Knowledge and Practice of Foot Care in Iranian People with Type 2 Diabetes

Overview

Journal Int Wound J

Specialties Emergency Medicine
Orthopedics

Date 2007 Dec 25

PMID 18154624

Citations 28

Authors

Mohammad Ebrahim Khamseh

Nasibeh Vatankhah

Hamid Reza Baradaran

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to determine the knowledge and practice of foot care in people with type 2 diabetes. We carried out a cross-sectional study. A questionnaire was completed by 148 patients with type 2 diabetes in Tehran, Iran. Knowledge score was calculated and the current practice was determined. The mean knowledge score was 6.6 (standard deviation +/-3.0) out of a possible 16. Illiterate patients were the least knowledgeable (P= 0.008). Lack of adequate knowledge includes the following: 56% not aware of the effect of smoking on the circulation to the feet, 60% failed to inspect their feet and 42% did not know to trim their toenails. High risk practices including use of irritants to water (66.5%) and walking barefoot (62%). The results of this study highlight the patients' inadequate knowledge of self-care about their foot and lack of optimal podiatry service in Iran. These findings have implications for further evaluation, planning and management of patient care in diabetic foot disease.

Citing Articles

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Diabetic Foot Risk Assessment among Patients with Type 2 Diabetes in Kenya.

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References

Abu-Qamar M . Diabetic foot screening: why is it neglected?. Int Wound J. 2006; 3(3):203-13. PMC: 7951791. DOI: 10.1111/j.1742-481X.2006.00232.x. View

Vijan S, Stevens D, Herman W, Funnell M, Standiford C . Screening, prevention, counseling, and treatment for the complications of type II diabetes mellitus. Putting evidence into practice. J Gen Intern Med. 1997; 12(9):567-80. PMC: 1497162. DOI: 10.1046/j.1525-1497.1997.07111.x. View

Barth R, Campbell L, Allen S, Jupp J, Chisholm D . Intensive education improves knowledge, compliance, and foot problems in type 2 diabetes. Diabet Med. 1991; 8(2):111-7. DOI: 10.1111/j.1464-5491.1991.tb01555.x. View

Pollock R, Unwin N, Connolly V . Knowledge and practice of foot care in people with diabetes. Diabetes Res Clin Pract. 2004; 64(2):117-22. DOI: 10.1016/j.diabres.2003.10.014. View

Neil J . Assessing foot care knowledge in a rural population with diabetes. Ostomy Wound Manage. 2004; 48(1):50-6. View

Litzelman D, Slemenda C, Langefeld C, Hays L, Welch M, Bild D . Reduction of lower extremity clinical abnormalities in patients with non-insulin-dependent diabetes mellitus. A randomized, controlled trial. Ann Intern Med. 1993; 119(1):36-41. DOI: 10.7326/0003-4819-119-1-199307010-00006. View

De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S . Are Type 2 diabetic patients offered adequate foot care? The role of physician and patient characteristics. J Diabetes Complications. 2005; 19(6):319-27. DOI: 10.1016/j.jdiacomp.2005.02.005. View

Mason J, OKeeffe C, Hutchinson A, McIntosh A, Young R, Booth A . A systematic review of foot ulcer in patients with Type 2 diabetes mellitus. II: treatment. Diabet Med. 1999; 16(11):889-909. DOI: 10.1046/j.1464-5491.1999.00137.x. View

Valk G, Kriegsman D, Assendelft W . Patient education for preventing diabetic foot ulceration. A systematic review. Endocrinol Metab Clin North Am. 2002; 31(3):633-58. DOI: 10.1016/s0889-8529(02)00021-x. View

10.

Ooi G, Rodrigo C, Cheong W, Mehta R, Bowen G, Shearman C . An evaluation of the value of group education in recently diagnosed diabetes mellitus. Int J Low Extrem Wounds. 2007; 6(1):28-33. DOI: 10.1177/1534734606297295. View

11.

Wild S, Roglic G, Green A, Sicree R, King H . Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004; 27(5):1047-53. DOI: 10.2337/diacare.27.5.1047. View

12.

Kruger S, GUTHRIE D . Foot care: knowledge retention and self-care practices. Diabetes Educ. 1992; 18(6):487-90. DOI: 10.1177/014572179201800606. View

13.

Malone J, Snyder M, Anderson G, Bernhard V, Holloway Jr G, Bunt T . Prevention of amputation by diabetic education. Am J Surg. 1989; 158(6):520-3; discussion 523-4. DOI: 10.1016/0002-9610(89)90183-9. View

14.

Baradaran H, Knill-Jones R, Wallia S, Rodgers A . A controlled trial of the effectiveness of a diabetes education programme in a multi-ethnic community in Glasgow [ISRCTN28317455]. BMC Public Health. 2006; 6:134. PMC: 1489930. DOI: 10.1186/1471-2458-6-134. View

15.

Eastman R, Javitt J, Herman W, Dasbach E, Maier W, Dong F . Model of complications of NIDDM. II. Analysis of the health benefits and cost-effectiveness of treating NIDDM with the goal of normoglycemia. Diabetes Care. 1997; 20(5):735-44. DOI: 10.2337/diacare.20.5.735. View

16.

Hawthorne K, Tomlinson S . Pakistani moslems with Type 2 diabetes mellitus: effect of sex, literacy skills, known diabetic complications and place of care on diabetic knowledge, reported self-monitoring management and glycaemic control. Diabet Med. 1999; 16(7):591-7. DOI: 10.1046/j.1464-5491.1999.00102.x. View