Awareness and practice regarding foot self-care among patients of known type 2 diabetes mellitus in a rural area
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20160917Keywords:
Diabetes, Foot care, Practices, Awareness, Rural areaAbstract
Background: Diabetic foot problems accounts for about nearly 50% of diabetes related hospital admission. About 49-85% of all diabetic foot related problems are preventable if appropriate measures are taken. The objective of the study was to assess the awareness and practice towards foot self - care among patients of known type 2 diabetes mellitus in a rural area.
Methods: The present study was conducted among patients with type 2 diabetes, attending Non-communicable disease (NCD) clinic, Rural Health Training Centre (RHTC), Sri Ramachandra University (SRU), Tamil Nadu, India. 31 participants gave written consent for their participation and they were interviewed using a questionnaire. Data entry and analysis was done using statistical package for Social Sciences (SPSS) 16 version software.
Results: Mean age of participant was 54.5years. Regarding awareness, 64.5% were unaware that they need to give special attention to foot care, 77.4% were unaware that smoking causes poor circulation affecting the feet. Poor foot practices are; 67.7% do not check inside of footwear for objects before putting them on and 74.2% walk barefoot and 54.8% did not cut their toenails properly.
Conclusions: Foot self-care awareness and practices among patients with diabetes were found to be poor. This implies an urgent need for health educating the patients which may prevent disability and reduce medical expenditure in long run.
References
Available at: www.who.int/campaigns/world-health-day/2016/event/en/. Accessed on 25/01/2016.
Available at: International Diabetes Federation. 2013. www.idf.org/diabetesatlas. Accessed on 25/01/2016.
Kumar P, Clark M. Diabetes mellitus and other disorders of metabolism. Kumar & Clark clinical medicine.Spain:Elsevier saunders. 2005:1101-30.
Beckley ET. Get to know your patients’ feet. Doc News dated Sept 1, 2005. American Diabetes association. 2005;2:10.
Ramachandran A, Snehalatha C, Baskar AD,Mars S, Kumar CK, Selvam S, et al. Temporal changes in prevalence of diabetes and impaired glucose tolerance associated with lifestyle transition occurring in the rural population in India. Diabetologia. 2004;47:860-5.
Chellan G, Srikumar S, Varma AK, Mangalanandan TS, Sundaram KR, Jayakumar RV, et al. Foot care practice-the key to prevent diabetic foot ulcers in India. Foot (Edinb). 2012;22:298-302.
Viswanathan V, Madhavan S, Rajasekar S, Chamukkuttan S, Ambady R. Amputation prevention initiative in South India. Positive impact of foot care education. Diabetes Care. 2005;28:1019-21.
Shobana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients’ adherence to diabetes treatment. J Assoc Physicians India. 1999;1173-5.
Kapur A. Economic analysis of diabetes care. Indian J med Res. 2007;125:473-82.
Viswanathan V, Shobana R, Snehalatha C, Seena R, Ramachandran A. Need for education on footcare in diabetic patients in India. J Assoc Physicians India. 1999;47:1083-5.
Shah VN, Kamdar PK, shah N. Assessing the knowledge, attitudes and practice of type 2 diabetes among patients of Saurashtra region, Gujarat. Int J Diabetes Dev Ctries. 2009;29:118-22.
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;2:27-32.
Bakker K, Schaper NC, International working group on Diabetic foot Editorial Board. The development of global consensus guidelines on the management and prevention of diabetic foot. 2011;Diabetes Metab Res Rev. 2012;28 Suppl 1:116-8.