Assessment of Knowledge and Practice regarding Foot Exercises and Foot care among Type 2 Diabetic Patients attending at Kanyakumari Medical College Hospital
Keywords:
N/AAbstract
Background: Diabetes mellitus is a chronic disease, which occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use insulin and approximately 371 million people are carriers of this disease. The development risk of diabetic foot ulcer (DFU) through a lifetime, one of the most common and important complication in diabetic patients ranges from 10% to 25%. While 14%-24% of DFU infections have resulted in amputation, the reason of 85% non-traumatic amputations is DFU. DFU and its complications cause inconvenience to diabetic patients and their families and are a considerable financial burden for the health systems and society
Objectives: The objectives of the study were to assess the knowledge and practice level among diabetic patients regarding this disease and to find the association of knowledge and practice level with selected demographic/ clinical variables. Methodology: A non-experimental descriptive design was selected to carry out the study. It was conducted in 2023 among 100 type 2 diabetic patients. The sample was selected by non-probability purposive sampling technique.
Results: The findings of the present study showed that majority (41%) of the study subjects had satisfactory, 30%hadpoor,and29%hadgood knowledge regarding foot care. The mean ± SD of the knowledge level was 41.1±9.86. With regards to practice, majority (48%) of the study subjects had poor, 40%hadsatisfactory, where as only12%hadpoor practice regarding foot exercise and Foot Care. The mean ± SD of the practice level was found to be 5.91 ± 2.26. The association of knowledge and practice with demographic/clinical variables was found to be significant with residence, education, occupation, and monthly family income.
Conclusion: The findings led to the conclusion that the knowledge regarding foot exercise and Foot Care was satisfactory and practice was poor among type 2 diabetic patients. Therefore, there is a need to conduct awareness programmes about foot exercise and foot care among type 2 diabetic patients
Downloads
References
1. Unwin N, Whiting D, Guariguata L, Ghyoot G, Gan D, editors. IDF Diabetes Atlas. 5th ed. Brussels, Belgium: International Diabetes Federation; 2018.
2. American Diabetes Association. Economic costs of diabetes in the United States in 2019. Diabetes Care. 2019.
3. Schaper NC, Apelqvist J, Bakker K. Reducing lower-leg amputations in diabetes: A challenge for patients, healthcare providers, and the healthcare system. Diabetologia. 2017.
4. Mehra BR, Thawait AP, Karandikar SS, Gupta DO, Narang RR. Evaluation of foot problems among diabetics in a rural population. Indian Journal of Surgery. 2018.
5. UK Prospective Diabetes Study Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. 2014.
6. Chellan G, Srikumar S, Varma AK, Mangalanandan TS, Sundaram KR, Jayakumar RV, et al. Foot care practice: The key to preventing diabetic foot ulcers in India. Foot (Edinb). 2017.
7. Vatankhah N, Khamseh ME, Noudeh YJ, Aghili R, Baradaran HR, Haeri NS. The effectiveness of foot care education among people with type 2 diabetes in Tehran, Iran. Primary Care Diabetes. 2019.
8. Viswanathan V, Madhavan S, Rajasekar S, Chamukuttan S, Ambady R. Amputation prevention initiative in South India: Positive impact of foot care education. Diabetes Care. 2015.
9. Pollock RD, Unwin NC, Connolly V. Knowledge and practice of foot care in people with diabetes. Diabetes Research and Clinical Practice. 2014.
10. Desalu OO, Salawu FK, Jimoh AK, Adekoya AO, Busari OA, Olokoba AB. Diabetic foot care: Self-reported knowledge and practice among patients attending three tertiary hospitals in Nigeria. Ghana Medical Journal. 2016.
11. National Diabetes Education Program. Feet Can Last a Lifetime: A Health Care Provider's Guide to Preventing Diabetes Foot Problems. Bethesda (MD): National Institutes of Health, U.S. Department of Health and Human Services; 2015.
12. Al-Khaldi YM. Foot care among male diabetics in a family practice center, Abha, Saudi Arabia. Journal of Family and Community Medicine. 2018.
13. Khamseh ME, Vatankhah N, Baradaran HR. Knowledge and practice of foot care among Iranian people with type 2 diabetes. International Wound Journal. 2017.
14. Hasnain S, Sheikh NH. Knowledge and practices regarding foot care among diabetic patients visiting a diabetic clinic in Jinnah Hospital, Lahore. Journal of Pakistan Medical Association. 2019.
15. Shah VN, Kamdar PK, Shah N. Assessing the knowledge, attitudes, and practices of type 2 diabetes among patients of the Saurashtra region, Gujarat. International Journal of Diabetes in Developing Countries. 2019.
16. Saeed N, Zafar J, Atta A. Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on foot health. Journal of Pakistan Medical Association. 2010.
17. Viswanathan V, Thomas N, Tandon N, Asirvatham A, Rajasekar S, Ramachandran A, et al. Profile of diabetic foot complications and associated complications: A multicentric study from India. Journal of the Association of Physicians of India. 2015.
18. Lincoln NB, Radford KA, Game FL, Jeffcoate WJ. Education for secondary prevention of foot ulcers in people with diabetes: A randomized controlled trial. Diabetologia. 2018.
19. Dorresteijn JA, Kriegsman DM, Assendelft WJ, Valk GD. Patient education for preventing diabetic foot ulceration. Cochrane Database of Systematic Reviews. 2012.
20. Murugesan N, Shobana R, Snehalatha C, Kapur A, Ramachandran A. Immediate impact of a diabetes training programme for primary care physicians: An endeavour for national capacity building for diabetes management in India. Diabetes Research and Clinical Practice. 2009..
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
