Abstract
Background: Diabetic foot disease (DFD) is a major challenge for the healthcare system, with enormous economic consequences for people living with diabetes, their families and society and it affects both quality of life and quality of care in the diabetic patients. This study was conducted to know about the knowledge, attitude and practices about diabetic foot disease in diabetic patients.Methodology: The study of knowledge, attitude and practices about DFD was done at the different areas in Lahore and at Bhutta Clinical Lab, Multan. Duration of this study was about 6 months. Questionnaire was designed and filled. Sample size of this study was 380. Data was collected and analysed by using SPSS.Results: In this study, 67.9% diabetic patients had poor knowledge, 30% had satisfactory knowledge whereas only 2.1% patients had good knowledge. Regarding attitude towards the DFD, 98.7% patients had good attitude, 1.3% patients had satisfactory attitude and poor attitude had not showed by any patient. In practices score, 47.4% were doing satisfactory practices, 42.9% patients were doing good practices and 9.7% patients were doing poor practices regarding DFD.Conclusion: In this study, awareness of the diabetic foot disease in diabetic patients was poor that may cause increase in the frequency of the diabetic foot disease that may ultimately cause amputation of the lower limb and even cause death due to sepsis. But attitude towards the disease was good in majority of the diabetic patients and practices regarding disease were also satisfactory therefore by increasing the knowledge regarding disease and knowledge of the good practices, reduction of the severe cases of disease and prevention of the disease should be done.
Highlights
Diabetes mellitus is a syndrome of chronic hyperglycemia that may be occur due to insulin deficiency, resistance or both. (1) Diabetes is one of the most frequent metabolic disorders affecting an estimate of 371 million people. (2) The acute and chronic complications of DM are the main causes of hospital admissions, blindness, renal failure, amputations, stroke and coronary heart disease in the Asia-Pacific region. (3) It is estimated that 50% of people with DM are undiagnosed
(8) Epidemiological studies have shown that every year 2.5% of patients with diabetes are affected by Diabetic feet ulcer (DFU) and 15% of patients with diabetes will be affected by DFU. (9) The usage of insulin overcame the acute problems of ketoacidosis and infection but could not prevent the vascular and neurological complications
(12) In a study that conducted in the Kingdom of Saudi Arabia different result was shown that was 89.9% diabetic patients were known that smoking can cause reduced blood flow towards feet whereas 7.5% only reported for not to know about it. (13) When asked to the patients that reduced blood flow may cause increases the chance of the formation of the foot ulcer, only 2.11% respondents were replied that they were known that if we have reduced blood flow may prone to have foot ulcers in this study
Summary
Diabetes mellitus is a syndrome of chronic hyperglycemia that may be occur due to insulin deficiency, resistance or both. (1) Diabetes is one of the most frequent metabolic disorders affecting an estimate of 371 million people. (2) The acute and chronic complications of DM are the main causes of hospital admissions, blindness, renal failure, amputations, stroke and coronary heart disease in the Asia-Pacific region. (3) It is estimated that 50% of people with DM are undiagnosed. (1) Diabetes is one of the most frequent metabolic disorders affecting an estimate of 371 million people. (2) The acute and chronic complications of DM are the main causes of hospital admissions, blindness, renal failure, amputations, stroke and coronary heart disease in the Asia-Pacific region. (4) DM is a disease known for its various complications and Diabetic feet ulcer (DFU) is the most common. DFD involve vascular and neurological pathologic changes that are the direct result of diabetes that cause local tissue destruction by sensory neuropathy and compromise of the vascular system of the affected lower extremities in diabetics. (4) Diabetic neuropathy and peripheral vascular disease are the main cause of foot ulceration and may act alone, together or in combination with other factors such as micro-vascular disease, biomechanical abnormalities, limited joint mobility and increased susceptibility to infection. The foot is far away from the central nervous system (CNS)
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