Assessment of Knowledge and Practices of Diabetic Patients Regarding Diabetic Foot Care, in Makkah, Saudi Arabia

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.

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Knowledge and practice of diabetic foot care among diabetic patients in Aseer region, Saudi Arabia

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1571552077 ◽

2020 ◽

pp. 95-100

Author(s):

Manea Al-Jarallah ◽

Mohammed Alqahtani ◽

Saad Alshahrani ◽

Nawaf Alshahrani ◽

Abdullah Mohammed Alshehri

Keyword(s):

Saudi Arabia ◽

Diabetic Foot ◽

Diabetic Patients ◽

Foot Care ◽

Knowledge And Practice

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Foot care among recently diagnosed diabetic patients in Muhayel, Aseer Region, Saudi Arabia

10.5742/mewfm.2021.93978 ◽

2021 ◽

Vol 19 (2) ◽

Author(s):

Abdullah A. Hassan ◽

Yahia M. Alkhaldi ◽

Bassam M.K Mawkili ◽

Bandar A.M. Al-Mudawi ◽

Ayidh A.A. Alasmari

Keyword(s):

Saudi Arabia ◽

Diabetic Foot ◽

Heart Diseases ◽

Young Patients ◽

Self Care ◽

Care Practice ◽

Diabetic Patients ◽

Key Words Diabetes ◽

Foot Care ◽

Care Assessment

Background: Amputations and ulcers of foot are the main causes of disability, morbidity, physical and emotional costs among diabetics. Management of their risk factors and early recognition can delay or prevent the beginning of any adverse outcomes. Objectives: To assess the levels of knowledge and practice regarding foot care among recently diagnosed diabetic patients. Subjects and Methods: A cross-sectional study was conducted at primary healthcare centers belonging to the Ministry of Health, Muhayil city, Aseer Region, Kingdom of Saudi Arabia (KSA) among recently diagnosed (i.e., before two years) diabetic patients. A study questionnaire (in a simple Arabic language) was used to collect data related to personal characteristics, present history related to diabetes, fasting blood sugar control (mg/dL), provided medical care, assessment of knowledge about foot self-care and prevention of diabetic foot and assessment of patient’s daily practices related to foot self-care. Results: The study included 250 recently diagnosed diabetic patients. Males represented 55.6% of them. Only 14.8% had glycemic control, based on HbA1c level <7%. Generally, 66% of patients had poor knowledge regarding diabetic foot, whereas only 13.6% of them had good knowledge. Good foot care practice was observed among 52% of patients. Young patients (20-30 years old) were more likely to have good foot care practice than those aged over 60 years, p=0.026. Patients with heart diseases were significantly less likely to have good foot care practice compared to those without cardiac diseases, p=0.039. Patients with HbA1c<7% were significantly more likely to express good foot care practice than those with HbA1c 7%, p=0.006. There was a significant association between patients’ knowledge about foot care and their practice, p<0.001. Regarding provided foot-related health care, 90.8% of patients reported undergoing feet examination by their physicians, 63.2% reported that physicians explained to them the importance of foot care and how to perform it (60.0%). Less than half of patients (45.2%) received health educational brochures about foot care Conclusion: Most recently diagnosed diabetic patients in Muhayil City, Aseer Region, KSA have inadequate knowledge and poor practices regarding foot care. Intensive health education regarding diabetic foot care is highly recommended. Key words: Diabetes mellitus, diabetic foot, foot care, knowledge, practice, Saudi Arabia.

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A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

International Journal of Pharmacy and Pharmaceutical Sciences ◽

10.22159/ijpps.2017v9i9.20114 ◽

2017 ◽

Vol 9 (9) ◽

pp. 138

Author(s):

Gopal Teli ◽

B. G. Ponnappa

Keyword(s):

Diabetic Foot ◽

Tertiary Care ◽

Self Care ◽

Research Centre ◽

Care Practice ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Attitudes And Practices ◽

The Mean

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.

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Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia

Journal of Family Medicine and Primary Care ◽

10.4103/jfmpc.jfmpc_248_19 ◽

2019 ◽

Vol 8 (6) ◽

pp. 2089

Author(s):

ZainabJ Alshammari ◽

LeilaA Alsaid ◽

PJ Parameaswari ◽

AbrarA Alzahrani

Keyword(s):

Saudi Arabia ◽

Diabetic Patients ◽

Foot Care

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Diabetic Foot Risk Factors and Effectiveness of Education in Saudi Arabia

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i54a33718 ◽

2021 ◽

pp. 48-53

Author(s):

Mohammad Saqib Siddiqui ◽

Abdulaziz Fehaid Alotaibi ◽

Fahad Mohammed Saeed Alharthi ◽

Abdullatif Meshal Almalawi ◽

Ahmed Zayed Asiri ◽

...

Keyword(s):

Risk Factors ◽

Saudi Arabia ◽

Diabetic Foot ◽

Management Practices ◽

Diabetes Education ◽

Previous History ◽

Diabetic Patients ◽

History Of ◽

Artery Disease ◽

Educational Campaigns

Diabetes mellitus (DM) is a chronic disease with a remarkable global burden on the affected patients and healthcare systems. Among the reported complications, the diabetic foot has been reported to be a common one, which might be disabling, resulting in related amputations. Furthermore, we will provide evidence regarding the effect of education on the awareness and knowledge of diabetic Saudis about diabetic foot risk factors and management practices. Different risk factors were reported for developing diabetic foot among patients with DM. These will be studied in the current literature review, focusing on evidence that was conducted in Saudi Arabia. Age, gender, type of diabetes, education, duration of the disease, peripheral neuropathy, erythrocyte sedimentation rate, peripheral vascular disease, ischemic heart disease, renal artery disease, having a previous history of diabetic foot, and hypertension were all reported to be significant factors that were associated with the risk of developing diabetic foot across the Kingdom. The level of knowledge was variable across the different investigations. However, there is a poor attitude in general about the appropriate care practices of diabetic foot. Although it has been demonstrated that educational campaigns are effective, further efforts are still needed to increase awareness and attitude levels among diabetic patients in Saudi Arabia.

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Diabetic Foot Care - A Public Health Problem

Journal of Medicine ◽

10.3329/jom.v12i2.7604 ◽

2011 ◽

Vol 12 (2) ◽

pp. 109-114 ◽

Cited By ~ 1

Author(s):

Jamil Ahmed Somroo ◽

Anjum Hashmi ◽

Zafar Iqbal ◽

Aslam Ghori

Keyword(s):

Diabetic Foot ◽

Fungal Infections ◽

Public Health Problem ◽

Global Scale ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Foot Health ◽

Care Practices

Background: Diabetes is global epidemic with devastating human, social and economic consequences. The disease claims as many lives per year as HIV/AIDS and places a severe burden on healthcare systems and economies everywhere, with the heaviest burden falling on low- and middle-income countries. Despite this, awareness of the global scale of the diabetes threat remains pitifully low, inappropriate diabetic foot care affects, feet health leading to callosities, cracks, fissures, fungal infections, ingrown toe nails and patients end up in ulcers and amputations. Objectives: To assess diabetic patients taking proper foot care according to International Guidelines and its impact on their foot health. Methods: A cross sectional study was conducted at outdoor patients department of Medicine, Liaquat University of Medical Sciences Hospital Hyderabad from 17th January 2008 to 16th January 2009. 100 diabetic patients were selected by non probability convenience sampling according to Performa having questions regarding diabetic foot care derived from American Diabetic Association Guidelines for Diabetic Foot care. Results: Diabetic patients taking proper foot care was only 6%. There were 45(45%) males and 55(55%) females. Mean age was 51.57+10.72 years. 38% patients knew about foot care. 17% used to inspect their feet daily, 20% washed their feet daily, while 73% washed their feet more than once. 23% patients dried their feet after every foot wash, 27% applied emollients, 25% checked shoes before wearing, 24% used to wear correct shoes, 8% used to wear cotton socks and 36% used to walk bare feet. Foot care practices on foot health has statistically highly significant association (p<0.01) e.g. number of foot washes with foot hygiene, fungal infections with proper foot drying, emollient application with skin texture, cracks and fissures. Associations of proper foot care were statistically significant with literacy status of patients and foot care teachings (p<0.05). Conclusion: Few diabetic patients are taking proper foot care. Proper Foot care practices were associated with provision of education of foot care and literacy status of patients. Community health education programs regarding diabetic foot care will likely to reduce diabetic foot complications. Keyword: Diabetes, Foot care education, Diabetic foot care, Diabetic foot, Ulceration; Prevention. DOI: http://dx.doi.org/10.3329/jom.v12i2.7604 JOM 2011; 12(2): 109-114

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Assessment of Prevalence, Associations ,Knowledge, and Practices about Diabetic Foot Disease in a Tertiary Care Hospital in Colombo, Sri Lanka

International Journal of Chronic Diseases ◽

10.1155/2020/4504627 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

V. T. S. Kaluarachchi ◽

D. U. S. Bulugahapitiya ◽

M. H. Arambewela ◽

M. D. Jayasooriya ◽

C. H. De Silva ◽

...

Keyword(s):

Peripheral Neuropathy ◽

Sri Lanka ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Patients ◽

Care Hospital ◽

Foot Care ◽

Diabetic Foot Disease ◽

Care Practices ◽

Foot Disease

Background. One in five adults in Sri Lanka has either diabetes or prediabetes, and one-third of those with diabetes are undiagnosed. Diabetic foot is a debilitating condition affecting up to 50% of patients with both type 1 and type 2 diabetes. The risk of nontraumatic lower limb amputations is 15 times higher in diabetic patients when compared with nondiabetics. Patient education about correct foot care practices is the cornerstone of prevention of diabetic foot disease. Objective. To assess the prevalence of diabetic foot disease, knowledge, and practices about diabetic foot care among diabetic patients. Methods. 334 patients attending the diabetic clinic in Colombo South Teaching Hospital were recruited according to the inclusion and exclusion criteria. Data were collected using 3 questionnaires, and they were filled using the foot examination findings, patients’ medical records, and direct interviewing of the patients. Results. The mean age of the patients included in the study was 58.23 ± 10.65 years while the median duration of diabetes was 10.54 ± 7.32 years. 34.1% patients had peripheral neuropathy, and 29.5% had peripheral vascular disease. Diabetic foot disease according to the WHO definition was present only in 23 (6.9%) patients. There was a significant association between peripheral neuropathy and current or past foot ulcer which took more than 2 weeks to heal ( p < 0.05 ). Knowledge about foot care was less among the studied population, and it was associated with poor foot care practices. Presence of diabetic foot and current or past foot ulcer which took more than 2 weeks to heal were significantly associated with the foot care knowledge and practices ( p < 0.05 ) Conclusion. Improvement of patients’ knowledge about foot care and their practices have a significant impact on the reduction of diabetic foot disease.

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Prevention and treatment of diabetic foot ulcers

Journal of the Royal Society of Medicine ◽

10.1177/0141076816688346 ◽

2017 ◽

Vol 110 (3) ◽

pp. 104-109 ◽

Cited By ~ 40

Author(s):

Jonathan Zhang Ming Lim ◽

Natasha Su Lynn Ng ◽

Cecil Thomas

Keyword(s):

Diabetic Foot ◽

Healthcare Access ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Foot Ulcers ◽

Diabetic Patients ◽

Diabetic Foot Ulcers ◽

Foot Care ◽

Healthcare Provision ◽

Foot Complications

The rising prevalence of diabetes estimated at 3.6 million people in the UK represents a major public health and socioeconomic burden to our National Health Service. Diabetes and its associated complications are of a growing concern. Diabetes-related foot complications have been identified as the single most common cause of morbidity among diabetic patients. The complicating factor of underlying peripheral vascular disease renders the majority of diabetic foot ulcers asymptomatic until latter evidence of non-healing ulcers become evident. Therefore, preventative strategies including annual diabetic foot screening and diabetic foot care interventions facilitated through a multidisciplinary team have been implemented to enable early identification of diabetic patients at high risk of diabetic foot complications. The National Diabetes Foot Care Audit reported significant variability and deficiencies of care throughout England and Wales, with emphasis on change in the structure of healthcare provision and commissioning, improvement of patient education and availability of healthcare access, and emphasis on preventative strategies to reduce morbidities and mortality of this debilitating disease. This review article aims to summarise major risk factors contributing to the development of diabetic foot ulcers. It also considers the key evidence-based strategies towards preventing diabetic foot ulcer. We discuss tools used in risk stratification and classifications of foot ulcer.

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Diabetic Foot Awareness among Diabetic Patients in Saudi Arabia

The Egyptian Journal of Hospital Medicine ◽

10.12816/0039063 ◽

2017 ◽

Vol 68 (2) ◽

pp. 1289-1290 ◽

Cited By ~ 2

Author(s):

Mesale A. Algshanen ◽

Mohammed F. Almuhanna ◽

Ahmed M. Almuhanna

Keyword(s):

Saudi Arabia ◽

Diabetic Foot ◽

Diabetic Patients

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