SP5-14 A study to determine the knowledge and practice of foot care in patients with chronic diabetic ulcers

Abstract

employment and income, housing and basic services, social security and access to malaria prevention measures. Data were analysed using SPSS version 17.0. Results 115 cases and 63 controls were interviewed. Income <1 USD per day, <3 years of school, marital status single, single-parent family, without social security and no bed-nets in house were not associated to malaria in pregnancy in bivariate analysis (p>0.05). Pregnant women who had a farmer as a family member (OR 2.39, 95% CI 1.12 to 5.13), bodies of water around the house (OR 4.66, 95% CI 2.24 to 9.66), house roof made of palm tree leaves (OR 2.45, 95% CI 1.16 to 5.15) were more likely to have had malaria in multivariate analysis. Conclusion In rural areas of Colombia where poverty is very common quality of house and access to basic public services explain better social differences of pregnant women that are related with malaria frequency. Introduction Diabetic foot ulcers account for many hospital admissions and is a major cause of amputations. This is preventable by effective identification, education and preventive foot care practice. Objective Determine the level of knowledge and practice of foot care among patients with chronic diabetic foot ulcers. Methodology Individuals with diagnosed diabetic foot ulcers (n¼110) were selected from National Hospital of Sri Lanka for this descriptive study. They were given an interviewer administered, pretested questionnaire. Patient perceptions of foot care were enquired. A scoring system ranging from 0 to 10 was employed to analyse the responses given for level of knowledge and practice of diabetic foot care. Results Mean age was 58.4 years (SD 68.6) and 57.3% were males. Non-healing ulcers were present among 82.7% and amputations amounted to 38.2%. The control of diabetes was poor in 60%. Regarding foot care knowledge, the mean score was 8.37, 75.5% had scored above mean and 52.7% were aware of all principles of foot care. Regarding foot care practices, the mean score was 4.55, 47.3% participants had scored below mean and 22.7% did not practice any foot care principle and hence scored 0. A Statistically significant difference exists between the foot care knowledge and practice scores (p<0.001, z¼À8.151). 51% have not been educated prior to the occurrence of complications. Conclusion Results demonstrate a satisfactory knowledge on diabetic foot care but practices of preventive techniques were unsatisfactory. Good patient follow-up to increase compliance would help to improve this situation. SP5-14

Knowledge evaluation and educating diabetic patients on self foot care at diabetic out patients` clinic, Muhimbili National Hospital

“…Participant with duration of diabetes mellitus for 10 years and below were the majority (69.5%) and these results are in agreement with the previous studies 3,4,7 . The level of knowledge about self foot care was not obviously related with increasing duration of the disease in this study.…”

“…However, Jinadasa et al 4 and Rheeder et al 15 observed majority of diabetic patients having good knowledge about self foot care. High knowledge of self foot care in patients with diabetes in these areas may be possibly due to effective and adequately provision of diabetic and foot care education to patients by health care providers at follow up clinics or community level or may be most diabetic patients in these study places had a good baseline level of education.…”

“…It is a common and potentially disabling chronic disease with multiorgans involvement and extremely affecting the quality of life of the affected individuals 1,3,4 .…”

“…Early risks identification, (risks like peripheral neuropathy with loss of protective sensation, dry non compliant skin, foot deformity, history of previous ulcer or amputation, inadequate diabetic control, poor vision, inappropriate foot wear, peripheral vascular disease, foot fungal infection, long term diabetes for more than 10 years, cigarettes smoking, obesity, male gender, older age >50 years, hypertension, living in rural areas) forms the base for the effective prevention and management of foot complications in diabetic patients 4 .…”

Knowledge, Practice, and Barriers of Foot Care among Diabetic Patients Attending Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia

“…The practice of other foot care principles was below 50%. Finally, this study found that diabetic foot problem is mainly concentrated on elderly population and importance of regular screening of patients with diabetes [8].…”