DIABETIC FOOT: PREVALENCE, KNOWLEDGE, AND FOOT SELF-CARE PRACTICES AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN PONDICHERRY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 31
Abstract
BACKGROUND Diabetes is a global epidemic with devastating human, social and economic consequences associated with various short and long-term complications, many of which, have the potential to reduce the quality of life of people with diabetes and their families. Diabetic foot associated complications are one of the most serious complications of diabetes causing morbidity. Proper diabetic foot care organisation, proper diabetes control and well-educated self-care methods to diabetics can cause significant reductions in amputations. We wanted to evaluate the knowledge with regard to foot care practises and foot self-care among diabetic patients there by identifying and addressing barriers to preventing amputations among diabetic patients. METHODS Our study was a prospective cross-sectional study conducted in the department of General Medicine, Indira Gandhi Medical College and Research Institute, Pondicherry. Two hundred patients with type 1/ type 2 diabetes mellitus were included. The respondents were further divided into two groups based on diabetic foot ulcer questionnaire derived from American College of Physicians, into those with a past history of foot ulcer and those without ulcer. Data was analysed by using IBM SPSS version 22 for Windows. RESULTS Of the 200 patients assessed, 126 were men. Twenty-two (11%) of the 200 had a current or past history of foot ulcers. Out of a possible score of 26, the average score on overall foot care was 16.29 (range of 9-23). Twenty-two (22/200) had a past history of ulcer. Similarly, two-thirds of both groups of patients (with and without ulcer) had fair scores. Educational status of patients did not have any significant correlation with knowledge & practices regarding foot care. CONCLUSIONS The prevalence of diabetic foot is high among patients attending diabetic clinics in our setup and there is an urgent need to emphasise coordinated foot care services within the diabetic clinic to identify feet at risk, start early management, and provide continuous foot care education to patients and health care providers.
Authors and Affiliations
Dheeraj Jain, Sivaraman . A, Balasubramanian Balasubramanian
Keywords
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- EP ID EP670394
- DOI 10.18410/jebmh/2019/426
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