Knowledge, attitude, and practice assessment in diabetic foot ulcer grading: a prospective cohort observational study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243654Keywords:
Diabetes mellitus, Diabetic foot ulcer, Wagner’s grading, Knowledge attitude and practice assessmentAbstract
Background: Diabetes is a group of disorders marked by chronic high blood sugar due to issues with insulin. It includes type 1, type 2, genetic and drug-induced types, and gestational diabetes. A serious complication of diabetes is diabetic foot ulcers (DFUs), caused by peripheral neuropathy, vascular problems, and infections, which can lead to severe outcomes like amputations.
Methods: A prospective cohort observational study was conducted over six months at a tertiary care teaching hospital involving 163 diabetic patients with foot ulcers, aged 20 to 80. The study assessed knowledge, attitude, and practices (KAP) regarding DFUs using a translated KAP questionnaire. Ulcer grades were classified using the Wagner system. Data were collected on socio-demographic factors, disease-related factors, and practices related to foot care.
Results: This study found most of the participants were under the age group of 41-50, with a higher prevalence of females, and predominantly had type 2 diabetes. Common co-morbidities included hypertension, eye issues, and cardiovascular disease. Ulcer grading showed that most patients had Wagner grade 2 ulcers. Many participants lacked awareness about diabetes-related foot risks. Although most were open to lifestyle changes, many had gaps in foot care, with few following recommended practices.
Conclusions: The study highlights the importance of better patient education and counselling to manage diabetic foot ulcers effectively. Although participants had a positive attitude towards foot care, there were significant gaps in their knowledge and practices. Healthcare providers, including pharmacists, need to improve education and communication to address these issues and help prevent severe complications.
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References
World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications: report of a WHO consultation. Part 1, Diagnosis and classification of diabetes mellitus, 1999. Available at: https://iris.who.int/handle/10665/66040. Accessed 01 May 2024.
Bhaskar A, Reddy K, Sagar K, Kishore K, Madhan Mohan Rao M, Krishna V. Assessment of knowledge and patient counseling to the patient with diabetes on diabetic foot care in tertiary care hospital. Int J Diabetol Vasc Dis Res. 2019;7(1):223-42.
Chaudhary N, Tyagi N. Diabetes mellitus: An overview. Int J Res Develop Pharm Life Sci. 2018;7(4):3030-3.
Parveen N, Roy A, Prasad P. Diabetes Mellitus–pathophysiology & herbal management. Pharmac Biosci J. 2017:34-42.
Porselvi A, Shankar MU, Lakshmi KS, Sankar V. A retrospective qualitative study on current diabetic foot ulcer management and discussion on extended role of clinical pharmacist. Marmara Pharmac J. 2017;21(2):412-8.
World Health Organizations. Who QOL-BREF Introduction, administration, scoring and generic version of the assessment. WHO, Geneva, 1996. Available at: https://www.who.int/publications/i/item/WHOQOL-BREF. Accessed 01 May 2024.
Vyas VG. Comparison study of compliance with medication and foot care in type 2 diabetic patients. J Diab Metabol. 2015;6(9):1.
Noor S, Zubair M, Ahmad J. Diabetic foot ulcer-a review on pathophysiology, classification and microbial etiology. Diabet Metabol Syndr: Clin Res Revi. 2015;9(3):192-9.
Muhammad-Lutfi AR, Zaraihah MR, Anuar-Ramdhan IM. Knowledge and practice of diabetic foot care in an in-patient setting at a tertiary medical center. Malays Orthop J. 2014;8(3):22.
Renuga E, Ramakrishnan SR, Vanitha Rani N, Thennarasu P, Kannan G. Impact of continuous patient counselling on knowledge, attitude, and practices and medication adherence of diabetic patients attending outpatient pharmacy services. Asian J Pharm Clin Res. 2016;9(1):364-9.
Taksande BA, Thote M, Jajoo UN. Knowledge, attitude, and practice of foot care in patients with diabetes at central rural India. J Fam Medi Prim Care. 2017;6(2):284-7.
Sunny S, Pradeep S, Sunny AA, Parthasarathy R, Rajeshkumar S, Veintramuthu S. Patient counseling, risk factors and comorbidity assessment in diabetic foot ulcer. J Pharm Res. 2019;23(2):298-303.
Akber N, Malik Z, Rehman EU, Ghul ZI. Diabetic Foot Classification (Wagner Classification System) as a predictor of outcome: study of 50 patients. J Fatima Jinnah Medi Univers. 2012;6(1):1.
Hasnain S, Sheikh NH. Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. JPMA. J Pak Medi Associ. 2009;59(10):687.
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 Medi J. 2011;45(2):1.
