KNOWLEDGE AND PRACTICE REGARDING FOOT CARE AMONG TYPE 2 DIABETES MELLITUS PATIENTS AT A TERTIARY CARE HOSPITAL IN COASTAL SOUTH INDIA

  • Darshan Bb
  • Bhaskaran Unnikrishnan
  • Vaman Kulkarni
  • Rekha Thapar
  • Prasanna Mithra
  • Nithin Kumar
  • Ramesh Holla
  • Avinash Kumar
  • Vaishnavi Jatana
  • Sahiti Kolluru
  • Vaishali Phogat
  • Arathi Nambiar
  • Madhurima Ghosh

Abstract

Objective: The present study was designed to assess the knowledge and practice among diabetic patients in a tertiary care hospital regarding diabetic
foot care.
Methods: A cross-sectional study was conducted in government district hospital of Mangalore in the month of January 2014. A pre-designed semistructured
questionnaire
was
used to
collect
the information
pertaining
to
the
knowledge
and practices
of
the
diabetic patients regarding
foot
care.

The
collected
data were
analyzed
using Statistical Packages
for
Social Sciences version
11.5.
The results
obtained were
expressed
in proportions.
Results: A total of 133 subjects were assessed regarding their knowledge and practice regarding diabetic foot care. Around three-fourth (75.2%) of
participants had adequate knowledge. More than half (55.5%) of the subjects had adequate practice. No significant association was found between
study variables such as gender, socioeconomic status, and education status with awareness regarding diabetic foot care in the present study (p>0.05).
Gender, socioeconomic, and educational statuses were found to be significantly associated with diabetic foot care practices.
Conclusion: The gap between knowledge and practice regarding self-care among diabetic patients can be bridged by providing continuous health
education by the health workers. Foot care should be promoted at all available opportunities whenever the patient comes in contact with the health system.
Keywords: Mangalore, Foot care, Diabetes.

References

1. World Health Organization. Health Topics. Chronic diseases. Available
from: http://www.who.int/topics/chronic_diseases/en/. [Last accessed
on 2014 Mar 15].
2. Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ,
et al. National, regional, and global trends in fasting plasma glucose
and diabetes prevalence since 1980: Systematic analysis of health
examination surveys and epidemiological studies with 370 countryyears
and 2·7 million participants. Lancet 2011;378:31-40.
3. Global Health Risks. Mortality and Burden of Disease Attributable to
Selected Major Risks. Geneva: World Health Organization; 2009.
4. Global Status Report on Non-communicable Diseases 2010. Geneva:
World Health Organization; 2011.
5. World Health Organization. NCD Country Profiles 2011 Available
from: http://www.who.int/nmh/countries/ind_en.pdf. [Last accessed on
2014 Mar 15].
6. American Diabetic Association. Foot Complications. Available from:
http://www.diabetes.org/living-with-diabetes/complications/footcomplications/.
[Last accessed on 2014
Mar
16].
7. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients
with diabetes. JAMA 2005;293(2):217-28.
8. International Diabetes Federation Time to Act: Diabetes and Foot Care.
Brussels: International Diabetes Federation; 2005.
9. Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. Preventive
foot care in people with diabetes. Diabetes Care 1998;21(12):2161-77.
10. American Diabetes Association: Consensus development conference
on diabetic foot wound care (consensus statement). Diabetes Care
1999;22:1354-60.
11. Jeffcoate W, Bakker K. World Diabetes Day: Footing the bill. Lancet
2005;365:1527.
12. Eregie A, Edo AE. Factors associated with diabetic foot ulcers in Benin
– City, Nigeria. Niger Med J 2008;49(1):9-11.
13. De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B,
Greenfield S, et al. Are Type 2 diabetic patients offered adequate foot
care? The role of physician and patient characteristics. J Diabetes
Complications 2005;19(6):319-27.
14. Ortegon MM, Redekop WK, Niessen LW. Cost-effectiveness of
prevention and treatment of the diabetic foot: A Markov analysis.
Diabetes Care 2004;27(4):901-7.
15. Ragnarson Tennvall G, Apelqvist J. Prevention of diabetes-related foot
ulcers and amputations: A cost-utility analysis based on Markov model
simulations. Diabetologia 2001;44(11):2077-87.
16. Calle-Pascual AL, Durán A, Benedí A, Calvo MI, Charro A,
Diaz JA, et al. A preventative foot care programme for people with
diabetes with different stages of neuropathy. Diabetes Res Clin Pract
2002;57(2):111-7.
17. American Diabetes Association. Standards of medical care in
diabetes--2009. Diabetes Care 2009;32 Suppl 1:S13-61.
18. International Working Group on the Diabetic Foot. Practical Guidelines
on the Management and Prevention of the Diabetic Foot. Available
from: Http://www.iwgdf.org/index. [Last accessed on 2014 Mar 18].
19. Bell RA, Arcury TA, Snively BM, Smith SL, Stafford JM, Dohanish R,
et al. Diabetes foot self-care practices in a rural triethnic population.
Diabetes Educ 2005;31(1):75-83.
20. Litzelman DK, Slemenda CW, Langefeld CD, Hays LM, Welch MA,
Bild DE, et al. Reduction of lower extremity clinical abnormalities in
patients with non-insulin-dependent diabetes mellitus. A randomized,
controlled trial. Ann Intern Med 1993;119(1):36-41.
21. Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with
diabetes self-management across race/ethnicity and health literacy?
Diabetes Care 2006;29(4):823-9.
22. George H, Rakesh P, Krishna M, Alex R, Abraham VJ, George K, et al.
Foot care knowledge and practices and the prevalence of peripheral
neuropathy among people with diabetes attending a secondary care rural
hospital in southern India. J Family Med Prim Care 2013;2(1):27-32.
23. World Health Organization. Diabetes programme. World Diabetes Day
2005 Diabetes and Foot Care. Available from: http://www.who.int/
diabetes/actionnow/wdd2005/en/. [Last accessed on 2014 Mar 20.]
24. Sriussadaporn S, Mekanandha P, Vannasaeng S, Nitiyanant W,
Komoltri C, Ploybutr S, et al. Factors associated with diabetic foot
ulceration in Thailand: A case-control study. Diabet Med 1997;14(1):50-6.
25. 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):1083-5.
26. Bijoy CV, Feba B, Vikas RC, Dhandapani C, Geetha K, Vijayakumar A.
Knowledge assessment and patient counseling on diabetic foot care.
Indian J Pharm Pract 2012;5(2):11-5.
27. GholapMC, Mohite VR. To assess the knowledge and practice regarding
foot care among diabetes patients at Krishna Hospital, Karad. Indian J
Sci Res 2013;4(2):69-75.
28. Gondal M, Bano U, Moin S, Afridi Z, Masood R, Ahmed A. Evaluation
of knowledge and practices of foot care in patients with chronic type 2
diabetes mellitus. J Pak Med Assoc 2007;21(02):104-8.
29. Khamseh ME, Vatankhah N, Baradaran HR. Knowledge and practice
of foot care in Iranian people with type 2 diabetes. Int Wound J
2007;4(4):298-302.
30. Al-Khaldi YM. Foot care among male diabetics in family practice
center, Abha, Saudi Arabia. J Family Community Med 2008;15:103-6.
31. Moodley LM, Rambiritch V. An assessment of the level of knowledge
of diabetic patients, in a primary health care setting, on diabetes
mellitus. S Afr Fam Pract 2007;49(10):16a-d.
32. 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):687-90.
33. Viswanathan V, Thomas N, Tandon N, Asirvatham A, Rajasekar S,
Ramachandran A, et al. Profile of diabetic foot complications and its
associated complications – A multicentric study from India. J Assoc
Physicians India 2005;53:933-6.
34. 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 hospital in Nigeria. Ghana Med
J 2011;45(2):60-5.
35. Pollock RD, Unwin NC, Connolly V. Knowledge and practice
of foot care in people with diabetes. Diabetes Res Clin Pract
2004;64(2):117-22.
36. Ambigapathy R, Ambigapathy S, Ling HM. A knowledge, attitude and
practice study of diabetes mellitus among patients attending Klinik
Kesihatan Seri Manjung. NCD Malaysia 2003;2:6-16.
37. Saleh F, Mumu SJ, Ara F, Begum HA, Ali L. Knowledge and selfcare
practices regarding diabetes among newly diagnosed type
2

diabetics
in Bangladesh:
A
cross-sectional study.
BMC Public Health

2012;12:1112.
38. Saurabh S, Sarkar S, Selvaraj K, Kar SS, Kumar SG, Roy G. Effectiveness
of foot care education among people with type 2 diabetes in rural
Puducherry, India. Indian J Endocrinol Metab 2014;18(1):106-10.
39. Pereira DA, Costa NM, Sousa AL, Jardim PC, Zanini CR. The effect of
educational intervention on the disease knowledge of diabetes mellitus
patients. Rev Lat Am Enfermagem 2012;20(3):478-85.
40. Viswanathan V, Madhavan S, Rajasekar S, Chamukuttan S, Ambady R.
Urban-rural differences in the prevalence of foot complications in SouthIndian
diabetic patients. Diabetes Care 2006;29(3):701-3.
41. Jayasinghe SA, Atukorala I, Gunethilleke B, Siriwardena V, Herath SC,
De Abrew K. Is walking barefoot a risk factor for diabetic foot disease
in developing countries? Rural Remote Health 2007;7(2):692.
42. Olson JM, Hogan MT, Pogach LM, Rajan M, Raugi GJ, Reiber GE.
Foot care education and self-management behaviors in diverse veterans
with diabetes. Patient Prefer Adherence 2009;3(8):45-50.
43. Murata GH, Shah JH, Adam KD, Wendel CS, Bokhari SU, Solvas PA,
et al. Factors affecting diabetes knowledge in Type 2 diabetic veterans.
Diabetologia 2003;46(8):1170-8.
44. Banik PC, Moniruzamman, Zaman F, Ali L. In: Proceeding of: 4
World
Congress on Diabetes & Metabolism, at USA. Vol. 4. Conducted at
08/2013.
45. Saeed N, Zafar J, Atta A. Frequency of patients with diabetes taking
proper foot care according to international guidelines and its impact on
their foot health. J Pak Med Assoc 2010;60(9):732-5.
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How to Cite
Bb, D., B. Unnikrishnan, V. Kulkarni, R. Thapar, P. Mithra, N. Kumar, R. Holla, A. Kumar, V. Jatana, S. Kolluru, V. Phogat, A. Nambiar, and M. Ghosh. “KNOWLEDGE AND PRACTICE REGARDING FOOT CARE AMONG TYPE 2 DIABETES MELLITUS PATIENTS AT A TERTIARY CARE HOSPITAL IN COASTAL SOUTH INDIA”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 8, no. 5, Sept. 2015, pp. 175-8, https://innovareacademics.in/journals/index.php/ajpcr/article/view/7223.
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