Knowledge and Practices of Type II Diabetic Patients' Regarding Diabetic Foot Self-Care and Their Foot Disorders

2016 ◽  
Vol 12 (1) ◽  
pp. 18-34
Author(s):  
Doaa Abd El-Salam Amin Yacout
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.


2019 ◽  
Vol 3 (1) ◽  
pp. 22-32
Author(s):  
Ferawati ◽  
Mei Fitria Kurniati

Background: Diabetes Mellitus is a chronic disease characterized by high blood sugar level and is caused by an increase in glucose levels due to a progressive decrease in insulin secretion caused by insulin resistance. The ability of diabetic patients to do appropriate and succesful self-care habits is closely related to morbidity and mortality and significantly affect productivity and quality of life. Purpose: The purpose of this study is to determie the correlation between family support and self care agency with quality of life of diabetes mellitus patient type II.Method: This study uses analitycal methods, namely research that explores how and why health phenomena occur with a cross-sectional approach.Result: The results of the Spearman-Rho test that the P-value in te sig (2-tailed) column 0.123 is more than the level of significance α 0,05 ( 0,000 < 0,05 ) so it can be concluded that H0 is accepted and H1 is rejected.Conclusion: There is no relationship between self care agency and the quality of life of people with type II diabetes mellitus in prolanic patients


Author(s):  
Maira K. Mehmood ◽  
Almas Z. Parkar ◽  
Nayab T. Mustafa ◽  
Sarah S. Mustafa ◽  
Momina A. Makin ◽  
...  

Background: Diabetic foot disease is the most common complication of diabetes mellitus. With appropriate management, approximately 49-85% of diabetic foot complications can be prevented. This study was carried out due to lack of population-based studies on foot self-care in the U.A.E. The aim of this study is to assess the awareness and practice of foot self-care in patients with type 2 diabetes and study the factors affecting foot self-care.Methods: A cross-sectional study was conducted amongst patients of type-2 diabetes attending the diabetic clinics in primary healthcare centers under Dubai Health Authority. 488 participants were interviewed on a pre-tested structured questionnaire. The cumulative score of awareness and practice was classified into poor (<50 percentile), average (50-75 percentile) and good (>75 percentile).Results: 47% participants had an overall poor awareness and 46% had an overall poor practice of foot self-care. Compliance of medications to avoid complications had the highest awareness (83%) and practice (91%). Avoiding moisturizing between toes had the least awareness (40%) and practice (38%). Awareness was better in 59% of UAE nationals and 74% of postgraduates. Practice was better in 60% of males and 73% of participants with uncontrolled HbA1c. Participants who received prior information had better awareness (55%). Participants receiving information from Dubai Diabetes Centre (DDC) had better awareness (66%) and practice of foot self-care (66%).Conclusions: Almost half of the diabetic patients attending primary healthcare centers in Dubai have limited awareness and practice regarding diabetic foot self-care.


2021 ◽  
Author(s):  
Neda Kianipour ◽  
Fakhrodin Chaboksavar ◽  
Mehrali Rahimi ◽  
Javad Yoosefi Lebni ◽  
Jaffar Abbas ◽  
...  

Abstract Background: Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without an adequate understanding of the current level of practice related to diabetes self-care. Therefore, this study aims to assess the factors affecting the self-care behaviors status of patients with Type II diabetes and the role of demographic variables in Iran. Methods: The present study is a descriptive-analytical study that was designed and conducted in 2020. This study's statistical population was type II diabetic patients at the Diabetes Research Center of Ayatollah Taleghani Hospital in Kermanshah who were selected by available sampling method of 280 samples. Data collection tools included demographic characteristics questionnaire and standard self-care questionnaire for the Glasgow and Tobert diabetic patients. Data were analyzed using SPSS-23 software, independent t-tests, one-way analysis of variance, and stepwise regression.Results: The mean of self-care scores was 2.07±2.08 and indicated an unfavorable condition. The highest mean scores of self-care were in the field of regular use of medications, and the lowest scores were in the field of blood-glucose testing. The mean scores of self-care were significantly different based on marital status, occupation status, residence, type of treatment, duration of diabetes, years, smoking status (P<0.05). Regression results showed that the variables predictors; type of treatment, smoking status, the complication of diabetes, education level status, place of residence explained 515% of the variance of self-care.Conclusion: The study showed that the extent to which individuals adhere to Type II diabetes recommended management is substantially low. Improving awareness of patients and the community at large is imperative, especially on the diet, exercise, blood-glucose testing, foot care, and no smoking.


Author(s):  
Irma Aide Barranco-Cuevas ◽  
Alexa Itaí Bello-Mora ◽  
Juvencio Reyes-Bello ◽  
Miguel Ángel Jacinto-López ◽  
Álvaro José Montiel-Jarquín ◽  
...  

Aims: To determine the relationship between the diabetic foot stages and the self-awareness about self-care of the feet in patients attending first level medical facility. Study Design: This is a descriptive, cross sectional study. Place and Duration of Study: This study was conducted in Unit Number 57 of the Family Medicine in the Mexican Institute of Social Security in Puebla, Mexico between January and June of 2017. Methodology: We included 360 patients whom we surveyed to correlate between the level of knowledge about self-care of the feet in diabetic patients and its stages. We used a questionnaire in which the variables included gender, age, level of education, occupation, marital status, number of years since they were diagnosed with diabetes mellitus type 2, stage of the diabetic foot and level of knowledge related to this entity. Descriptive statistics and X2 were used. Results: We included 360 patients who met the inclusion criteria. Their average age was 55.75 years, the average number of years with the diagnosis of diabetes mellitus was 6.07. There was a significant statistic association between the level of knowledge and the stage of the diabetic foot P = .049 a value of P= .05 was considered statistically significant. Conclusion: There is an association between the stage of the diabetic foot and the knowledge about the self-care of the feet among patients.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hassan Mahmoodi ◽  
Kamel Abdi ◽  
Emmanuel Navarro-Flores ◽  
Zaniar Karimi ◽  
Hamid Sharif Nia ◽  
...  

Abstract Background Diabetic foot self-care refers to a group of self-management behaviors that can reduce the incidence of foot ulcers and amputations. It is necessary to have a valid and reliable standard tool to measure foot self-care in diabetic patients. This study aimed to evaluate the psychometric properties of the Persian version of the Diabetic Foot Self-Care Questionnaire of the University of Malaga, Spain (DFSQ-UMA) in Iran. Methods This cross-sectional study was conducted with 407 diabetic patients who were selected using a convenient sampling method. Construct validity was assessed by exploratory (with 207 patients) and confirmatory (with 200 patients) factor analyses. Internal consistency was calculated using Cronbach’s alpha and McDonald’s omega coefficients. Results In the exploratory factor analysis, three factors with eigenvalues of 3.84, 2.41, and 2.26 were extracted that together explained 56.74% of the total variance of diabetic foot self-care. A Cronbach’s alpha of 0.865 was found for the total instrument. Conclusions The Persian version of the DFSQ-UMA has good validity and reliability, and given its good psychometric properties, it can be used in future studies.


2020 ◽  
Vol 14 (51) ◽  
pp. 168-175
Author(s):  
Rute Nascimento Pimentel Mendes ◽  
Miréia Santana Araújo Lisboa ◽  
Thalita Pacheco de Almeida Lima

Compreende-se que o Diabetes Mellitus (DM) é uma doença crônica não transmissível com maior índice de morbidade e mortalidade, considerada um problema de saúde pública devido as suas complicações agudas e crônicas. O pé diabético ou úlcera de pés e amputação de extremidades são as complicações mais graves da DM, é uma condição clínica de alta repercussão na qualidade de vida das pessoas, seu desenvolvimento ocorre quando a circulação sanguínea é ineficaz e os níveis de açúcar são mal controlados. Objetivo: Teve como objetivo sensibilizar o cliente para o autocuidado, prevenção primária e o auxiliar ao autoexame, trazendo a consciência dos profissionais de enfermagem principalmente a importância de fazer mudanças na forma de abordagem e acolhimento desse cliente. Método: Estudo descritivo com abordagem quantitativa, realizado a partir de revisão bibliográfica, busca avançada por ano 2010 a 2017. Os dados serão selecionados da base de dados EBSCO, BIREME, SCIELO.  Resultado: Pôde-se perceber que nem sempre os portadores de diabetes mellitus (DM) conseguem identificar a gravidade da doença e as consequências que pode trazer, torna-se necessária à atuação do enfermeiro no autocuidado com o paciente diabético, o pé diabético é uma das complicações que mais vem se destacando em todo o mundo, devido ao crescente número de amputações. Às amputações pode iniciar em qualquer idade, é mais comum em pessoas com diabetes mellitus tipo 2.  Conclusão: Conclui-se que o número de amputações ainda são muito altos devido a não adesão ou abandono ao tratamento e ao nível de glicemia elevado e sustentado.   Seria necessária mais iniciativa por parte dos órgãos responsáveis, com o objetivo de capacitar os profissionais da área da para esse tipo de acolhimento, promoverem ações de sensibilização educativas, com o intuito de orientar a população quanto à doença e suas diversas formas de complicações. 


2014 ◽  
Vol 3 (12) ◽  
Author(s):  
T. Etesamifard ◽  
T. Ahmadi Jouybari ◽  
F. Etesamifard ◽  
M. Mahboubi ◽  
A. Aghaei ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Tolossa ◽  
Belayneh Mengist ◽  
Diriba Mulisa ◽  
Getahun Fetensa ◽  
Ebisa Turi ◽  
...  

Abstract Background Diabetes and its complications including foot ulcer constitute a global public health challenge attributing to a significant cause of morbidity and mortality. Foot ulcer is one of the long-term complication of diabetes mellitus which lead to infection and amputation of lower extremities. In Ethiopia, findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of foot ulcer in diabetics and factors contributing to it. Methods We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 95 published and one unpublished article. Finally, eleven studies which fullfilled eligibility criteria were included in final systematic review and meta-analysis. Data were extracted using a standardized data extraction checklist and the analyses were conducted using STATA version 14. The Cochrane Q test statistic and I2 tests were used to assess heterogeneity. Results The overall magnitude of foot ulcer was 12.98% (95%CI: 7.81–18.15) in diabetic patients in Ethiopia. Sub-group analyses revealed highest prevalence in Addis Ababa (19.31% (95%CI: 2.7. 41.37)). Foot ulcer was significantly associated with rural residence (OR = 2.72, 95%, CI: 1.84–4.01)), presence of callus on the feet ((OR = 12.67, 95%, CI: 6.47–24.79)), a body mass index of ≥24.5 ((OR = 2.68, 95%, CI: 1.58–4.56)), poor self- care practice ((OR = 1.47, 95%CI: 1.25–1.73)), type I diabetes mellitus ((OR = 0.42, 95%, CI: 0.22–0.79)), staying with DM for < 10 years ((OR = 0.23, 95%, CI: 0.11–0.50)), and age < 45 years ((OR = 0.44, 95%, CI: 0.21–0.92)). Conclusion The prevalence of diabetic foot ulcers in Ethiopia is relatively low, although its trend is increasing from time to time. Socio-demographic factors, body weight, and healthcare practice contribute to the development of diabetic foot ulcers. Appropriate interventions towards patient self-care practice, lifestyle modification and follow-up are wanted to prevent diabetic foot ulcers.


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