcer complications. Objectives: this study aimed to evaluate knowledge of the diabetic patients regarding the complications of diabetic foot ulcer in Saudi Arabia (KSA). Patients and Methods: this is a cross sectional community based study conducted from March 2017 to July 2017 among 920 diabetic patients. The subjects were interviewed in the shopping malls, pharmacies and coffee shops and asked to fill out a pre-tested questionnaire about the knowledge of complications. Results: the duration of diabetes was more than 10 years among 65% of them. About 40.9% of subjects were using oral hypoglycemic agents, 57.8% were using insulin for management of diabetes. The most common diabetic complication was retinopathy, while the most common foot ulcer complication was foot numbness and stiffness. The level of knowledge was good among most of subjects (77%), while 23% had insufficient knowledge regarding the diabetic foot ulcer. The good awareness was significantly associated with higher educational levels. Conclusion: the level of awareness about complications of diabetic foot was sufficient among most of Saudi subjects. But, there was an urgent need for raising the awareness and identifying the risk factors, educating the patients through increasing the patients and doctors relationship. The knowledge alone was not sufficient for assessing the practice pattern thus major studies must be conducted to assess the knowledge, attitude and practice pattern among Saudi subjects.

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“…A 15 item questionnaire on foot care adapted from previously validated questionnaire [5] [6] [7], and tested for internal reliability, with a Cronbach alpha Participants who had been discharged were interviewed over the phone, and clinic appointments were scheduled to test for peripheral neuropathy. Patients who failed to keep to the appointments were dropped from the study.…”

Section: Methodsmentioning

confidence: 99%

“…Other measures such as mass campaigns and radio jingles have been shown to be effective in communicable diseases such as HIV/AIDS [5]. Since the incidence of diabetes is increasing [7], and the burden of diabetic foot disease is expected to follow suit, it becomes necessary to sensitize the public about it.…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

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

Ede¹,

Eyichukwu²,

Iyidobi³

et al. 2018

JBM

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Diabetics with unilateral lower extremity amputation (LEA) have an increased risk of contralateral re-amputation. Foot care knowledge and practice has been shown to reduce the incidence of amputation. The study aims to assess the level of foot care knowledge among diabetics with unilateral LEA. Method: A questionnaire based study involving diabetics with unilateral LEA from August 2015 to August 2017. Demographic data and level of foot care knowledge were assessed. Associations between age, gender, educational level, prior amputation and duration of diabetes with level of foot care knowledge were investigated. The presence of peripheral neuropathy in the contralateral leg was also assessed. Results: A total of 64 patients had unilateral LEA within this period, but only 42 patients completed the study. Twenty-four, 24 (57.1%) were males while 18 (42.9%) were females. Mean age was 58.3 years (SD = 12.0). Fifteen, 15 (35.7%) had secondary, 15 (35.7%) had tertiary education, while 3 (7.1%) and 9 (21.4%) had none and primary education respectively. Below knee amputation (BKA) was the commonest (78.6%), and 35.7% have had a prior amputation. Peripheral neuropathy was present in 71.4% of cases. No participant had a good level of foot care knowledge, while 13 (31%) have a fair knowledge and 29 (69%) have poor knowledge. Only 18 (42%) said they have been taught on foot care. Only duration of diabetes and educational level were significantly associated with level of foot care knowledge. Conclusion: Diabetics with unilateral LEA have poor knowledge of foot care and a high prevalence of peripheral neuropathy. Efforts at education of these susceptible cohorts should be intensified.

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Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa

Cited by 57 publications

References 39 publications

The Behavior of Foot Care in Patients With Type 2 Diabetes Mellitus: Applying the Theory of Planned Behaviour

The Behavior of Foot Care in Patients With Type 2 Diabetes Mellitus: Applying the Theory of Planned Behaviour

Assessment of Knowledge toward Complications of Diabetic Septic Foot among Diabetics Patients in Saudi Arabia

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

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