Association Between Smoking and Foot Ulcer among Patients with Diabetes Mellitus, Wad Medani, Sudan

Background: This study aimed to assess the relationship between smoking and diabetic foot ulcer (DFU) among adult diabetic patients presenting to Aldarga Diabetic Center, Wad Medani, Sudan in 2020. Methods: This comprehensive study is based on primary data obtained via a longitudinal cross-section random sample of 400 patients with diabetes mellitus who presented to Aldarga Diabetic Health Center in Wad Medani Town, Gezira State, Sudan between September and December 2020. Data were collected using a structured questionnaire. The core questions included two main dimensions: sociodemographic variables and smoking. Data were analyzed using the SPSS software, v.20, using descriptive and inferential statistics, namely, frequency tables and graphs, showing the Chi-square test of the relationship between the dependent and the independent variables. Results: Of the 400 participants, 96 were clearly diagnosed with foot ulcer giving a proportion of 33% in the sample. There was a statistically significant relationship between smoking and DFU. A Chi-square test was done to measure the relationship between smoking and foot ulcer, which was significant at P = 0.043. Conclusion: Extensive awareness programs to control the negative effect of smoking in accelerating DFU and amputation are necessary.

The risk factors of developing diabetic foot ulcers incidence with diabetic patients in Mukalla/Yemen

Sudan Journal of Medical Sciences ◽

10.18502/sjms.v15i2.6750 ◽

2020 ◽

Author(s):

مريم باراس ◽

Eidha A. Bin Hameed

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Blood Glucose ◽

Bacterial Infection ◽

Diabetic Foot ◽

Age Groups ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Diabetic Patients ◽

Background: Diabetes is on the rise worldwide and is already considered as an epidemic by some experts. So, there is a need to raise awareness on the important factors that can help prevent bacterial infection in wounds of patients with diabetes. Objective: To study the risk factors of developing diabetic foot ulcer (DFU) in patients with diabetes. The study is the first in Yemen to investigate the prevalence of bacterial infection in wounds of diabetic patients. Materials and Methods: This is a case-control study carried out from November 2018 to May 2019. Twenty diabetic patients with foot ulcer and twenty without foot ulcer were examined. Risk factors and clinical profile of patients were studied by using a standardized questionnaire that included gender, age groups, past history of diabetes, duration of the disease, type of diabetes, DFU, type of ulcer, smoking, glucose level, and control of blood glucose level. Results: The risk factors that affected significantly the occurrence of DFU were gender (0.038), age groups (0.010), and duration of diabetes mellitus (DM) while hyperglycemic control, smoking, and family history were not. There was no significant difference (0.977) in mean fasting blood glucose (MBG) between the DM and DFU patients. Conclusions: Male diabetic patients aged more than 55 years and suffering from DM for more than 10 years were most likely to have DFU. Key words: diabetic foot ulcer, diabetes mellitus, risk factors, Yemen

Karakteristik Diabetic Foot Ulcer (DFU) pada Individu dengan Diabetes Mellitus (DM): Studi Deskripsi – Cross Sectional

Journal of Holistic Nursing Science ◽

10.31603/nursing.v7i2.3074 ◽

2020 ◽

Vol 7 (2) ◽

pp. 88-98

Author(s):

Niken Safitri Dyan Kusumaningrum ◽

Afriana Dwi Saputri ◽

Henni Kusuma ◽

Meira Erawati

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Limb Amputation ◽

Diabetic Patients ◽

Fatty Tissue ◽

Inclusion Criteria ◽

Cross Sectional ◽

Diabetic Foot Ulcer (DFU) is one of the complications often experienced by patients with diabetes mellitus (DM). This is a serious problem that leads to disability, morbidity, and mortality among diabetic patients. However, in Indonesia, studies about DFU characteristics are very limited. This study aimed to describe DFU characteristics among patients with DM. A consecutive sampling involved patients who met inclusion criteria was performed in Tugurejo Hospital; Islamic Sultan Agung Hospital, and Dr. Moewardi Hospital. Their demographic characteristics, clinical condition, and wound appearances were noted and documented. Diabetic Foot Ulcer Assessment Scale (DFUAS) that consists of 11 characteristics was used to observe the wound features. The data were quantitatively analyzed to elucidate the result. A total of 73 patients participated in this study. It was revealed that 50.7% were females and 75.3% have been diagnosed with hyperglycemia. The average age of the respondents was 53.26 years. Observation of DFU characteristics showed that depth of wound was identified more in subcutaneous/ dermis to fatty tissue (40 patients; 54.8%) than in other layers. Moreover, our findings indicated that most of the respondents were identified at a severe level of the wound (55; 75.3%). It is concluded that DFU characteristics vary among patients with DM. Early identification and intensive surveillance are important to improve the management of DFU and to avoid lower limb amputation.

Knowledge of Risk Factors for Foot Ulceration among Patients with Diabetes Mellitus Attending a Tertiary Health Facility in Nigeria

Iranian journal of diabetes and obesity ◽

10.18502/ijdo.v13i3.7184 ◽

2021 ◽

Author(s):

Martins Ehizode Emuze ◽

Taoreed Adegoke Azeez ◽

Arinola Esan ◽

Jokotade Adeleye ◽

William Balogun ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Health Facility ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Diabetic Patients ◽

Foot Ulceration ◽

Validated Questionnaire ◽

Objective: Diabetic foot ulcer (DFU) is a relatively common complication of diabetes mellitus and constitutes a major cause of mortality. This study aimed to assess the knowledge of risk factors for foot ulceration among patients with diabetes in a tertiary health facility in South Western Nigeria. Materials and Methods: This cross-sectional study was initiated with participation of 100 diabetic patients. Diabetic patients were attending the medical outpatient clinic of the University College Hospital, Ibadan. A structured and validated questionnaire was administered and data was analyzed using SPSS 22. Association between sociodemographic characteristics and knowledge of risk factors for foot ulceration was evaluated by chi-square test. Results: Most of respondents were female (66%). The mean age of the patients was 58.77 (±11.8) years and 51% of patients did not know that it is possible to develop foot ulcer without feeling pain and 30% did not know that features suggestive of neuropathy could be associated with development of foot ulcer. 75% did not know that surgical vascular repair could play any role in the healing of a diabetic foot ulcer. 11% of patients were walking barefooted at home and as much as 63% of respondents did not know that poor longterm glycemic control could be a risk factor for the development of diabetic foot ulcers. Conclusion: The knowledge of the patients attending the diabetes clinic of a tertiary hospital in south-western Nigeria on foot care is generally poor. Education in this direction is very paramount to correct this defect.

Short Report: The Moisture Balance with Aloe Vera Gel in Diabetic Wound Healing

International Journal of Nursing and Health Services (IJNHS) ◽

10.35654/ijnhs.v1i1.9 ◽

2018 ◽

Vol 1 (1) ◽

pp. 21-23

Author(s):

Fahrianto Selamet ◽

Andi Mayasari Usman ◽

Rian Adi Pamungkas

Keyword(s):

Diabetes Mellitus ◽

Wound Healing ◽

Wound Care ◽

Aloe Vera ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Short Report ◽

Bacterial Reduction ◽

Moisture Balance ◽

Diabetic foot ulcer (DF) is a chronic complication of diabetes mellitus (DM), which impact on the morbidity, mortality and quality of patients’ lives.Of those patients with diabetes mellitus, approximately 15% to 25% developed to the foot ulcer. Beside has the infection and debridement of devitalized tissue downloading; the moisture imbalance becomes the factors of recalcitrant to healing. Moist wound healing is often contraindicated to the non-healable wounds. While wound care involves the debridement, bacterial reduction, and moisture balance in order to achieve the good granulation of the tissue development and adequate blood supply.

The Relationship Of The Level Of Family Knowledge And Efforts To Prevent Complications Of Diabetes Mellitus Tipe 2 In The Working Area Of Babakan Public Health Center District Of Cirebon

Jurnal Kesehatan Mahardika ◽

10.54867/jkm.v8i1.17 ◽

2021 ◽

Vol 8 (1) ◽

pp. 14-19

Author(s):

Lukatul Khoiriyah ◽

Ramli Effendi ◽

Thia Oktiany

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Center ◽

P Value ◽

Chi Square ◽

Work Area ◽

Chi Square Test ◽

The level of family knowledge is a very important factor in the actions of families of people with Diabetes Mellitus, behavior based on knowledge will be easier to carry out than those not based on knowledge. Diabetes Mellitus is a disease that requires proper and immediate treatment efforts because it can cause complications such as heart disease, kidney failure, and damage to the nervous system. One way to overcome the effects of Type 2 Diabetes Mellitus is by applying a diet. This study aims to determine the relationship between the level of family knowledge with efforts to prevent complications of type 2 diabetes mellitus in the work area of Babakan Puskesmas, Cirebon Regency. This research method uses descriptive correlational, this research uses cross section research. The population is all families with type 2 Diabetes Mellitus in the work area of Babakan Puskesmas in Cirebon Regency as many as 144 respondents and sampling using Purposive Sampling obtained 60 respondents. The instruments used were questionnaire sheets, and data analysis using chi-square test that is the significance value α = 0.1. The results of the above study indicate between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in getting p-value = 0.04, because the p-value of 0.04 <0.1 then Ho is rejected and Ha is accepted which means there is a relationship between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in the work area of Babakan Health Center, Cirebon Regency.

Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study

Journal of Diabetes Research ◽

10.1155/2017/2879249 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 22

Author(s):

Tesfamichael G. Mariam ◽

Abebaw Alemayehu ◽

Eleni Tesfaye ◽

Worku Mequannt ◽

Kiber Temesgen ◽

...

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Cross Sectional Study ◽

Care Practice ◽

Diabetic Patients ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.

Factors associated with wound healing outcome among Diabetic Foot patients- A cross sectional Study

International Journal of AYUSH Case Reports ◽

10.52482/ijacare.v5i1.170 ◽

2021 ◽

Vol 5 (1) ◽

pp. 36-46

Author(s):

M Jayalakshmi ◽

P Thenmozhi

Keyword(s):

Diabetic Foot ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Cross Sectional Study ◽

Wound Management ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Patients With Diabetes ◽

One Year

Diabetic foot ulcer (DFU) has been identified as the leading reason for hospitalization among patients with diabetes. Patients with diabetes are at greater risk of complications, the most important of them are diabetic neuropathy and peripheral vascular disorders leading to the development of foot ulcers. The problem is generally faced and as well is considered as one among the most common complications of diabetes that affect millions of people all over the world. The current study, aimed to document the clinical profile and healing outcome of diabetic foot ulcer management which may become guidance for further improvement in wound management among diabetic foot ulcer patients. Cross sectional descriptive study was conducted over one-year period of time. A total of 246 Diabetic patients with a foot ulcer of Grade 1 to 3 participated in the study. Patients with higher grade ulcers of Grade 4 and 5 were excluded from the study. Final data analysis of 160 patients was done using SPSS version 20. The prevalence of Grade 2 and 3 ulcers were observed 54.37% and 31.8 % while Grade 1 ulcer was observed 13.75%. No risk factors were found to be significantly associated with diabetic foot ulcer. Wound was healed well in 50 % and partially healed in 21 % of the participants. Wound remains unchanged in 3 % of study participants, while 8% of participants underwent toe amputation. Foot ulceration is a preventable in many diabetic patients with adequate education, routine foot care and attention to foot wear.

Hubungan Karakteristik dan Kecerdasan Spiritual Perawat dengan Pemenuhan Kebutuhan Layanan Spiritual Pasien Rawat Inap

ARKESMAS (Arsip Kesehatan Masyarakat) ◽

10.22236/arkesmas.v4i2.3821 ◽

2020 ◽

Vol 4 (2) ◽

pp. 179-184

Author(s):

Nur Herawati ◽

Emma Rachmawati ◽

Mouhamad Bigwanto

Keyword(s):

Spiritual Intelligence ◽

Primary Data ◽

P Value ◽

Service Needs ◽

Chi Square ◽

Cross Sectional ◽

Level Of Education ◽

Chi Square Test ◽

Cross Sectional Design ◽

ABSTRACT Nurses in meeting spiritual service needs in patients are influenced by one of the factors namely spiritual intelligence. The purpose of the study was to determine the relationship between characteristics and nurse's spiritual intelligence by fulfilling the inpatient spiritual service needs in Banten Hospital in 2019. The study was conducted in Banten General Hospital in July-August 2019. This research was quantitative with a cross-sectional design by using a questionnaire as a primary data and using Chi-square test as the data analysis. The sample used all nurses in population with total sampling to 71 nurses. The results showed that respondents who fulfilled the needs of spiritual services were not as good as 37 respondents (52.1%). Bivariate results showed variables related to meeting spiritual service needs, namely the level of education (p value = 0.039), length of work (p value =0.042), and nurse spiritual intelligence (p value =0.022). Based on the results of this study it is suggested that there is a need for assistance or special mentors conducted by senior nurses to junior nurses (length of work ≤ 4 years). Because the results of this research prove that nurses who have a new length of work who have the opportunity to meet the needs of spiritual services are not good for patients. Keywords : Nurses, Spiritual Intelligence, Spiritual Service Needs.

Relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three selected Chinese hospitals

Tropical Journal of Pharmaceutical Research ◽

10.4314/tjpr.v20i1.26 ◽

2021 ◽

Vol 20 (1) ◽

pp. 183-190

Author(s):

Haidong Luo ◽

Yin Lin ◽

Jia Li ◽

Weiguo Xu

Keyword(s):

Diabetes Mellitus ◽

Sampling Technique ◽

Mood Disturbance ◽

Diabetic Patients ◽

Inclusion Criteria ◽

Duration Of Illness ◽

Long Duration ◽

Patients With Diabetes ◽

High Level ◽

Purpose: To determine the relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three hospitals in Chinese.Methods: This research utilized a quantitative and descriptive design, and included 200 diabetic patients who fulfilled the inclusion criteria for recruitment through a convenient sampling technique. The study applied Beck’s depression inventory II scale for assessment of depression, and a questionnaire for adherence to anti-diabetic medication.Results: A total of 64 (32 %) participants had diabetes for 6 to 10 years. There was a high level of adherence to anti-diabetic medication in 96 patients (48 %); 74 participants (37 %) had moderate adherence to anti-diabetic medication, while 30 patients (15 %) had low adherence. A majority of the patients (181, 90.5 %) had no depression. Six (6) patients (3 %) had mild mood disturbance, 2 patients (1 %) had borderline clinical depression, while 11patients (5.5 %) experienced moderate depression.Adherence to anti-diabetic medication was not associated with depression (p = 0.068). However, depression was associated with age ˃ 50 years (p = 0.041), female sex (p = 0.043), long duration of illness (> 5-years) (p = 0.048), and presence of one or more comorbidities (p = 0.049).Conclusion: There was no association between adherence to anti-diabetic medication and depression among diabetic patients. Keywords: Adherence to anti-diabetic medication, Beck’s depression inventory II, Depression, Diabetes mellitus

The Relationship between Type and Frequency of Online Food Ordering With Obesity in Students of Medan Area University

Britain International of Exact Sciences (BIoEx) Journal ◽

10.33258/bioex.v2i1.109 ◽

2020 ◽

Vol 2 (1) ◽

pp. 29-34

Author(s):

Laila Apriani Hasanah Harahap ◽

Evawany Aritonang ◽

Zulhaida Lubis

Keyword(s):

Sampling Method ◽

Cross Sectional Study ◽

Food Delivery ◽

Primary Data ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Food Frequency ◽

Chi Square Test ◽

Online food ordering is a food delivery service through applications that are obtained quickly and safely. This is related to obesity. This type of research uses a descriptive type of study, with a cross sectional study design. This research was conducted at Medan, Medan University with 83 samples taken using purposive sampling method. The data used are primary data obtained based on measurements of student weight and height, recall and food frequency are analyzed by chi- square test. The results of the study showed that there was a correlation between the frequency of online food ordering with obesity (p <0.001) and there was no correlation between the types of food and obesity (p = 0.099) in the students of Medan Area University. To deal with the problem of obesity, it is easy to get access to online food ordering.