Foot care strategy for the newly diagnosed DM Type 2 patients with low educational and socio-economic background: A step towards future
di
H. Hamidah, L.P. Santhna, R.D. Ruth Packiavathy, A.M. Suraya, W.C. Yap, M. Samsiah, Srijit Das
Background and Aims. Diabetic foot ulcer is one of the major
health problems that accounts for increased morbidity among the
diabetic patients. Having good knowledge, good attitude and practice
of managing the foot prevents the impending chronic co-morbidities
of the disease.
Materials and Methods. This cross-sectional study was performed
to assess the knowledge, attitude and practice on foot care among
the newly diagnosed diabetic type 2 patients with low education and
socio economic background. This study was conducted in one of
the out patient clinics in a tertiary hospital. A set of questionnaire
adopted from ‘The Michigan Diabetes Research and Training Center’
(MDRTC), was used to assess 109 respondents based on their knowledge
of diabetes mellitus, practice and attitude towards the condition
and care of the feet.
Results. The overall finding on knowledge, practice and attitude
had shown unsatisfactory result. There was no relationship between
the knowledge, practice and attitude with care of the feet. Only 20
(18.3%) respondents had a high score on knowledge, 31 (28.4%) had
practiced good habits and 5 (4.6%) showed positive attitude towards
care of the feet. However, there was significant finding on the level of
education and the knowledge of foot care (p=0.01);
Conclusion. Strategies should be developed to overcome the longterm
complications. As for the Muslim patients, ablution, the ritual
practice of washing and cleaning both feet prior to the prayers may be a
possible means of checking the feet for any diabetic foot complication.
Clin Ter 2012; 163(6):473-478
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