Factors Associated with Awareness and Practice About Foot Care Among Patients Admitted with Diabetes Mellitus: A Cross Sectional Research from a Medical College Hospital of Southern India

Overview

Journal Nepal J Epidemiol

Specialty Public Health

Date 2020 Oct 12

PMID 33042593

Citations 4

Authors

H Pavithra

Kibballi Madhukeshwar Akshaya

Abhay Subashrao Nirgude

A G Balakrishna

Affiliations

Soon will be listed here.

Abstract

Background: Diabetes Mellitus (DM) causes micro and macro vascular complications. One of the complications of DM is diabetic foot that results in amputations and decreased quality of life. The aim of this study was to assess the awareness and practice about foot care and associated factors among admitted patients in a teaching hospital of coastal Karnataka, India.

Material And Methods: A cross-sectional study was conducted in a medical college hospital after obtaining institutional ethics approval from 24th December 2016 to 21st January 2017. Adults with diabetes (N=317) admitted in the hospital were interviewed with a validated structured questionnaire for awareness and practice regarding foot care. The scores obtained were further graded into good and poor. Data was analyzed with SPSS version 22 for descriptive statistics. Bivariate logistic and linear regressions were used to determine the association between variables and awareness/practice scores.

Results: Mean age of the participants was 56.98 (±10.54) years with males constituting the majority (63.4%). Good awareness and practice scores were observed among 69.1% and 41.6% participants, respectively. Good awareness scores were associated with male patients (p=0.027), currently not married (p=0.044), below poverty line socioeconomic status (p=0.014) and presence of foot ulcer (p=0.021). Good practice scores was associated with secondary schooling (p=0.003) and receiving insulin (p=0.045). Moderate correlation with coefficient 0.493 (p<0.001) was observed between awareness and practice scores.

Conclusion: Seven and four out of 10 study participants had good awareness and practice scores about foot care, respectively. A tailor-made health education module addressing the lacunae identified in the awareness and practice domains needs to be provided to the patients with diabetes mellitus.

Citing Articles

Good Quality of Life among People Living with Diabetes Mellitus Visiting the Outpatient Department of Endocrinology in a Tertiary Care Centre.

Aryal S, Bhandari R, Paudel S, Khadka R, Adhikari S, Kaphle M JNMA J Nepal Med Assoc. 2024; 61(268):945-948.

PMID: 38289753 PMC: 10792709. DOI: 10.31729/jnma.8370.

Foot self-care practices among diabetic patients attending a teaching hospital in Tamil Nadu, India.

Paramasivam S, Ramalingam G, Gani A J Family Med Prim Care. 2023; 12(9):2036-2041.

PMID: 38024893 PMC: 10657045. DOI: 10.4103/jfmpc.jfmpc_409_23.

Practice and Associated Factors Regarding Foot Care among Diabetes Mellitus Patients Attending a Rural Primary Health Center in South India.

Dhandapani S, Kambar S, Hiremath M Adv Biomed Res. 2022; 11:45.

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Preventive foot self-care practice and associated factors among diabetic patients attending the university of Gondar comprehensive specialized referral hospital, Northwest Ethiopia, 2021.

Mekonen E, Gebeyehu Demssie T BMC Endocr Disord. 2022; 22(1):124.

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References

George H, Rakesh P, Krishna M, Alex R, Abraham V, George K . Foot care knowledge and practices and the prevalence of peripheral neuropathy among people with diabetes attending a secondary care rural hospital in southern India. J Family Med Prim Care. 2014; 2(1):27-32. PMC: 3894008. DOI: 10.4103/2249-4863.109938. View

Pourkazemi A, Ghanbari A, Khojamli M, Balo H, Hemmati H, Jafaryparvar Z . Diabetic foot care: knowledge and practice. BMC Endocr Disord. 2020; 20(1):40. PMC: 7083045. DOI: 10.1186/s12902-020-0512-y. View

Yazdanpanah L, Nasiri M, Adarvishi S . Literature review on the management of diabetic foot ulcer. World J Diabetes. 2015; 6(1):37-53. PMC: 4317316. DOI: 10.4239/wjd.v6.i1.37. View

Hasnain S, Sheikh N . Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. J Pak Med Assoc. 2009; 59(10):687-90. View

De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S . Physician attitudes toward foot care education and foot examination and their correlation with patient practice. Diabetes Care. 2003; 27(1):286-7. DOI: 10.2337/diacare.27.1.286. View

Crawford F, Inkster M, Kleijnen J, Fahey T . Predicting foot ulcers in patients with diabetes: a systematic review and meta-analysis. QJM. 2007; 100(2):65-86. DOI: 10.1093/qjmed/hcl140. View

Ghannadi S, Amouzegar A, Amiri P, Karbalaeifar R, Tahmasebinejad Z, Kazempour-Ardebili S . Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis. J Diabetes Res. 2016; 2016:3730875. PMC: 4958437. DOI: 10.1155/2016/3730875. View

Rajasekharan D, Kulkarni V, Unnikrishnan B, Kumar N, Holla R, Thapar R . Self-care activities among patients with diabetes attending a tertiary care hospital in mangalore karnataka, India. Ann Med Health Sci Res. 2015; 5(1):59-64. PMC: 4350065. DOI: 10.4103/2141-9248.149791. View

Coyle M, Francis K, Chapman Y . Self-management activities in diabetes care: a systematic review. Aust Health Rev. 2013; 37(4):513-22. DOI: 10.1071/AH13060. View

10.

Hawthorne K, Robles Y, Cannings-John R, Edwards A . Culturally appropriate health education for Type 2 diabetes in ethnic minority groups: a systematic and narrative review of randomized controlled trials. Diabet Med. 2010; 27(6):613-23. DOI: 10.1111/j.1464-5491.2010.02954.x. View

11.

Adiewere P, Gillis R, Imran Jiwani S, Meal A, Shaw I, Adams G . A systematic review and meta-analysis of patient education in preventing and reducing the incidence or recurrence of adult diabetes foot ulcers (DFU). Heliyon. 2018; 4(5):e00614. PMC: 5986308. DOI: 10.1016/j.heliyon.2018.e00614. View

12.

. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2013; 37 Suppl 1:S81-90. DOI: 10.2337/dc14-S081. View

13.

Muhammad-Lutfi A, Zaraihah M, Anuar-Ramdhan I . Knowledge and Practice of Diabetic Foot Care in an In- Patient Setting at a Tertiary Medical Center. Malays Orthop J. 2015; 8(3):22-6. PMC: 4536395. DOI: 10.5704/MOJ.1411.005. View

14.

Chellan G, Srikumar S, Varma A, Mangalanandan T, Sundaram K, Jayakumar R . Foot care practice - the key to prevent diabetic foot ulcers in India. Foot (Edinb). 2012; 22(4):298-302. DOI: 10.1016/j.foot.2012.08.007. View

15.

Rahaman K, Majdzadeh R, Holakouie Naieni K, Raza O . Knowledge, Attitude and Practices (KAP) Regarding Chronic Complications of Diabetes among Patients with Type 2 Diabetes in Dhaka. Int J Endocrinol Metab. 2017; 15(3):e12555. PMC: 5702002. DOI: 10.5812/ijem.12555. View

16.

Alshammari Z, Alsaid L, Parameaswari P, Alzahrani A . Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia. J Family Med Prim Care. 2019; 8(6):2089-2094. PMC: 6618215. DOI: 10.4103/jfmpc.jfmpc_248_19. View

17.

Natalia de Sa P, Moura J, de Melo Junior E, de Almeida P, Macedo S, Silva A . [Knowledge, attitudes and practices for the prevention of diabetic foot]. Rev Gaucha Enferm. 2014; 35(3):36-42. DOI: 10.1590/1983-1447.2014.03.45187. View