Study on the current knowledge on diabetic foot care practices and footwear selections among patients attending to the diabetic clinic at Colombo South Teaching Hospital

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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Foot care practices among Diabetologists in India: A descriptive study by the Diabetic Foot Research India

International Journal of Diabetes in Developing Countries ◽

10.1007/s13410-020-00847-y ◽

2020 ◽

Author(s):

Vijay Viswanathan ◽

Sukanya Nachimuthu ◽

Balkhiwala Ahmed Khan

Keyword(s):

Diabetic Foot ◽

Descriptive Study ◽

Foot Care ◽

Care Practices

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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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Foot Care Practices And Knowledge Among The Hospitalized Diabetic Older Adult In The Teaching Hospital, Kuala Lumpur

International journal of Nursing Didactics ◽

10.15520/ijnd.v8i05.2130 ◽

2018 ◽

Vol 08 (05) ◽

pp. 01-06

Author(s):

Hussein SZ

Keyword(s):

Older Adult ◽

Teaching Hospital ◽

Kuala Lumpur ◽

Foot Care ◽

Care Practices

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Bacterial Profile of Diabetic Foot Ulcers of Patients Visiting a Specialist Diabetic Clinic at Komfo Anokye Teaching Hospital, Kumasi, Ghana

British Journal of Medicine and Medical Research ◽

10.9734/bjmmr/2014/6054 ◽

2014 ◽

Vol 4 (27) ◽

pp. 4501-4510

Author(s):

Ruth Brenyah

Keyword(s):

Teaching Hospital ◽

Diabetic Foot ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Diabetic Clinic

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Predictors of Adherence Toward Specific Domains of Diabetic Self-Care Among Type-2 Diabetes Patients

Clinical Medicine Insights Endocrinology and Diabetes ◽

10.1177/1179551420981909 ◽

2020 ◽

Vol 13 ◽

pp. 117955142098190

Author(s):

Girma Degefa ◽

Kindie Wubshet ◽

Sisay Tesfaye ◽

Agete Tadewos Hirigo

Keyword(s):

Type 2 Diabetes ◽

Physical Exercise ◽

Diabetic Foot ◽

Self Care ◽

Healthy Diet ◽

Care Practice ◽

Foot Care ◽

Male Sex ◽

Care Practices

Background: Adequate knowledge, awareness, and adherence to diabetic self-care practices are vital tools to protect patients from risks of disease complications, developing comorbidity and mortality. Therefore, this study aimed to assess specific domains of diabetic self-care practice and associated factors among patients with type-2diabetes in Hawassa University Comprehensive Specialized Hospital, Sidama regional state. Materials and methods: A hospital-based cross-sectional study design was conducted on 217 patients with type 2 diabetes from January 01 to April 30, 2020. A structured questionnaire and the Summary of Diabetes Self-Care Activities (SDSCA) tool were used to collect relevant data through interviewer administration. Statistical analysis was done using SPSS version 23. Results: A total of 207 patients with type-2 diabetes were participated in the study with a 95% response rate. Overall 47.8% (95%CI: 41.2-55) of patients adhered to diabetic self-care practice. Concerning the specific domain of self-care practice, 54.6%, 39.1%, 28%, and 65.2% of patients adhered to a healthy diet, physical exercise, self-monitoring blood glucose (SMBG), and diabetic foot care practices, respectively. Besides, all patients received at least 80% of the prescribed doses and frequency of anti-diabetic agents and 60.4% had good glycemic control. Receipt of advice from treating physicians and having no familial history of diabetes were significantly associated with adherence toward eating a healthy diet, diabetic foot care, and SMBG. While male sex was associated with adherence toward healthy diet management. Moreover, having glucometer, age, male sex, diabetes duration ⩾ 5 years, and anti-diabetic treatment modality were associated with adherence toward SMBG. Conclusion: This study indicates 52.2%, 72%, and 60.1% of diabetes patients did not adhere to diabetic self-care, SMBG, and physical exercise, respectively. Improving awareness and regular diabetic education is imperative to scale up patients’ adherence toward diabetic self-care practice.

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