Diabetic foot care: knowledge and practice

Pourkazemi, Aydin; Khanghah, Atefeh Ghanbari; Khojamli, Monireh; Balo, Heydarali; Hemmati, Hossein; Jafaryparvar, Zakiyeh; Motamed, Behrang

doi:10.1186/s12902-020-0512-y

Cited by 79 publications

(90 citation statements)

References 25 publications

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“…Longer duration of DM was a predictor of good practice in few published studies [ 11 , 12 ]. Awareness and practice scores were positively correlated in our study which was also reported from other studies [ 16 , 20 ].…”

Section: Discussionsupporting

confidence: 91%

Factors associated with knowledge and practice about foot care among patients admitted with diabetes mellitus in a tertiary care teaching hospital, south India

Pavithra

Akshaya

Nirgude

et al. 2020

Nepal J Epidemiology

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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.

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Section: Discussionsupporting

confidence: 91%

Factors associated with knowledge and practice about foot care among patients admitted with diabetes mellitus in a tertiary care teaching hospital, south India

Pavithra

Akshaya

Nirgude

et al. 2020

Nepal J Epidemiology

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“…In Saudi Arabia, poor knowledge and practices of foot care were reported among patients living in Jeddah ( Gaows and Alzahrani, 2019 ) and Najran ( Solan et al, 2017 ). Previous research has shown that patients with a lower level of knowledge about foot care have poor footwear choices and poor detection of ulcerations ( Qadi and Alzahrani, 2011 , Pourkazemi et al, 2020 ). With this in mind, patients in India lacked knowledge of their foot hygiene, signs of abnormalities during foot inspection, and the ideal footwear that should be worn ( Gopal and Ponnappa, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…It has been demonstrated that the process of diabetic foot complications is highly relevant to the patient's capability to undertake diabetes foot self-care responsibilities; hence, patient education and motivation are crucial. With this in mind, good patient knowledge and practices are significantly associated with a reduced risk of developing DFUs ( Pourkazemi et al, 2020 , Goweda et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of foot self-care among patients with diabetes attending primary healthcare centres in Kuwait: A cross-sectional study

Alsaleh

AlBassam

Alsairafi

et al. 2021

Saudi Pharmaceutical Journal

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Background Diabetes mellitus is a major public health issue and is the main cause of morbidity and mortality worldwide. At the time of diagnosis, many patients with type 2 diabetes (T2D) have one or two risk factors for diabetic foot diseases, such as diabetic peripheral neuropathy (DPN) and diabetic foot ulcers (DFUs). Patients can overcome such complications through good knowledge and practice of foot self-care. This study aims to evaluate the knowledge and practice of foot care among patients with diabetes mellitus attending primary healthcare centres (PHCs) in Kuwait and to identify those at risk for developing DPN. Methods A cross-sectional study was conducted using a pre-tested self-administered questionnaire. The questionnaire included questions on demographic characteristics and patients’ knowledge and practices of foot care. Adult patients (aged 21 and above) with a diagnosis of diabetes mellitus for at least 1 year were randomly selected from PHCs located in the five governorates of Kuwait. Data were analysed using SPSS, version 26. Results A total of 357 patients participated in this study, giving a response rate of 87.3%. The overall mean knowledge score of foot care was 12.7 ± 2.7 (equals 81.3%). Most patients (n = 283, 79.3%) showed good knowledge. In comparison, less than one-third of patients (n = 110, 30.8%) practiced good foot care. The overall mean score of patients’ practices was 55.7 ± 9.2 (equals 64.0%). Approximately 17.4% of the patients had a higher risk of developing DPN. University students had lower odds of having good knowledge about foot care [OR: 0.19 (95%CI: 0.04–0.86)]. On the other hand, patients who reported having diabetes for a long duration (10 years and above) [OR: 1.88 (95%CI: 1.11–3.18)] and patients who did not have any other comorbidities [OR: 0.49 (95%CI: 0.26–0.90)] had higher odds of having good foot care knowledge. Patients who were on oral hypoglycaemic agents (OHAs) only had lower odds [OR: 0.63 (95%CI: 0.39–1.00)] of practicing good foot care. Patients who reported having diabetes for a duration between 5 to less than 10 years [OR: 1.75 (95%CI: 1.06–2.90)] and those who are on a diet only [OR: 1.76 (95%CI: 1.06–2.94)] had higher odds of practicing good foot care. Patients who were using combination therapy with OHAs and insulin had a higher risk [OR: 2.67 (95%CI: 1.11–6.41)] of developing DPN. On the other hand, patients who reported that they did not have a previous history of foot ulcer had a lower risk of developing DPN [OR: 0.21 (95%CI: 0.09–0.47)]. Conclusion The knowledge of patients with diabetes regarding foot care is rated as good, while their self-practice is considered satisfactory. To improve the foot care knowledge and self-care practice of patients, healthcare providers (HCPs) need to support patients through educational programmes and appropriate training.

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“…Diabetic foot ulcers are associated with knowledge and care attitudes. Therefore, diabetic foot ulcers can be avoided by improving the knowledge level of patients about foot care [13,14]. Diabetic patients, according to studies, have an insufficient attitude about foot care and a lack of knowledge about it [2,[14][15][16].…”

Section: Resultsmentioning

confidence: 99%

Research of Knowledge and Attitudes of Patients with Diabetic Foot Ulcer Regarding Foot Care

Acelya¹,

Seyhan²,

Özbaş³

2021

Int J Diabetes Clin Res

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Background:This study is conducted to analyze the diabetic foot ulcer patients' knowledge and attitudes regarding foot care.Methods: Patients diagnosed with type 2 diabetes in the diabetic foot service of a university hospital in Istanbul created the population of this descriptive study. The sample consisted of 73 patients determined by power analysis (95%) and simple random sampling method. A survey form which is consists of 37 questions and created by the researcher is used as the data collection tool. Before beginning the study, the ethics committee approval is obtained. Results are evaluated at a 95% confidence interval and the level of significance is accepted as a p-value of < 0.05. Results:It is determined that 67.1% (n = 49) of the patients participating in the study are male, 61.6% (n = 45) are married, 95.9% (n = 70) are over 45-years-old, 63% (n = 46) are primary school graduate, and 23.9% (n = 17) had participated in the diabetes education program. In terms of the frequency of doing leg and foot gymnastics, applying cream, walking, shoe control, performing diabetes gymnastics, and selecting socks, there is a statistically significant difference between the patients who engaged in the diabetes education program and the patients who do not (p = 0.00 < 0.05). Conclusion:It is determined that the majority of patients do not receive training on diabetic foot and do not have a positive attitude about performing certain applications, according to the findings of the study. Concordantly, in order to eliminate the patients' knowledge deficits, it may be suggested that comprehensive and planned training should be provided, the results of the given training should be observed, and the training should be repeated at regular intervals by the nurses, who have a significant role in developing self-care abilities and positive behavioral change in individuals with diabetes.

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Diabetic foot care: knowledge and practice

Cited by 79 publications

References 25 publications

Factors associated with knowledge and practice about foot care among patients admitted with diabetes mellitus in a tertiary care teaching hospital, south India

Factors associated with knowledge and practice about foot care among patients admitted with diabetes mellitus in a tertiary care teaching hospital, south India

Knowledge and practice of foot self-care among patients with diabetes attending primary healthcare centres in Kuwait: A cross-sectional study

Research of Knowledge and Attitudes of Patients with Diabetic Foot Ulcer Regarding Foot Care

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