DIABETIC FOOT CARE KNOWLEDGE AND ITS ASSOCIATED FACTORS AMONG TYPE 2 DIABETES PATIENTS

Background: Diabetes is traditionally known as a “silent disease,” exhibiting no symptoms until it progresses to severe target organ damage. Aims & Objective: The study was conducted to determine the knowledge of foot care ,knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Material and Methods: A Community based cross-sectional study was conducted at a primary health centre, Pondicherry, 107 subjects were selected by convenience sampling technique. Data was collected from December 2020 to March 2021, among type 2 diabetes who attended the diabetic clinic. A validated pretested questionnaire was used to assess the knowledge of foot care, knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Data was analysed using SPSS 21. Results: Among 107 diabetes patients 68(75.6%) of them had poor knowledge and only 2 (2.2%) of them had good practice. There was highly significant (p<0.001) relationship between knowledge of foot care and knowledge regarding foot care practice scores. There was highly significant association (p<0.05) between the knowledge of foot care with selected demographic variables of gender, occupation, alcohol consumption, regularity of treatment and source of information. Conclusions: It is a need of the hour to conduct health education programme to create awareness among rural people for better glycaemic control and prevention of ulcer foot in type 2 diabetes mellitus patients.

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Foot Care Practices And Its Associated Factors among Type 2 Diabetes Patients attending Health Care Clinics in Kuantan

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v18i2.667 ◽

2020 ◽

Vol 18 (2) ◽

Author(s):

Abdul Hadi A ◽

Azmi NH ◽

Md Aris MA ◽

Nasreen EH ◽

Che Ahmad A

Keyword(s):

Type 2 Diabetes ◽

Multivariate Logistic Regression Analysis ◽

Diabetes Patient ◽

Care Practice ◽

Foot Care ◽

Cross Sectional ◽

Health Clinics ◽

Primary Health ◽

Diabetes Patients

Introduction: Diabetes patients are predisposed to several micro as well as macrovascular complications. One most important and debilitating complication of diabetes are foot problems. However, it is preventable by simple intervention such as foot screening and foot care education to detect early problem so that early intervention can be done. This study aims to assess foot care practice among Type 2 diabetes patient attending primary health clinics in Kuantan. Materials and method: This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using convenient sampling method. Level of awareness and practice towards diabetic foot care was assessed using validated self-administered questionnaire. Multiple logistic regressions were performed to identify factors associated with foot care practice among the respondents. Results: Mean age of respondents involved was 56.36 (SD±10.9) years. About 59.6 % of respondents had poor foot care practice. Multivariate logistic regression analysis identified that, increasing age (aOR 0.97, 95% CI: 0.955-0.993) and good awareness towards foot problem (aOR 0.43, 95%CI: 0.289-0.643) were associated with good foot care practice. However, Malay patients (aOR 1.81, 95% CI: 1.002-3.271) and obese patients (aOR 1.9, 95% CI: 1.225-2.976) were associated with poor foot care practice after controlling other variables. Other factors such as education level, diabetes control as well as overweight did not show any significant association with foot care practice. Conclusion: Based on the result, majority of respondents had poor foot care practice. Poor awareness was associated with poor foot care practice. It can be concluded that sustainable patient education and compliance towards foot care practice at primary care level should be emphasized more to ensure good foot care practice implementation.

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Prevalence and determinants of poor glycaemic control: a cross-sectional study among Moroccan type 2 diabetes patients

International Health ◽

10.1093/inthealth/ihz107 ◽

2020 ◽

Cited By ~ 1

Author(s):

Ahmed Chetoui ◽

Kamal Kaoutar ◽

Soufiane Elmoussaoui ◽

Kaltoum Boutahar ◽

Abdesslam El Kardoudi ◽

...

Keyword(s):

Type 2 Diabetes ◽

Glycaemic Control ◽

Hba1c Level ◽

Associated Factors ◽

Bivariate Analysis ◽

Cross Sectional ◽

Poor Glycaemic Control ◽

Duration Of Diabetes ◽

Diabetes Patients

Abstract Background Diabetes remains poorly controlled in a high proportion of diabetes patients. This study examines the prevalence of poor glycaemic control and associated factors in type 2 diabetes patients in the Beni-Mellal Khenifra region in Morocco. Methods A cross-sectional survey was conducted in 2017 among 1456 diabetes patients attending primary health centres. Demographic and clinical data were collected through face-to-face interviews using structured and pre-tested questionnaires. Anthropometric measurements, including body weight, height and waist circumference were taken using standardized techniques and calibrated equipment. Glycaemic control was assessed in terms of the glycated haemoglobin (HbA1c) level and poor glycaemic control was defined as HbA1c ≥7% and a level <7% reflects good glycaemic control. Results Of the total participants, 66.3% had poor glycaemic control. Bivariate analysis showed that sex (p=0.010), education level (p=0.013), body mass index (p=0.048), duration of diabetes (p<0.0001) and type of therapeutic regimen (p<0.0001) were significantly associated with HbA1c level. However, multiple logistic regression analyses revealed that only a longer duration of diabetes (OR 1.525 [95% confidence interval {CI} 1.183–1.967], p=0.001) and receiving insulin therapy alone (OR 1.589 [95% CI 1.157–2.183], p=0.004) or a combination of oral antidiabetics with insulin (OR 2.554 [95% CI 1.786–3.653], p<0.001) were significantly associated with inadequate glycaemic control. Conclusions Despite the particularities of the region, the findings about glycaemic control and its cross-sectionally associated factors are in line with findings from other regions of Morocco. In this subgroup, the longer duration of diabetes and insulin treatment could constitute a cause leading to poor glycaemic control. However, inverse causality cannot be excluded.

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Assessment of awareness and practice of foot care and physical activity among people with type 2 diabetes attending a tertiary care teaching hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173816 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3218

Author(s):

Deepa L. N. ◽

Pallavi Murty ◽

Madhavi Reddy ◽

Muninarayan C. ◽

Soumya Shetty

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Teaching Hospital ◽

Tertiary Care ◽

Care Practice ◽

Diabetic Patients ◽

Strong Positive Correlation ◽

Foot Care ◽

Cross Sectional

Background: Diabetes Mellitus is one of the leading non communicable diseases in India. Associated complications are also on rise. Knowing about self-care becomes important to prevent these complications in them. This study was done to determine the level of awareness and practice of foot care among type 2 diabetes patients attending a tertiary care center.Methods: A cross sectional descriptive study done by interviewing 106 diabetic patients attending a teaching hospital in Kolar, using pretested questionnaire.Results: In the present study the mean (SD) of awareness and practice of foot care were 5.33 (3.09) and 6.54 (2.94) respectively. Low mean scores were significantly associated (p<0.05) with lack of formal education and not receiving advice on foot care by doctors. Only 51.9% of them were educated regarding foot care while 77% of the subjects were advised to do physical activity. Only 8.5% of them had good knowledge, 35.8% had satisfactory level and more than 50% of them had poor or very poor knowledge regarding foot care. On the other hand about 15.1% of the study participants’ foot care practice was good, 36.8% were satisfactory and 48.1% were poor or very poor in foot care practice. A strong positive correlation (r=0.85) was observed between level of awareness and practice of foot care which was statistically significant (p<0.001).Conclusions: Low mean scores of awareness and practice suggests that there is a need for focused educational intervention on foot care to all diabetic patients in order to prevent foot complications in them.

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Non-adherence to foot-care activities and its associated factors among patients with type 2 diabetes mellitus in an urban area of South India: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184745 ◽

2018 ◽

Vol 5 (12) ◽

pp. 5089

Author(s):

Mounica Chappidi ◽

Priyadarshini Chidambaram ◽

Shalini Sivananjiah ◽

Shivaraj Nallur Somanna

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Urban Area ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Foot Care ◽

Cross Sectional

Background: Type 2 diabetes mellitus (T2DM) is the commonest metabolic disorder with prevalence of 8.3% in India. The prognosis largely depends on complications seen in natural course of illness. Stringent adherence to self-care activities is a mandatory step in management of T2DM. Hence, this study was done to assess non-adherence to foot-care activities among patients with T2DM for associated factors and also to report findings of foot examination among non-adherent participants.Methods: A community based cross-sectional study was conducted in an urban area of Bengaluru. Using multi-stage sampling, 400 people with T2DM aged ≥18 years were selected. A pre-tested, semi-structured questionnaire was used to collect information regarding non-adherence to foot-care activities and foot examination was done for all the participants.Results: Though all the participants were aware regarding the foot-care activities, 86.7% of participants were not adherent. Females and those with lower monthly income had 2.91 and 3.47 significantly higher odds of being non-adherent to foot-care activities, respectively.Conclusions: The prevalence of non-adherence to foot-care activities among people with T2DM was observed to be high. Hence, more importance should be given to motivate people with T2DM in their follow-up visits regarding adherence to foot-care activities to avoid occurrence of complications.

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