Knowledge, Attitude, and Practice of Diabetic Patients Regarding Foot Care: Experience from a single tertiary care center's outpatient clinic

The Foot ◽  
2021 ◽  
pp. 101843
Author(s):  
Muhammad Qasim ◽  
Muhammad Usama Rashid ◽  
Hamza Islam ◽  
Danyal Amjad ◽  
Sumera Badar Ehsan
Author(s):  
Pallavi Sharma ◽  
Bhavani Raina ◽  
Anuradha Bharti

Background: Diabetes mellitus is a common metabolic disorder which is characterized by elevated blood sugar level. It is a major cause of blindness in our country, which is preventable and treatable, if healthy practice and knowledge regarding this disease is applied. The study was undertaken to assess the knowledge, attitude and practice of Diabetic Retinopathy, amongst diabetic patients attending eye OPD in GMC Jammu.Methods: 300 patients diagnosed with diabetes mellitus attending eye OPD, over a period of 10 months, in GMC Jammu, were incorporated in this study. Self administered questionnaires were used to assess knowledge, practice and attitude of diabetic retinopathy amongst the diabetic patient, after their due consent.Results: This study incorporated 300 diabetic patients out of which 168 (56%) were males and 132 (44%) were females. Most of the patients (70%) were aware of the fact that diabetes can cause eye disorders. 67.33% believed that they should go for regular eye check-ups. 79.33% agreed that timely intervention can delay the complications in diabetic eye disease.Conclusions: Diabetes can lead to serious ocular complications which can be prevented by appropriate awareness and optimistic attitude and good approach towards the disease.


Author(s):  
K. SHAILAJA ◽  
ANJU ABRAHAM ◽  
BINDHU BHARGAVI ◽  
R. DEVIKA

Objective: To assess the influence of pharmaceutical care activities on Knowledge, Attitude and Practice (KAP) among type 2 diabetic patients. Methods: A total of about 301 patients with type 2 Diabetes Mellitus were recruited from a tertiary care hospital. Patients were educated about their disease condition, lifestyle modifications and diet regimen to be followed and were given instructions for improving medication adherence. In the initial session, no pharmaceutical care was given, in the second session patient counseling was given verbally and in the last session patient counseling was given both verbally and non-verbally by means of pamphlet distribution. KAP questionnaire and glycemic levels (glycated hemoglobin, fasting blood sugar and post-prandial blood sugar) of participants were obtained at baseline and at follow up. Results: The baseline values of FBS in patients before intervention was found to be 176.5±74.46 mg/dL and it was reduced to 140.7±43.9 mg/dL after 3 mo. Henceforth, there was also an improvement in the PPBS values which was found to be 254±77.3 mg/dL at the baseline and was 212.9±54.2 mg/dL after intervention. The baseline values of HbA1c is 8.144±1.727% and after intervention, value reduced to about 7.173±2.768%. After the intervention, it was found to be that 30%, 16% and 12% reduction in FBS, PPBS and HbA1c values and the P-value (<0.0001) found to be statistically significant. KAP scores also found to be improved after the intervention and statistically significant. The results clearly indicate that through proper guidance and educating the patients by the pharmacist is beneficial in managing the glycemic levels and reduce further complications. Conclusion: The study concluded that the pharmaceutical care by the pharmacist is highly essentially and useful for the patients to manage the glycemic index and prevent further diabetic complications.


Author(s):  
Vindhya Polineni ◽  
Supriya Acharya

Background: Diabetes mellitus is a chronic non-communicable disease which has become the epidemic of the 21st century.  According to WHO 1.6 million deaths were estimated to be directly caused by diabetes in the year 2016 and attributed to be the seventh leading cause of death in the world. Objective of the study was to assess the knowledge, attitude, practice about diabetic care among the diabetic patient, and to assess the association between KAP of diabetic care and socio-demographic factors.Methods: Cross-sectional study was done with purposive sampling for 4 months, on 62 sample size. Data collection tool was the KAP questionnaire which was adapted a study by Herath HMM.Results: Out of 66 participants, 34 (51.5%) had good knowledge about diabetes, 27 (40.9%) and 5 had poor knowledge (7.6%), 16 had positive attitude about diabetes care (24.2%) and 50 (75.8%) had negative attitude, 47 had good practice about diabetes care (71.2%) and 19 (28.8%) of them had bad practice.Conclusions: Though majority of the study participants had good to moderate knowledge (92.4%), their attitude was negative (75.8%) and the knowledge level did not fully reflect into the attitude and practices (71.2%). This suggests there is a gap in the knowledge, attitude and practice.


2021 ◽  
Vol 8 (12) ◽  
pp. 3506
Author(s):  
Abdulaziz S. Aldhafar ◽  
Mohamed Abdullah ◽  
Abdulaziz K. Althafar

Background: The prevalence of diabetes mellitus (DM) in Saudi Arabia is 18.3% in 2020. One of the most common complications that affects diabetic patients is diabetic foot disease (DFD). Patient education is the most effective way to reduce the complications of DFD.Methods: A cross-sectional study was conducted in the period from January to May 2021. A pretested standardized questionnaire was used to collect information upon knowledge, attitude and practice toward diabetic foot care. Data entry was performed using SPSS.Results: The responses of 480 of which 294 male and 186 female, 41.6% have high school degree, 19.3% have bachelor’s degree and 2.2% have master or Ph. D. degree. The mean age of the respondents was 47 years. The 58% of the participant agreed that they might develop reduce flow to their feet. half of the participant were not aware that smoking can reduce blood flow in their feet. There were only 2.3% of the respondents attended a class on how to care of the foot. Participants who received information about foot care from a nurse and physician were 23% and 9.2% respectively. The 97.5% of the participant would like to know how to care for their foot. 75.8% of participants walk barefoot and 42.2% use a comfortable coated shoe.  Conclusions: Participants have inadequate knowledge, attitude and practice about DFD. providing a structured educational program about diabetic foot care has significant impact on diabetic patient to improve their knowledge and practices and to motivate them to have a positive attitude toward diabetic foot care.


2021 ◽  
Vol 3 (26) ◽  
pp. 86-101
Author(s):  
Dr. Imad Eldin Eljack Suleiman Ahmed ◽  
◽  
Dr. Gamal Mustafa Abdalla Ahmed ◽  
Dr. Sami Hayati Ahmed Abu Nayeb ◽  
◽  
...  

Background: The incidence of foot ulcers ranges from 8% to 17 % [Crawford F, Inkster M, Kleijnen J, Fahey 2007]and others like peripheral neuropathy, peripheral arterial disease. Objectives: The aim of the study is to identify the knowledge, attitude and practice of diabetic patients on foot care. Patients and Methods: Across-sectional study of randomly selected 360 patients of diabetic patients that attend at Al-Daraga Health Center, Wad Madani, Al Kubra locality, Gezira state, during period of one-month 2020. Data was collected via face-to-face interviews by using questionnaire and analyzed by (SPSS). Results: The results showed that there is excellent knowledge about diabetes complications, complications (94,4%), and that there is high knowledge of taking medications regularly to prevent complications (82.2%), about practicing such as washing feet daily and changing socks daily. Consultation of doctors when any symptoms appeared were good with knowledge more than 50% of each. But there's lack of knowledge by more than 50% for things such as washing the feet by warm water with water temperature checked, and dried feet after washed. There is a lack of practicing with more than 50%, about things such as checking the feet daily and checking the shoes before wearing. Conclusion: Not only good knowledge is needed for footcare, but also good attitude and practice are needed. It is necessary to firstly develop awareness of diabetes and the related complications one amongst which is footcare. Certain educational strategies should be established for both doctors and the patients. I recommended establishing a program like group discussion to patients towards footcare. This study will be helpful in providing evidence regarding the importance of foots care and empowered within the diabetic population.


Author(s):  
Sruthy Sivan ◽  
Sruthi Prasad ◽  
Parvathy Nandan ◽  
Haritha K. Harikumar ◽  
Lallu Mariam Jacob ◽  
...  

Background: The current study was undertaken to assess the knowledge, attitude and practice (KAP) of foot care among diabetes patients with foot at risk, to evaluate the impact of counselling in terms of KAP score, VPT (vibration perception threshold) value, foot examination status and other clinical parameter, to assess the severity of peripheral neuropathy in diabetes patients based on VPT value and to assess the prevalence of peripheral neuropathy among men and women.Methods: A prospective cross-sectional and interventional study was conducted in the diabetology department of a tertiary care hospital in South India. A total of 100 diabetes patients with foot at risk were selected for the study. A questionnaire was used to assess the knowledge, attitude and practice of foot care among diabetes patients with foot at risk. The questionnaire consists of total 24 questions. Their knowledge, attitude and practice were classified as good, satisfactory and poor depending upon the score. For the KAP, if score is ≥70% it was regarded as good, 50-69% as satisfactory and <50% as poor.Results: The study assessed that among 100 patients, 6% of the participants had good knowledge before counselling and after counselling, 46% had satisfactory level of knowledge and 43% had good knowledge. Most of the patients had a good attitude towards foot care before and after counselling. Only 1% of patients were in good practice before counselling and after counselling 62% of the patients had satisfactory practice and 25% had good practice. The study revealed that about 53% had a VPT value of 26-50 V before providing counselling and after counselling about 43% of the participants VPT became 26-50 V. The study also showed that the prevalence of peripheral neuropathy according to VPT value is more in males than females.Conclusions: Poor knowledge and poor practice were observed among the diabetes patients with foot at risk who had attended the diabetology department. Poor knowledge and practice are the major reason for the amputation of limb as the people are unaware of their foot care. Thus, by providing proper education regarding foot care, the foot complications can be improved and there by the amputation rate can be reduced to an extent.


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