Subscribe to RSS
Foot Self-Care Behavior in Patients with DiabetesFunding None.
Objective Diabetic foot ulcers (DFUs) are complications of diabetes that can progress with high mortality and morbidity. It is a preventable problem with the determination of risk factors and patient education. Our aim is to examine the knowledge and behavior of diabetic patients in our region about foot care.
Materials and Methods Diabetic individuals who applied to the Endocrine and Internal Medicine Clinic were included in this cross-sectional study. Demographic variables, physical examination, and laboratory findings were recorded. “Diabetic foot information form for diabetic foot care” was used to evaluate the patient’s level of knowledge about diabetic foot and care. The questionnaire consists of 16 questions with two options, right or wrong, according to the suggestions of the guides. A total of 16 points scoring system has been established, 1 point for each correct answer and 0 points for the wrong answer.
Results “Total acknowledgment scores” (TAS) were significantly higher in patients with DFU, amputation, and DFU history (p < 0.001). TAS were significantly lower in patients receiving oral antidiabetic therapy than those receiving insulin therapy (p = 0.005). Total scores were significantly lower in untrained patients compared with primary school graduates (p = 0.005), and in high school graduates compared with university graduates (p < 0.001).
Conclusion In this study, a serious lack of information or insufficiency was found in patients with diabetes. More comprehensive training programs are needed to reduce diabetic foot development and complications.
Article published online:
27 October 2020
© 2020. Novo Nordisk Education Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
- 1 Turan E. Diyabetik ayak epidemiyolojisi ve risk faktörleri. In: Turan E. ed. Diyabetik ayak tanı ve tedavisinde multidisipline yaklaşım. Ankara: Dünya Tıp Kitabevi; 2019: 19-26
- 2 Mason J, O’Keeffe C, Hutchinson A, McIntosh A, Young R, Booth A. A systematic review of foot ulcer in patients with type 2 diabetes mellitus. II: treatment. Diabet Med 1999; 16 (11) 889-909
- 3 Lim JZM, Ng NSL, Thomas C. Prevention and treatment of diabetic foot ulcers. J R Soc Med 2017; 110 (03) 104-109
- 4 Vatankhah N, Khamseh ME, Noudeh YJ, Aghili R, Baradaran HR, Haeri NS. The effectiveness of foot care education on people with type 2 diabetes in Tehran, Iran. Prim Care Diabetes 2009; 3 (02) 73-77
- 5 Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med 2017; 376 (24) 2367-2375
- 6 Association AD. American Diabetes Association. 11. Microvascular complications and foot care: standards of medical care in diabetes—2019. Diabetes Care 2019; 42 (Suppl. 01) S124-S138
- 7 Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci 2018; 1411 (01) 153-165
- 8 Satman I, Omer B, Tutuncu Y. et al. TURDEP-II Study Group. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol 2013; 28 (02) 169-180
- 9 Ibrahim A. IDF Clinical Practice Recommendation on the Diabetic Foot: a guide for healthcare professionals. Diabetes Res Clin Pract 2017; 127: 285-287
- 10 Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. American Diabetes Association. Preventive foot care in diabetes. Diabetes Care 2004; 27 (Suppl. 01) S63-S64
- 11 Khamseh ME, Vatankhah N, Baradaran HR. Knowledge and practice of foot care in Iranian people with type 2 diabetes. Int Wound J 2007; 4 (04) 298-302
- 12 Hasnain S, Sheikh NH. Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. J Pak Med Assoc 2009; 59 (10) 687-690
- 13 Viswanathan V, Shobhana R, Snehalatha C, Seena R, Ramachandran A. Need for education on footcare in diabetic patients in India. J Assoc Physicians India 1999; 47 (11) 1083-1085
- 14 Ragnarson Tennvall G, Apelqvist J. Health-economic consequences of diabetic foot lesions. Clin Infect Dis 2004; 39 (02) (Suppl. 02) S132-S139
- 15 Younes NA, Albsoul AM, Awad H. Diabetic heel ulcers: a major risk factor for lower extremity amputation. Ostomy Wound Manage 2004; 50 (06) 50-60
- 16 Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet 2005; 366 (9498) 1719-1724
- 17 Gumaa MM, Shwaib H, Ali S. Diabetic foot lesions predicting factors, view from Jabir Abu-alaiz diabetic centre in Khartoum, Sudan. J Diab Foot Complications 2016; 8: 6-17
- 18 Algshanen MA, Almuhanna MF, Almuhanna AM. et al. Diabetic foot awareness among diabetic patients in Saudi Arabia. Egypt J Hosp Med 2017; 68 (02) 1289-1290
- 19 Li R, Yuan L, Guo X-H. et al. The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China. Int J Nurs Sci 2014; 1 (03) 266-271
- 20 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 Prim Health Care Fam Med 2016; 8 (01) e1-e8
- 21 Pinzur MS, Slovenkai MP, Trepman E. The Diabetes Committee of the American Orthopaedic Foot and Ankle Society. Guidelines for diabetic foot care. Foot Ankle Int 1999; 20 (11) 695-702
- 22 Bakker K, Apelqvist J, Schaper NC. International Working Group on Diabetic Foot Editorial Board. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev 2012; 28 (Suppl. 01) 225-231
- 23 Newrick P. International consensus on the diabetic foot. BMJ 2000; 321 (7261) 642A