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VOLUME 6 , ISSUE 2 ( April-June, 2020 ) > List of Articles

BRIEF RESEARCH COMMUNICATION

Awareness of Diabetic Foot Disease and Practice of Foot Care among Patients with Diabetes Mellitus in Tertiary Healthcare Centers

Kaladi Anjinappa Suhasini, Shashikala Manjunatha, Basavaraju Santosh, Channaveeradevaru Chandrakala

Keywords : Diabetes mellitus, Diabetic foot disease, Foot care

Citation Information : Suhasini KA, Manjunatha S, Santosh B, Chandrakala C. Awareness of Diabetic Foot Disease and Practice of Foot Care among Patients with Diabetes Mellitus in Tertiary Healthcare Centers. J Med Sci 2020; 6 (2):36-39.

DOI: 10.5005/jp-journals-10045-00149

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: The prevalence of diabetic foot in diabetes mellitus (DM) patients has increased enormously. Diabetic foot disease (DFD) is one of the debilitating complications caused by DM and is the leading cause of non-traumatic lower limb amputation. The majority of diabetic patients are not properly educated about foot disease and foot care. In this study, we tried to assess the awareness about foot-related problems among patients with DM visiting tertiary healthcare centers. We also assessed the practice of foot care among patients with diabetes. Materials and methods: This cross-sectional study was carried out in patients with DM attending tertiary healthcare centers after Ethical committee approval. The study was conducted in outpatient departments of endocrinology at tertiary care hospitals, in Bengaluru, using a predefined questionnaire. The results were analyzed using appropriate statistical methods. Results: One hundred and twenty-three patients with DM were recruited and given the questionnaire. The mean age of patients was 52.57 ± 12.45 years and the mean duration of diabetes was 11.7 ± 8.63 years. There were 40 male patients (32.5%) and 83 female patients (67.5%). Ninety people were from the urban (73.17%) and the remaining 33 people were from the rural area (26.83%). Out of 123, only 102 patients (82.5%) were aware that diabetes causes foot problems. Though most of them (72.5%) knew that uncontrolled diabetes can cause wound/ulcer, and 33% were aware that uncontrolled diabetes can lead to gangrene. Only 15% of patients were aware that DFD can lead to lower limb amputation. Forty-six patients (37.5%) were aware that smoking increases the incidence of DFD and 58 (47.5%) know that previous foot disease can increase the risk of foot problems in the future. Forty-three patients (35%) were aware that the presence of foot problems increases the risk of heart disease in diabetic patients. Eighty-six subjects (70%) were aware that there is specially customized footwear available for diabetic patients. One hundred and ten subjects (89.4%) were aware that good glycemic control from the beginning helps prevent diabetes-related foot problems. Only 49 subjects (39.8%) were taking care of their feet, of which only 18 patients examined and took care of the feet daily. About 120 people in the study used footwear outdoor (97.5%) and only 23 people (18.6%) used footwear both outside and inside the house. Three people in the study did not use footwear even outside the house. Conclusion: It is vital to educate the patients about foot disease and foot care as a part of diabetes management. By improving awareness, we can decrease the occurrences of foot disease, improve the quality of life, and promote the overall health of a diabetic individual.


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  1. International Diabetes Federation. IDF Diabetes Atlas. 9th ed., Brussels, Belgium 2019. Available at: https://www.diabetesatlas.org.
  2. Boulton A, Vileikyte L, Ragnarson-Tennvall G, et al. The global burden of diabetic foot disease. Lancet 2005;366:1719–1724.
  3. Beers MH, Porter RS, Jones TV, et al., ed. Diabetes mellitus and disorders of carbohydrate metabolism. The Merck Manual. 18th ed., New Jersey, USA: Merck Research Laboratories; 2006. pp. 1274–1294.
  4. Morris AD, McAlpine R, Steinke D, et al. Diabetes and lower-limb amputations in the community. A retrospective cohort study. DARTS/MEMO Collaboration. Diabetes audit and research in Tayside Scotland/medicines monitoring unit. Diabetes Care 1998;21(5):738–743.
  5. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837–853.
  6. Chellan G, Srikumar S, Varma AK, et al. Foot care practice-the key to prevent diabetic foot ulcers in India. Foot (Edinb) 2012;22:298–302.
  7. Vatankhah N, Khamseh ME, Noudeh YJ, et al. The effectiveness of foot care education on people with type 2 diabetes in Tehran, Iran. Prim Care Diabetes 2009;3:73–77.
  8. Viswanathan V, Madhavan S, Rajasekar S, et al. Amputation prevention initiative in South India: positive impact of foot care education. Diabetes Care 2005;28:1019–1021.
  9. Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas 1970;30:607–610.
  10. Taksande BA, Thote M, Jajoo UN. Knowledge, attitude, and practice of foot care in patients with diabetes at central rural India. J Family Med Prim Care 2017;6:284–287.
  11. Goie TT, Naidoo M. Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa. Afr J Prm Health Care Fam Med 2016;8(1):1170.
  12. Saurabh S, Sarkar S, Selvaraj K, et al. Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Indian J Endocrinol Metab 2014;18(1):106–110.
  13. Muhammad-Lutfi AR, et al. Knowledge and practice of diabetic foot care in an in-patient setting at a tertiary medical center. Malaysian Orthopae J 2014;8(3):22–26.
  14. Kannel WB, Wilson PW. An update on coronary risk factors. Med Clin North America 1995;75:951–971.
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