Nurses’ knowledge and attitude towards diabetes foot care in Bahir Dar, North West Ethiopia

Abstract

A diabetes foot ulcer is the commonest non-traumatic reason for the amputation of the lower extremities. All adults with diabetes should undergo comprehensive foot evaluation at least annually, but for high-risk individuals with diabetes more frequently by a health care provider and daily by the people themselves. Nurses' knowledge and attitude are fundamental to conduct a diabetes foot risk assessment and provide foot care for known diabetes person. Knowledge and attitude of nurses about the assessment and risk, identification of diabetes foot are not well studied in Ethiopia, especially in the study area. Therefore, this study aimed to assess nurses' knowledge and attitude towards diabetes foot ulcer in Bahir Dar, North West Ethiopia. An institution-based cross-sectional study was conducted in Bahir Dar city administration hospitals from January 1st to 5th, 2019. The study participants were selected using a simple random sampling technique. Nurses' level of knowledge and attitude towards diabetes foot ulcer assessment and management determined by using multiple-choice questions of nurse's knowledge and attitude questionnaires. The association between the independent and dependent variables was assessed. In this study, the overall proportions of nurses' knowledge and attitude towards diabetes foot assessment and management were 54.4% and 43.3% respectively. Age less than 30 years old (AOR ¼ 2.15, 95%CI: 1.10, 4.19; P ¼ 0.025), the nurse who graduates from a governmental institution (AOR ¼ 3.05, 95% CI: 1.64, 5.69; P < 0.001) and use the internet as a source of knowledge (AOR ¼ 0.55, 95%CI: 0.31, 0.96; P ¼ 0.035) was significantly associated with nurses' knowledge towards diabetes foot care. Age less than 30 years old (AOR ¼ 1.98, 95% CI: 1.16, 3.35; P ¼ 0.012)and the nurse level of qualification (AOR ¼ 0.39, 95% CI: 0.20, 0.78; P ¼ 0.007)were significantly associated with nurses' level of attitude towards diabetes foot care. In conclusion, this study demonstrated the important gaps in nurses' knowledge and attitude towards diabetes foot care. Nurses' insufficient knowledge and non-favorable attitude towards diabetes foot care compromise health care standard diabetes care. Therefore, a comprehensive revision of nursing curricula across local tertiary learning institutes required qualified instructors and a strengthened regulatory body (especially private ones), and validated source of information for allowing nurses to update their knowledge is warranted.

Knowledge, attitude, and preventive practices towards COVID-19 and associated factors among adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia

“…In South Gondar Zone, there are one comprehensive referral hospital found in Debre Tabor Town and seven district government hospitals found in Addis Zemen, Mekane Eyesus, Andabet, Ebenat, Arb Gebeya, Nefas Mewcha, and Wegeda twons. In addition, there are 98 government health centers, and 76 private clinics in South Gondar Zone [ 22 ]. According to the reports of hospitals in the South Gondar Zone, the average number of monthly visitors during COVID-19 was 13,440.…”

Nursing students’ knowledge and attitude toward diabetic ulcer care and their contributing factors in Indonesia

“…A Chi-square test was used to investigate the association of knowledge or attitude with socio-demographic characteristics, including age, gender, level of education, history of wound care training, interest in diabetic ulcer care, and the use of the following as sources of knowledge: books, guidelines, research articles or journals, magazines, seminars, and sharing with peers. Variables with P -values less than or equal to 0.2 in the bivariate analysis were then entered into a multivariate logistic regression model [ 17 , 35 ]. To investigate the strength of the association between dependent and independent variables, odds ratios ( OR ) with 95% confidence interval (CI) were determined.…”

“…Therefore, it is essential that nurses have sufficient knowledge and positive attitudes [ 15 , 16 ]. Knowledge should be a basis that guides nurses in the management of diabetic foot ulcers to prevent amputation [ 17 , 18 ]. Studies have shown that nurses with good knowledge and attitudes are more inclined to participate in diabetic foot ulcer care [ 17 , 19 ].…”

“…Although several studies have investigated the knowledge and attitudes of nurses toward diabetic ulcer care [ 17 , 20 ], to our knowledge no prior study has investigated these elements in nursing students or the factors affecting these variables in Indonesia or other countries. Studies of nursing students’ knowledge have so far focused on knowledge related to DM, DM prevention, and DM self-management [ [21] , [22] , [23] , [24] , [25] ].…”

Effectiveness of educational interventions for diabetes‐related foot disease: A systematic review and meta‐analysis

“…3,7,9,10 There is therefore widespread uncertainty about the value and best mode of delivery of DFD education. [11][12][13][14][15][16] The aim of this systematic review and meta-analysis was to assess the effectiveness of DFD-specific educational interventions on a wider range of DFD-related outcomes, including not only foot ulcer risk, but also ulcer healing, infection, amputation, mortality, modifiable risk factors, DFD-knowledge, foot self-care behaviours, healthrelated quality of life (HRQOL), and anxiety and depression. This was achieved through analysis of RCTs that tested any form of DFDfocused educational programme in people with or at risk of DFD.…”