Knowledge Of Diabetic Foot Care Research Articles

The Effect of Supportive Education on Foot Care Knowledge in Type 2 Diabetes Mellitus

Background: Diabetes Mellitus is a disease that hides before real symptoms appear, such as easy hunger, thirst and frequent urination. Other symptoms are skin disorders such as itching, tingling, numbness due to neuropathy, physical weakness, and wounds on the feet that heal slowly, so foot care is needed for DM patients who have wounds on their feet. Objectives: To determine the effect of supportive education on knowledge of diabetic foot care in type 2 diabetes mellitus patients. Methods: This study used a one group pre-test – post-test design using the Wilcoxon test, with a population and sample of 30 respondents, the instrument was a questionnaire on knowledge of foot care in DM patients. Results: Based on the results of analysis using the Wilcoxon Signed Ranks Test method, it was obtained that the P value was 0.000 <0.05, so it can be concluded that there is an influence of supportive education on knowledge of diabetic foot care in type 2 DM patients. Conclusion: With the influence of supportive education on knowledge of diabetic foot care in DM patients, in providing nursing care you can apply this supportive education in the care of DM patients.

Knowledge and Practice of the Preventive and Care Methods for Diabetic Foot Among the Caregivers of Diabetic Patients in Saudi Arabia.

Background Diabetic foot syndrome is a complex and multifactorial disease process involving neuropathy, peripheral arterial disease, osteomyelitis, diabetic foot ulcer (DFU), and amputation. DFUs are a common and burdensome manifestation of the syndrome, responsible for diabetes-related morbidity and mortality. Successful management of DFU requires collaboration between patients and caregivers. This study assesses the knowledge, experience, and practices of the caregivers of diabetic foot patients in Saudi Arabia, highlighting the need for targeted interventions to improve knowledge and practices in certain subgroups of caregivers. Method The primary objective of this study was to evaluate the proficiency and practicality of caregivers who provide care to patients with diabetic foot in the Kingdom of Saudi Arabia. To accomplish this, a cross-sectional study was conducted among caregivers of diabetic foot patients who were aged 18 years or older and living in Saudi Arabia. The participants were randomly chosen to ensure that the sample was representative. The data collection process involved the distribution of a structured online questionnaire via various social media platforms. Prior to the distribution of the questionnaire, the participants were informed about the study's objectives, and their informed consent was obtained. Additionally, adequate measures were taken to ensure the confidentiality of the participants and their caregiving status. Results Among the initial pool of 2990 participants, 1023 individuals were excluded from the study due to their status as non-caregivers of diabetic patients or being under the age of 18 years. Consequently, the final sample size consisted of 1921 caregivers. The majority of the participants were female (61.6%), married (58.6%), and had a bachelor's degree (52.4%). The findings revealed that 34.6% of caregivers were attending to patients with diabetic foot, of which 8.5% reported poor foot status and 9.1% reported amputation. Caregivers reported examining the patient's feet in 75.2% of cases, and the feet were cleaned and moisturized by either the patient or caregiver. Nails were trimmed by 77.8% of caregivers, and 49.8% of them did not permit patients to walk barefoot. Moreover, knowledge of diabetic foot care was positively correlated with being female, having a post-graduate degree, having personal experience with diabetes, caring for a patient with diabetic foot, and having prior experience in treating diabetic foot. Conversely, lower knowledge levels were associated with divorced or unemployed caregivers and those residing in the northern region. Conclusion The present study highlights that caregivers of diabetic foot patients in Saudi Arabia possess a satisfactory level of knowledge and follow appropriate practices regarding foot care. Nonetheless, it is imperative to identify specific subgroups of caregivers who may require additional education and training to improve their knowledge and practices concerning diabetic foot care. The results of this study could potentially inform the design of tailored interventions aimed at reducing the significant burden of morbidity and mortality attributed to diabetic foot syndrome in the Saudi Arabian context.

Knowledge, behavior and factors related to foot care in diabetes patients at Hue University of Medicine and Pharmacy Hospital

Introduction: Diabetes can affect every part of the body, including damage to the feet. Diabetes patients with improper knowledge and behavior will develop foot complications. Objectives: (1) To survey the level of knowledge and behavior of foot care of diabetic patients at Hue University of Medicine and Pharmacy Hospital. (2) To investigate factors related to the level of knowledge and behavior of foot care in patients with diabetes. Methodology: Cross-sectional description on 108 patients diagnosed with diabetes according to ADA 2021 criteria. The study used questionnaires (Modified Diabetes Foot Care Knowledge - MDFCK) to assess knowledge of diabetic foot care and questionnaires (Modified Foot Care Behavior - MDFCB) to assess diabetic foot care behavior. Results: the diabetic foot care knowledge score was at a poor level (mean score 6.33 ± 2.8) of which 13.9% of them had good knowledge, 32.4% had moderate and 52.7% had poor knowledge. Diabetic foot care behaviors were at poor level (mean 54.36 ± 8.4) of which 64.8% had poor behaviors and 35.2% had moderate behaviors. Low education, time of diabetes for < 5 years and no previous diabetes foot care instructions were predictive factors for poor MDFCK and MDFCB. Good knowledge of diabetic foot care can lead to good caring behavior. Age ≥ 65 has no effect on MDFCB but has a negative effect on MDFCK. Conclusion: the diabetic foot care knowledge score and diabetic foot care behavior score were poor. Health education counseling programs based on relevant factors should be provided to improve the self-care capacity of people with diabetes. Key words: Diabetes, Diabetic Foot Care Knowledge, Diabetic Foot Care Behaviors.

Knowledge of Diabetic Foot Among Nurses at a Tertiary Hospital in Saudi Arabia.

Background:Diabetic foot is the leading cause of hospitalization among patients with diabetes mellitus (DM). Nurses have a significant role in helping diabetic foot patients by educating them about their condition. Therefore, assessing the knowledge of diabetic foot among nurses will help provide better healthcare services to these patients.Objective:This study aimed to assess the knowledge of diabetic foot care among the nursing staff at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia.Methods:This cross-sectional study was conducted at King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia, from March to May 2020. A total of 172 nurses from different departments of the hospital were randomly selected. A validated questionnaire including 68 yes-or-no questions about diabetic foot management was used for the assessment.Results:The average total score of the entire questionnaire was 59 (standard deviation, ±7). During our study, the nursing school curriculum was found to be the major source of knowledge for nurses. Statistical significance (p=0.031) was found for the association between educational background and answers to the risk factor questions. According to our results, most nurses indicated that they believed that reporting any changes to the feet and toes and signs of infection to the physician was the best way to prevent the development of DM foot.Conclusion:Specialized training programs beyond basic nursing education will reinforce knowledge and skills, resulting in an expected lower risk of amputation for DM patients.

KNOWLEDGE AND PRACTICE OF FOOT CARE IN PATIENTS WITH TYPE 1 AND 2 DIABETES AT NATIONAL INSTITUTE OF DIABETES AND ENDOCRINOLOGY IN CAIRO

Diabetes mellitus is one of the most common chronic diseases worldwide. It is one of the sixth leading causes of death in the United States. Egypt reported at least 8.6 million adults with diabetes which was the eleventh most important cause of premature mortality in Egypt. People with diabetes may develop several different foot problems as a result of nerve damage. Diabetic foot adds to economic burden due to huge expenditure on treatment, loss of productivity, frequent recurrence of the problem, and high rate of amputation. Establishing adequate knowledge and practice regarding diabetic foot care will reduce the threat of diabetic foot complications and ultimately amputation. Aim: The study determines levels of knowledge towards foot care and practices in type 1 diabetes (T1D) and type 2 diabetes (T2D). Setting: National Institute of Diabetes and Endocrinology in Cairo. Sample: About 541 patients (250 T1D and 291 T2D) was selected. Research design: Comparative descriptive exploratory design was utilized. Results: Highly significant differences were found between both groups regarding knowledge of diabetic foot care. Highly significant association was found between both groups in relation to foot care measures, no significant association between both groups as regards to levels of knowledge. A highly statistically significant association was found between the mean of knowledge scores and other variables and also with practice scores. Conclusion: Patients are aware of their disease and had desirable knowledge and poor practice of foot care. Strategies to expand a nationwide network of diabetes centers with implementation of primary prevention programs regarding foot care needed.

Knowledge of Diabetic Foot Care among Nursing Practitioners after Interventional Training in Rivers State, Nigeria

Knowledge of Diabetic Foot Care among Nursing Practitioners after Interventional Training in Rivers State, Nigeria

Knowledge of Diabetic Foot Care among Nursing Practitioners in Rivers State, Nigeria

Knowledge of Diabetic Foot Care among Nursing Practitioners in Rivers State, Nigeria

Prevalence of diabetic comorbidities and knowledge and practices of foot care among diabetic patients: a cross-sectional study.

BackgroundDiabetes mellitus with comorbid complications constitute a major public health problem worldwide. The aim of this study was to evaluate the risk of comorbid complications with glycosylated hemoglobin levels and diabetes duration. Also assessed were patients’ diabetic foot-care knowledge and practices.Patients and methodsThis was a quasiexperimental study. A total of 360 type 2 diabetes mellitus patients were interviewed at a government health care center in Riyadh, Saudi Arabia. Diabetic complications and HbA1c-level data were collected from hospital records. A standard questionnaire was used to assess their diabetic foot-care knowledge and practice.ResultsOf the type 2 diabetes mellitus patients, 32.5% had highly uncontrolled glycosylated hemoglobin (HbA1c) levels (≥8.6%) and 62.8% had had diabetes >10 years. The patients had comorbid complications, such as hypertension (61.4%), dyslipidemia (58.6%), retinopathy (23.3%), heart disease (14.4%), and severe foot complications (3.9%). The majority of highly uncontrolled HbA1c-level patients had retinopathy (OR 8.90, P=0.0001), foot complications (OR 8.09, P=0.0001), dyslipidemia (OR 2.81, P=0.010), and hypertension (OR 2.0, P=0.028) compared to the controlled HbA1c-level (<7%) group. Patients with diabetes >10 years also had higher prevalence of foot complications (OR 2.92, P=0.0001), retinopathy (OR 2.17, P=0.011), and hypertension (OR 1.67, P=0.033). From patient responses, physicians examined only 34.2% of patient feet and 36.7% of patients received physicians advice for foot care. About 70% of patients had knowledge of diabetic foot care; however, only 41.7% of patients always examined their feet, 41.4% washed feet with warm water, 31.4% carefully dried between the toes, and 33.1% were using foot-moisturizing substances.ConclusionThe prevalence of comorbid complications was higher in the Saudi population compared to other international studies. Also, foot-care practice was not satisfactory. Therefore, there is need of improvement and increased awareness among physicians and patients to check regularly for proper care of the diabetic foot to avoid diabetic foot-related complications.

The effect of a foot care camp on diabetic foot care knowledge and the behaviours of individuals with diabetes mellitus.

The aim of this study was to examine the effectiveness of a foot care (FC) camp to enhance diabetic foot care knowledge (DFCK) and diabetic foot care behaviours (DFCB) among diabetic participants in Indonesia. A two-group pre- and post-test quasi-experimental design was used in this study. A total of 72 participants completed a 5-week programme. The participants' DFCK and DFCB were examined in the fifth week using the Modified Diabetic Foot Care Knowledge (MDFCK) and the Modified Diabetic Foot Care Behaviours (MDFCB) questionnaires. Data were analysed by descriptive and independent t-tests. The mean score of DFCK (DFCK and DFCB in this study represent the score of knowledge and behaviors which gathered from MDFCK and MDFCB's questionnaires) in the experimental group after completing the FC camp was significantly better than that in the control group (p < .001). Similarly, the mean score of DFCB in the experimental group after completing the FC camp was significantly better than that in the control group (p < .001). The FC camp was found to enhance DFCK and DFCB among diabetic patients. Therefore, this programme can be utilised for nursing practice in order to prevent diabetic foot ulcers and foot amputation.

OP67 Bacteriology of diabetic foot infections and susceptibility to antimicrobial agents in Cameroon

of developing foot ulcer.This develops as a result of neuropathy, ischemia or both. This study set out to determine the proportion of patients with type 2 diabetes who had puncture wounds and to relate it with their knowledge of diabetic foot care. Methods: The study design was cross sectional involving 60 consecutive subjects with type 2 diabetes presenting to the diabetes clinic of OAUTHC. These were interviewed with a structured questionnaire to obtain demographic data and clinical history. Data was entered and analysed using SPSS version 16. Results: The mean (±SD) age for subjects in the study population was 61.2±10.6 years. Seventeen (28.3%) subjects were males while 43 71.7%) were females, giving a female to male ratio of 2.5:1. The mean (±SD) duration of diabetes was 9.1±8.3 years. Fifty-seven (95%) subjects had been told about the need to take special care of their feet. Of these, 42 (73.7%) were given specific instructions on how to take care of their feet while 44 (77.2%) were taking special care of their feet. Seven (11.7%)subjects has had puncture wounds in the past, and of these, 3 (42.9%) were caused by nails while 4 (57.1%) were caused by thorns. Conclusion: The prevalence of puncture wounds in this study was high despite the fact that most of these patients received specific instructions on the care of the feet in a diabeteic patient. We therfore recommend intensified effort towards educating subjects with diabetes on diabetes foot care.

Factors affecting diabetic footcare knowledge

Factors affecting diabetic footcare knowledge