scholarly journals Evaluating The Effect of Establishing Protocol for Self- Care Practice of Diabetic Foot Patients Regarding Their Needs, Concerns and Medication Use: A quasi-experimental study

Author(s):  
Mirfat Mohamed Labib Elkashif ◽  
Abeer Yahia Mahdy ◽  
Samia Eaid Elgazzar
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications.


Author(s):  
Maryam Aalaa ◽  
Mohammadreza Amini ◽  
Hossein Yarmohammadi ◽  
Hamid Reza Aghaei Meybodi ◽  
Mostafa Qorbani ◽  
...  

Author(s):  
Sheena Marin Thomas ◽  
Ishita Gajjar Nitin ◽  
M. Uday Kiran Reddy ◽  
Harsha Devi S.

Objective: To assess the knowledge with a diabetic foot ulcer, to evaluate the severity and grade of diabetic foot ulcer, to study the self-care behaviour and medication adherence in a patient with diabetic foot ulcer and to counsel the patients.Methods: The KAP, self-care foot behaviour and MMAS-8 questionnaire were given during interview; severity using Wagner’s scale was assessed. Knowledge, attitude, self-care foot practice and adherence was measured based on various parameters such as demographic factors, clinical characteristics, and medication taking characteristics. It was measured before and after the patient counselling to see improvement in the quality of life.Results: In the study period of 6 mo 111 cases were gathered. There were 74 (66%) patients who were illiterate; the patients with low economic status were 63 (56%). Patients who are illiterate have poor knowledge and poor self-care behaviour, in our study 74 (66%) are illiterate which improved after counselling and 59 patients with high knowledge. Medication adherence is also associated with the education of the patient. After counselling and providing knowledge most of the patients are having high KAP scores. Wagner’s scale for the study of the severity shows that most of the patients 30 out of 111 are having Grade 4 of the score which shows the need of counselling and education towards foot care. Improvement in the self-care practice and on safety and prevention was seen after counselling.Conclusion: Knowledge, attitude, self-care practice and adherence of the patient can be improved by establishing a good patient-provider relationship and giving proper patient counselling to the patient or their relatives.


2020 ◽  
Vol 13 ◽  
pp. 117955142098190
Author(s):  
Girma Degefa ◽  
Kindie Wubshet ◽  
Sisay Tesfaye ◽  
Agete Tadewos Hirigo

Background: Adequate knowledge, awareness, and adherence to diabetic self-care practices are vital tools to protect patients from risks of disease complications, developing comorbidity and mortality. Therefore, this study aimed to assess specific domains of diabetic self-care practice and associated factors among patients with type-2diabetes in Hawassa University Comprehensive Specialized Hospital, Sidama regional state. Materials and methods: A hospital-based cross-sectional study design was conducted on 217 patients with type 2 diabetes from January 01 to April 30, 2020. A structured questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) tool were used to collect relevant data through interviewer administration. Statistical analysis was done using SPSS version 23. Results: A total of 207 patients with type-2 diabetes were participated in the study with a 95% response rate. Overall 47.8% (95%CI: 41.2-55) of patients adhered to diabetic self-care practice. Concerning the specific domain of self-care practice, 54.6%, 39.1%, 28%, and 65.2% of patients adhered to a healthy diet, physical exercise, self-monitoring blood glucose (SMBG), and diabetic foot care practices, respectively. Besides, all patients received at least 80% of the prescribed doses and frequency of anti-diabetic agents and 60.4% had good glycemic control. Receipt of advice from treating physicians and having no familial history of diabetes were significantly associated with adherence toward eating a healthy diet, diabetic foot care, and SMBG. While male sex was associated with adherence toward healthy diet management. Moreover, having glucometer, age, male sex, diabetes duration ⩾ 5 years, and anti-diabetic treatment modality were associated with adherence toward SMBG. Conclusion: This study indicates 52.2%, 72%, and 60.1% of diabetes patients did not adhere to diabetic self-care, SMBG, and physical exercise, respectively. Improving awareness and regular diabetic education is imperative to scale up patients’ adherence toward diabetic self-care practice.


2021 ◽  
Vol 2 (4) ◽  
pp. 14
Author(s):  
Amal F. Mohammed ◽  
Nabaweya S. Shehata

Contents: Enhancement of exclusivity of breastfeeding and increasing its duration is a recognized public health priority. Several common problems may arise during the breastfeeding period and mainly after cesarean section delivery, so assisting mothers in coping with and solving the problems may contribute to successful breastfeeding. Aim:  The study aimed to evaluate the instructional module's effectiveness on breast problems among post-cesarean section mothers. Methods: Quasi-experimental study (pre/post-test) design was used. A purposive sample of 100 women recruited in this study, which was conducted at the Postnatal Inpatient Maternity Unit & Breast-Feeding Clinic at Ain Shams University Maternity Hospital. The study utilizes six tools: A structured Arabic interview questionnaire, LATCH breastfeeding charting scale, mothers’ self-care practice observational checklist, Visual Analogue Scale, Six-point breast engorgement scale, and the Nipple Trauma Score, in addition to developed supportive material (instructional module). Results: A highly statistically significant improvement in all mothers' self-care practices in dealing with breast problems at the post and follow-up of intervention compared to pre-intervention (P <0.001). Also, there is a highly statistically significant reduction of breast problems among the study sample at the post and follow-up of intervention compared to pre-intervention (p < 0.001). The study also reveals a reduced degree of pain, breast engorgement, and nipple trauma score with highly statistically significant improvement on the total LATCH scale at the post and follow-up of intervention compared to pre-intervention (P< 0.001). Conclusion: The present study concluded that the implementation of the instructional module has improved the mothers’ self-care practice and has a positive effect on alleviating breast problems among post-cesarean section mothers. The study recommended an educational program regarding breast problems and their related management should be included in routine care for post-cesarean women.


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