Knowledge Of Diabetic Foot Ulcer Care and Its Correlates Among Patients Visiting a Tertiary Care Hospital In Moradabad, India
Keywords:
care practices, Diabetic foot, knowledge, safe footwear, ulcer gradeAbstract
Introduction: Diabetes dramatically increases the risk of lower extremity amputation because of infected, non-healing foot ulcers. The objective was to assess the knowledge of diabetic foot practices and find association with socio-demographic variables in patients visiting a tertiary care hospital in Uttar Pradesh.
Methods: Hospital based cross-sectional study involving clinically diagnosed adult (>18 years) patients of Diabetic Foot.
Results: Maximum knowledge score was found in the age group 40-50 years, females, rural residence, semi-skilled/ skilled occupation, higher education, religion other than Hindu or Muslim, living alone and belonging to socio-economic class IV. The maximum attitude score in age>60 years, females, urban area, semi-skilled/ skilled workers, higher education, Hindu religion and living in a joint family. Among the practices, maximum score was seen in age>60 years, females, urban areas, semi-professional/ professional occupation and higher education. Significant association was seen with duration of Diabetes, prior receipt of information, treatment compliance and type of foot wear used.
Conclusion: This study highlights the importance of variables like compliance to treatment, barefoot walking, choice of footwear and grade of ulcer. Regular inculcation of health education and boosting self-care management during treatment will reduce the burden of this disease and reduce long term complications.
References
International Diabetes Federation Diabetes Atlas, 7th edi-tion 2015.
Rocha RM, Zanetti ML, Santos MAD. Behavior and knowledge basis for prevention of diabetic foot. Acta paul. enferm 2009; 22(1):17-23.
Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Jones KJ, Thompson MM, et al. Lower extremity amputa-tions – a review of global variability in incidence. Diabetic Medicine. 2011;28:(10)1144–53.
Ahmad O, Boschi-Pinto C, Lopez A, Lozano R, Inoue M. Age standardization of rates: a new WHO standard; 2001.
Global report on Diabetes. WHO; 2016
Edmonds ME, Foster AVM, Sanders LJ. A Practical Manual of nd Diabetic Foot Care. 2 ed. UK: Blackwell; 2008.
Rahman S. Diabetic Foot Ulcer. Predisposing factors and Management. BMJ 2006;332:407 10.
Satyavani K, Hemalatha K, Shabana T, Vijay V. The costs of treating long term diabetic complications in a develop-ing country: a study from India. J Assoc Physicians In-dia. 2013;61:102-9.
Vijay V, Seena R, Snehalatha C, et al. Routine foot exami-nation: the first step towards prevention of diabetic foot amputation. Practical Diabetes Int. 2000;17(4):112-4.
Vijay V, Snehalatha C, Ramachandran A. Sociocultural practices that may affect the development of the diabetic foot. IDF Bulletin. 1997;42:10-2.
Chandalia HB, Singh D, Kapoor V, Chandalia SH, Lamba PS. Footwear and foot care knowledge as risk factors for foot problems in Indian diabetics. Int J Diabetes Dev Ctries 2008;28:109 13.
Levin ME, Foster AVM, Edmonds ME. Diabetic Foot: A Clinical st Atlas. 1 ed. London: Jaypee; 2003.
Boulton AJM, Cavanagh PR, Rayman G. The Foot in Dia-betes. th 4 ed. UK: John Wiley & Sons; 2006.
Boulton AJM, Vileikyte L, Ragnarson-Tennvall G, Apel-qvist J. The global burden of diabetic foot disease. The Lancet 2005; 366(9498):1719-24.
American Diabetes Association. Consensus Development Conference on Diabetic Foot Wound Care. Advances in Wound Care 1999;12(7):353-61.
Boulton AJM, Armstrong DG, David G, Albert SF, Ste-phen F, Frykberg RG et al. Comprehensive Foot Examina-tion and Risk Assessment. Diabetes Care 2008;31(8):1679-85.
Bhatia, J.Y., Pandey, K., Rodrigues, C., Mehta, A., Joshi, V.R. 2003. Postoperative wound infection in patients un-dergoing coronary artery bypass graft surgery: A pro-spective study with evaluation of risk factors. Indian J. Med. Microbiol., 21: 246 251.
Wee HL, Ho HK, Li SC. Public awareness of diabetes mellitus in Singapore. Singapore Med J 2002;43:128-34.
Badruddin N, Basit A, Hydrie MZI, Hakeem R. Knowledge, attitude and practices of patients visiting a diabetes care unit. Pak J Nutrition 2002;1:99–102.
Chellan G, Srikumar S, Varma AK, Mangalanandan TS, Sundaram KR, Jayakumar RV et al. Foot care practice - the key to prevent diabetic foot ulcers in India. The Foot 2012;22(4):298-302.
University of Texas Diabetic Wound Classification 2015University of Texas Diabetic Wound Classification. 2015. http://www.fpnotebook.com/surgery/exam/Unv rstyOfTxsDbtcWndClsfctn.ht
Oberoi SS. Updating income ranges for Kuppuswamy’s socio economic status scale for the year 2014. Indian J Public Health 2015;59:156-7.
Mangal A, Kumar V, Panesar S, Talwar R, Raut D, Singh S. Updated BG Prasad socioeconomic classification, 2014: A commentary. Indian J Public Health 2015;59:42-4.
Thomson FJ, Veves A, Ashe H, Knowles EA, Gem J, Walker MG, Hirst P, Boulton AJM: A team approach to diabetic foot care: the Manchester experience. The Foot 1991;2:75-82.
Edmonds ME, Blundell MP, Morris HE, Maelor-Thomas E, Cotton LT, Watkins PJ: Improved survival of the dia-betic foot: the role of the specialist foot clinic. Q J Med 1986;232:763-71.
Young MJ, Breddy JL, Veves A, Boulton AJM. The Predic-tion of Diabetic Neuropathic Foot Ulceration Using Vi-bration PerceptionThresholds A prospective study. Dia-betes Care 1994;17(6):557-60.
Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A, Mohan V. Awareness and knowledge of diabe-tes in Chennai-the Chennai urban rural epidemiology study. JAPI 2005;53:283-7.
Bashar MA, Goel S. Knowledge, Attitude and Self-care practises of type 2 Diabetics towards Diabetes and its complications in a rural block of Haryana, North India. National Journal of Research in Community Medicine 2016;5(2):91-7.
Upadhyay DK, Palaian S, Shankar PR., Mishra P. Knowledge,attitude and practice about diabetes mellitus among diabetes mellitus patients in Western Nepal, Ma-nipal Teaching Hospital. RMJ 2008;33(1):8-11.
Pollock RD, Unwin NC, Connolly V . Knowledge and practice of foot care in people with diabetes. Diabetes Res Clin Practical 2003;64(2).
Viswanathan V, Madhavan S, Rajasekar S, Chamukultan S, Ambodye R. Amputation Prevention Initiative in South India:Positive Impact of Foot Care Education. Diabetes care 2005;28(5):1019-21.
Boulton AJ, Jude EB. Therapeutic footwears in diabetes: the good, the bad, and the ugly? Diabetes Care 2004; 27: 1832-3.
Saeed N. Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health. J Pak Med Assoc 2010;60(9):732-5.
Padma K. Bele SD, Bodhare TN, Valsangkar S. Evalua-tion of knowledge and self care practices in Diabetic pa-tients and their role in disease management. National Journal of Community Medicine 2012;3(1):3-9.
Wankum N, Hongsranagon P, Sivina S, Assessment of Knowledge, attitude and practice of preventive self-care on Diabetic Foot ulcer in Type II Diabetic patients, Muang Roi ET district, Roi-ET province, Thailand. J Health Res 2014;28(4):229-32.
Saleh F, Mumu SJ, Ara F, Begum HA, Ali L. Knowledge and self-care practices regarding diabetes among newly diagnosed type 2 diabetics in Bangladesh: a cross-sectional study BMC Public Health 2012; 12:1112.
Shah V; Kamdar P; Shah N. Assessing the knowledge, attitudes and practice of type 2 diabetes among patients of Saurashtra region, Gujarat. International Journal of Diabetes in Developing Countries 29.3 (Jul 2009): 118-122.
Kim YK, Hongsranagon P, Preventive behaviours regard-ing foot ulcers in Diabetes Type II patients at BMA Health Centre No. 48, Bangkok, Thailand. J Health Res 2008, 22(suppl): 21-8.
George H, Rakesh PS, Krishna M, Alex R, Abraham VJ 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 2013;2:27-32.
Manda V, Sreedharan J, Muttappallymyalil J, Das R, Hisamatsu E. Foot ulcers and risk factors among diabetic patients visiting Surgery Department in a University Teaching Hospital in Ajman. International Journal of Medicine and Public Health 2012;2(3):34-8.
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