scholarly journals Diabetic Foot Care Practice and its Associated Factors among Type 2 Diabetes Mellitus Patients Attending Primary Health Clinics in Kuantan, Malaysia: A Cross Sectional Study

2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Azmi NH ◽  
Abdul Hadi A ◽  
Md Aris MA ◽  
Nasreen HE ◽  
Che-Ahmad A
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Sectional Study ◽  
Foot Care ◽  
Cross Sectional ◽  
Health Clinics ◽  
Primary Health

  INTRODUCTION: One of the most important and debilitating complication of diabetes mellitus is foot problem such as ulcers, infections and amputations. However, these complications are preventable by simple intervention such as regular foot care practice. This study aims to assess the foot care practice and its associated factors among type 2 diabetes mellitus patients attending primary health clinics in Kuantan. MATERIALS AND METHODS: This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Level of awareness and practice toward diabetic foot care was assessed using validated self-administered questionnaire. Multiple logistic regressions were performed to identify factors associated with poor foot care practice among the respondents. RESULTS: About 59.6% of respondents had poor foot care practice and 50.9% had poor awareness level. Multivariate logistic regression analysis identified that, increasing age (OR  0.97, 95% CI: 0.955-0.993) and good awareness towards foot problem (OR  0.43, 95%CI: 0.289-0.643) were less likely to have poor foot care practice. However, Malay ethnicity (OR 1.81, 95% CI: 1.002-3.271) and obesity (OR  1.9, 95% CI: 1.225-2.976) were associated with poor foot care practice after controlling other variables. CONCLUSION: Majority of the respondents had poor foot care practice and poor awareness. Respondents who are older and have better awareness are less likely to have poor foot care practice. Diabetic patients who are Malays and/or obese are predicted to have poor diabetic foot practice and hence must be prioritized for a sustainable patient education and compliance towards foot care practice at primary care level. 

scholarly journals 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

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
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.

scholarly journals Prevalence and Associated Factors of Diabetic Foot at Risk among Type 2 Diabetes Mellitus Patients Attending Primary Health Clinics in Kuantan

2020 ◽  
Vol 19 (3) ◽  
Author(s):  
NH Azmi ◽  
A Abdul Hadi ◽  
MA Md Aris ◽  
HE Nasreen ◽  
A Che-Ahmad
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
At Risk ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Foot ◽  
Associated Factors ◽  
Care Practice ◽  
Health Clinics ◽  
Primary Health

Introduction: The diabetic foot at risk is the diabetic foot which is at risk of ulceration, hence the importance of identifying the foot at this stage. This study aims to assess the prevalence of diabetic foot at risk and its associated factors among type 2 diabetes mellitus patients’ attending primary health clinics in Kuantan. Methods and methods : This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Foot examination was carried out and foot at risk was classified based on the Kings’ Classification. Multiple logistic regressions were performed to identify the predictors for diabetic foot at risk. Results: The prevalence of diabetic foot at risk was 31.3%. Multivariate logistic regression analysis identified age (OR 1.04, 95% CI: 1.01-1.06), smoker (OR 4.11, 95% CI: 1.96-8.63) and duration of diabetes more than 10 years (OR1.77, 95% CI: 1.05-2.98) as risk factors for diabetic foot at risk. Respondents with higher diabetic foot practice score (OR 0.87, 95% CI: 0.77-0.98) have lesser risk of developing diabetic foot at risk. Conclusion: Patients who are older, smoker and/or have chronic diabetes are predicted to be at higher risk to develop the diabetic foot at risk. This study also showed that patients with better foot care practice has lesser risk. Therefore, these are the groups of patients that need to be targeted for early detection and intervention to prevent serious complications.

scholarly journals 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

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.

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

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.

Large-Scale Cross-Sectional Study of the Problem Areas in Diabetes Survey among Japanese Patients with Type 2 Diabetes Mellitus

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2393-PUB
Author(s):  
KENICHIRO TAKAHASHI ◽  
MINORI SHINODA ◽  
RIKA SAKAMOTO ◽  
JUN SUZUKI ◽  
TADASHI YAMAKAWA ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Large Scale ◽  
Japanese Patients ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Diabetes Survey

scholarly journals Relationship between childhood secondhand smoke exposure and the occurrence of hyperlipidaemia and coronary heart disease among Chinese non-smoking women: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e048590
Author(s):  
Kewei Wang ◽  
Yuanqi Wang ◽  
Ruxing Zhao ◽  
Lei Gong ◽  
Lingshu Wang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Secondhand Smoke ◽  
Chinese Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shs Exposure

ObjectiveThe objective of this study was to evaluate the influence of secondhand smoke (SHS) exposure during childhood on type 2 diabetes mellitus, hypertension, hyperlipidaemia and coronary heart disease among Chinese non-smoking women.MethodsIn this cross-sectional study, the SHS exposure data in childhood were obtained using a questionnaire survey. Self-reported childhood SHS exposure was defined as the presence of at least one parent who smoked during childhood.ResultsOf the 6522 eligible participants, 2120 Chinese women who had never smoked were assessed. The prevalence of SHS exposure in the entire population was 28.1% (596). SHS exposure during childhood was not significant for the standard risk factors of type 2 diabetes mellitus (p=0.628) and hypertension (p=0.691). However, SHS was positively associated with hyperlipidaemia (p=0.037) after adjusting for age, obesity, education status, physical activity, alcohol consumption, current SHS exposure status, diabetes mellitus and hypertension. In addition, childhood SHS increased the occurrence of coronary heart disease (p=0.045) among non-smokers after further adjusting for hyperlipidaemia.ConclusionSHS exposure during childhood is associated with prevalent hyperlipidaemia and coronary heart disease in adulthood among non-smoking Chinese women.

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