scholarly journals Foot care among recently diagnosed diabetic patients in Muhayel, Aseer Region, Saudi Arabia

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Abdullah A. Hassan ◽  
Yahia M. Alkhaldi ◽  
Bassam M.K Mawkili ◽  
Bandar A.M. Al-Mudawi ◽  
Ayidh A.A. Alasmari
Keyword(s):  
Saudi Arabia ◽  
Diabetic Foot ◽  
Heart Diseases ◽  
Young Patients ◽  
Self Care ◽  
Care Practice ◽  
Diabetic Patients ◽  
Key Words Diabetes ◽  
Foot Care ◽  
Care Assessment

Background: Amputations and ulcers of foot are the main causes of disability, morbidity, physical and emotional costs among diabetics. Management of their risk factors and early recognition can delay or prevent the beginning of any adverse outcomes. Objectives: To assess the levels of knowledge and practice regarding foot care among recently diagnosed diabetic patients. Subjects and Methods: A cross-sectional study was conducted at primary healthcare centers belonging to the Ministry of Health, Muhayil city, Aseer Region, Kingdom of Saudi Arabia (KSA) among recently diagnosed (i.e., before two years) diabetic patients. A study questionnaire (in a simple Arabic language) was used to collect data related to personal characteristics, present history related to diabetes, fasting blood sugar control (mg/dL), provided medical care, assessment of knowledge about foot self-care and prevention of diabetic foot and assessment of patient’s daily practices related to foot self-care. Results: The study included 250 recently diagnosed diabetic patients. Males represented 55.6% of them. Only 14.8% had glycemic control, based on HbA1c level <7%. Generally, 66% of patients had poor knowledge regarding diabetic foot, whereas only 13.6% of them had good knowledge. Good foot care practice was observed among 52% of patients. Young patients (20-30 years old) were more likely to have good foot care practice than those aged over 60 years, p=0.026. Patients with heart diseases were significantly less likely to have good foot care practice compared to those without cardiac diseases, p=0.039. Patients with HbA1c<7% were significantly more likely to express good foot care practice than those with HbA1c 7%, p=0.006. There was a significant association between patients’ knowledge about foot care and their practice, p<0.001. Regarding provided foot-related health care, 90.8% of patients reported undergoing feet examination by their physicians, 63.2% reported that physicians explained to them the importance of foot care and how to perform it (60.0%). Less than half of patients (45.2%) received health educational brochures about foot care Conclusion: Most recently diagnosed diabetic patients in Muhayil City, Aseer Region, KSA have inadequate knowledge and poor practices regarding foot care. Intensive health education regarding diabetic foot care is highly recommended. Key words: Diabetes mellitus, diabetic foot, foot care, knowledge, practice, Saudi Arabia.

scholarly journals A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (9) ◽  
pp. 138
Author(s):  
Gopal Teli ◽  
B. G. Ponnappa
Keyword(s):  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Research Centre ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The Mean

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.

scholarly journals Awareness of diabetic foot disease among patients with diabetes mellitus in Al-Ahsa Saudi Arabia

2021 ◽  
Vol 8 (12) ◽  
pp. 3506
Author(s):  
Abdulaziz S. Aldhafar ◽  
Mohamed Abdullah ◽  
Abdulaziz K. Althafar
Keyword(s):  
Diabetes Mellitus ◽  
Saudi Arabia ◽  
Diabetic Foot ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Diabetic Foot Disease ◽  
Foot Disease ◽  
Knowledge Attitude And Practice

Background: The prevalence of diabetes mellitus (DM) in Saudi Arabia is 18.3% in 2020. One of the most common complications that affects diabetic patients is diabetic foot disease (DFD). Patient education is the most effective way to reduce the complications of DFD.Methods: A cross-sectional study was conducted in the period from January to May 2021. A pretested standardized questionnaire was used to collect information upon knowledge, attitude and practice toward diabetic foot care. Data entry was performed using SPSS.Results: The responses of 480 of which 294 male and 186 female, 41.6% have high school degree, 19.3% have bachelor’s degree and 2.2% have master or Ph. D. degree. The mean age of the respondents was 47 years. The 58% of the participant agreed that they might develop reduce flow to their feet. half of the participant were not aware that smoking can reduce blood flow in their feet. There were only 2.3% of the respondents attended a class on how to care of the foot. Participants who received information about foot care from a nurse and physician were 23% and 9.2% respectively. The 97.5% of the participant would like to know how to care for their foot. 75.8% of participants walk barefoot and 42.2% use a comfortable coated shoe.  Conclusions: Participants have inadequate knowledge, attitude and practice about DFD. providing a structured educational program about diabetic foot care has significant impact on diabetic patient to improve their knowledge and practices and to motivate them to have a positive attitude toward diabetic foot care.

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

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.

scholarly journals Prospective study on the knowledge and practice of foot care among diabetic patients

2020 ◽  
Vol 9 (6) ◽  
pp. 924
Author(s):  
Meghana Manjunath ◽  
Nandini T.
Keyword(s):  
Diabetic Foot ◽  
Rural Areas ◽  
Foot Ulcer ◽  
Knowledge Score ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
History Of ◽  
Knowledge And Practice ◽  
Urban And Rural Areas

Background: The magnitude of diabetic foot ulcers (DFUs) and the amputation rates due to DFUs are high in India. Proper diabetic foot care can minimize these rates. Although numerous such studies have been done, reinforcement of awareness to practice diabetic foot care is necessary to reduce the incidents of DFUs.Methods: 134 voluntary participants from SSMC, Tumkur and Karnataka Institute of Endocrinology and Research, Bangalore were included following ethical clearance. The patients were requested to fill the validated knowledge and practice questionnaire which were presented to them in their own language. Demographic details of the participants were also collected. The responses were recorded and statistically analyzed. A score of >70% was gauged as good, 50 to 70% as satisfactory and <50% as poor.Results: Of the 134 participants, 73.13% had good knowledge on foot care, 22.8% had good foot care practice and 73.13% had a satisfactory practice score. Patients with history of foot ulcer had a mean score (±SD) of 12.75 (±1.91) knowledge score and 47.75 (±6.05) practice score which is lower compared to those without history of ulcers, 13.86 (±2.37) and 55.40 (±6.88) respectively. Patients from urban and rural areas had about the same mean scores, 13.51 (±2.50), 54.98 (±6.83) and 13.30 (±2.60), 54.73 (±7.49) (knowledge, practice score) respectively.Conclusions: Foot care among diabetics is only satisfactory and has to be improved. Knowledge is the key to better practice so early diagnosis, repeated counselling, regular follow ups and good sugar control is necessary to reduce incidents of DFUs.

scholarly journals Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Tolossa ◽  
Belayneh Mengist ◽  
Diriba Mulisa ◽  
Getahun Fetensa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Self Care ◽  
Foot Ulcer ◽  
Foot Ulcers ◽  
Care Practice ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers

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.

scholarly journals SELF CARE PADA PASIEN DIABETES MELITUS DENGAN PENYULIT ULKUS KAKI DIABETIK

2021 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Sri Dewi Megayanti ◽  
Ns. Putu Inge Suantika, S.Kep.,M.Kep
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Self Care ◽  
Foot Ulcer ◽  
Sampling Technique ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Foot Care ◽  
Convenience Sampling

ABSTRAKLatar Belakang: Diabetes self-care merupakan perilaku perawatan diri pasien diabetes yang meliputi pengaturan diet, penggunaan insulin, olahraga dan perawatan kaki. Diabetes self-care memiliki efek langsung pada kontrol glikemik dalam terjadinya ulkus kaki diabetic. Skor PEDIS merupakan form pemeriksaan yang digunakan perawat dalam menilai keparahan ulkus kaki. Keterbatasan intervensi ulkus kaki yang diberikan oleh perawat saat ini disebabkan oleh terbatasnya data tentang self-care pada pasien diabetes. Tujuan penelitian mengetahui self-care pasien diabetes dengan komplikasi ulkus kaki menggunakan metode pengukuran skor PEDIS yang teridiri dari pemeriksaan perfusi, luas luka, kedalaman luka, keberadaan infeksi dan sensasi kaki.Metode: Penelitian ini termasuk penelitian kuantitatif, dimana penentuan responden menggunakan teknik Convenience sampling dengan jumlah sampel adalah 125, analisa data yang digunakan dengan metode  deskriptif.Hasil: Pada penelitian ini 53,8 % reponden memiliki diabetes self-care yang adekuat dan rata- rata responden memiliki Skor PEDIS 2,08.Kesimpulan: dalam penelitian ini sebagian besar responden memiliki diabetes self-care yang tidak adekuat.  Nilai Diabetes self-care dapat digunakan oleh perawat untuk mengetahui tingkat kualitas perawatan diri pasien selama ini sehingga memudahkan dalam menentukan intervensi yang tepat untuk mencegah terajadinya perburukan ulkus kaki. Kata kunci: diabetes mellitus tipe 2, diabetes self-care, dan ulkus kaki diabetik. ABSTRACTBackground: Diabetes self-care is a diabetes patient self-care behavior that includes diet management, insulin use, exercise and foot care. Diabetes self-care has a direct effect on glycemic control in the occurrence of diabetic foot ulcers. The PEDIS score is an examination form that nurses use in assessing the severity of foot ulcers. The limitations of the foot ulcer intervention given by nurses at this time are due to limited data on self-care in diabetic patients. The aim of this study was to determine the self-care of diabetic patients with complications of foot ulcers using the PEDIS score measurement method which consists of examination of perfusion, wound area, wound depth, presence of infection and foot sensation.Methods: This research is a quantitative study, where the determination of the respondents using the convenience sampling technique with a sample size of 125, the data analysis used is the descriptive method.Results: In this study 53.8% of respondents had adequate diabetes self-care and the mean of respondents had a PEDIS score of 2.08. Conclusion: in this study most of the respondents had inadequate self-care diabetes. The value of diabetes self-care can be used by nurses to determine the level of quality of patient self-care so far, making it easier to determine the right intervention to prevent worsening of foot ulcers. Keywords: type 2 diabetes mellitus, diabetes self-care, and diabetic foot ulcers. 

scholarly journals Perception of Self-care and Self-care Practice of Diabetic Patients Attending Selected Hospitals in Oyo State, Nigeria

2021 ◽  
Vol 1 (2) ◽  
pp. 50-59
Author(s):  
Aina M.A. ◽  
Agbede C.O.
Keyword(s):  
Glucose Monitoring ◽  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Perception Of Self ◽  
Care Practices

Patients with diabetes require continuous self-care practice as poor self-care results in complications. This study assessed the perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. An institutional-based cross-sectional study was employed and a total of 120 diabetic patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaires were used for data collection. The collected data were analysed using IBM SPSS version 23 to generate descriptive (Mean and standard deviation) and inferential (Chi-square and correlation) statistics. The respondents had a mean perception score of 30.68±7.56. Majority 113(94.2%) of the respondents had poor self-care practices. Respondents’ perception was significantly correlate with patient physical activity (r= 0.184; p=0.004); healthy eating (r=-0.24; p= 0.026); glucose monitoring (r=0.319; p=0.000); compliance with medication (r= 0.438; p = 0.00); risk reduction (r= 0.229; p=0.012) However, patient perception is not correlated with foot care (r= 0.052; p=0.575). Patient’s perception of diabetes is a key determinant of self-care. It is recommended that psycho cognitive interventions are developed to help patients practice the recommended self-care practices.

Knowledge and practice of diabetic foot care among diabetic patients in Aseer region, Saudi Arabia

2020 ◽  
pp. 95-100
Author(s):  
Manea Al-Jarallah ◽  
Mohammed Alqahtani ◽  
Saad Alshahrani ◽  
Nawaf Alshahrani ◽  
Abdullah Mohammed Alshehri
Keyword(s):  
Saudi Arabia ◽  
Diabetic Foot ◽  
Diabetic Patients ◽  
Foot Care ◽  
Knowledge And Practice

scholarly journals Adherence of Type 2 Diabetic Patients to Self-Care Activity: Tertiary Care Setting in Saudi Arabia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ali Hassan Alhaiti ◽  
Mohammed Senitan ◽  
Wireen Leila T. Dator ◽  
Chandrakala Sankarapandian ◽  
Nadiah Abdulaziz Baghdadi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Fruits And Vegetables ◽  
Tertiary Care ◽  
Self Care ◽  
Well Being ◽  
Diabetic Patients ◽  
Foot Care ◽  
Type 2 Diabetic Patients ◽  
Positive Effects ◽  
Adherence To Medication

Aim. To analyse the prevalence of self-care practices in T2D patients in KSA. Methods. The study was conducted in King Fahad Medical City (KFMC) in Saudi Arabia, and 385 patients were selected as samples. Data were collected using the Summary of Diabetes Self-Care Activities-Arabic (SDSCA) and consisted of 14 items related to self-care activities of T2D patients related to management and control of disease and four other aspects related to education and advice from healthcare members regarding management of T2D. Results. The self-care attributes including adherence to medication commitment activities ( M = 6.13 , SD = 1.25 ) were the most practised of all the domains. Glucose monitoring ( M = 4.15 , SD = 2.42 ) and foot care ( M = 3.28 , SD = 1.69 ) were at an average level, and adherence to the diet plan and exercise was found to be at a poor level ( M = 2.57 , SD = 1.73 and M = 2.13 , SD = 2.00 ) respectively. About 179 patients (74.3%) were found to be advised to follow a low-fat eating plan, and only 89 patients (36.9%) had received information concerning fruits and vegetables in their diet. More than 90% patients were found to be advised to strictly carry out exercise and blood sugar monitoring. Conclusion. It was found that adherence to self-care activities including diet, exercise, and foot care was relatively poor while intake of medication was strictly followed. The education provided by healthcare providers related to self-management attributes was found to be significant and had positive effects on the overall health and well-being of T2D patients.

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