Foot care practices, its barriers and risk for peripheral neuropathy among diabetic patients attending medical college in rural Puducherry

Authors

  • Shaheen Begum SMVMCH, Pondicherry, India
  • Murugan Venkatesan Department of Community Medicine, MAPIMS, Melmaruvathur, Tamil Nadu, India
  • Kalaiselvan Ganapathy Department of Community Medicine, SMVMCH, Pondicherry, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20185243

Keywords:

Peripheral neuropathy, Diabetes foot care, Barriers

Abstract

Background: Diabetes has becoming an increasing cause of morbidity and mortality worldwide. Along with the rising prevalence of diabetes increase in the complications are expected which will further burden our health care services. Poor knowledge of foot care and poor foot care practices were identified as important risk factors for foot problems in diabetes.

Methods: The present study was a mixed methods study conducted among diabetic patients attending medicine OPD. Quantitative data for foot care practices and peripheral neuropathy was collected from 190 diabetic patients and free listing among 20 diabetic patients was done to identify perceived barriers for foot care practices. Collected data were entered in Epi Info (3.5.3) and analysed using SPSS version 24 software.

Results: The prevalence of peripheral neuropathy among the study participants was 52.9%. Significant association was found between peripheral neuropathy and male sex (p=0.006), occupation (p=0.003), smoking status (p=0.013) and longer duration of disease (p=0.04). The various reasons for poor foot care practices perceived by patients were poor knowledge about foot care, lack of knowledge about complications and health care provider did not teach them.

Conclusions: The prevalence of peripheral neuropathy is common among diabetic patients and most of them are having poor foot care practices so there is a need in the community to lay emphasis on health education programs to improve foot care practices.

Author Biographies

Shaheen Begum, SMVMCH, Pondicherry, India

Final Year Student

Murugan Venkatesan, Department of Community Medicine, MAPIMS, Melmaruvathur, Tamil Nadu, India

Associate professor
Community Medicine

References

International diabetes federation 2015. Available at: http://www.idf.org/membership/sea/India. Accessed on 19 September 2017.

Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania –a cross-sectional study. J Foot Ankle Res. 2015;8:1-7.

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 Endocr Metab. 2014;18:106-10.

George H, Rakesh P, Krishna M, Alex R, Vinod JA, 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 Primary Care. 2013;2(1):27-32.

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.

D’Souza M, Kulkarni V, Bhaskaran U, Ahmed H1, Naimish H1, Prakash A, et al. Diabetic Peripheral Neuropathy and its Determinants among Patients Attending a Tertiary Health Care Centre in Mangalore, India. J Public Health Res. 2015;4(2):450.

Gogia S, Rao CR. Prevalence and risk factors for peripheral neuropathy among type 2 diabetes mellitus patients at a tertiary care hospital in coastal Karnataka. Indian J Endocr Metab. 2017;21:665-9.

Nafisa CV, Ferreira AM, Kulkarni MS, Friedrik V, Pinto NR. Prevalence of diabetic complications in rural Goa, India. Indian J Community Med. 2011;36:283–6.

Ashok S, Ramu M, Deepa R, Mohan V. Prevalence of neuropathyin type 2 diabetic patients attending adiabetescentre in South India. J Assoc Physicians India. 2002;50:546–50.

Bansal D, Gudala K, Muthyala H, Esam HP, Nayakallu R, Bhansali A. Prevalence and risk factors of development of peripheral diabetic neuropathy in type 2 diabetes mellitus in a tertiary care setting. Journal of Diabetes Investigation. 2014;5(6):714-21.

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Published

2018-12-24

How to Cite

Begum, S., Venkatesan, M., & Ganapathy, K. (2018). Foot care practices, its barriers and risk for peripheral neuropathy among diabetic patients attending medical college in rural Puducherry. International Journal Of Community Medicine And Public Health, 6(1), 203–207. https://doi.org/10.18203/2394-6040.ijcmph20185243

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Original Research Articles