Knowledge and Practice of Self Foot Care among Type 2 Diabetic Patients Attending Aladil Primary Health Care Center in Makkah, Saudi Arabia
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: Diabetic foot is one of the main complications of Diabetes Mellitus of high socioeconomic impact, characterized by foot lesions and finally leg amputation in most of the cases. Foot care education is the most crucial tool for preventing lower leg amputation. Objectives: To assess the self-foot care knowledge and practice among Saudi type 2 diabetic patients attending Aladil primary healthcare canter, Makkah as well as to determine factors associated with them. Subjects and Methods: A cross-sectional analytical study was adopted. It included a representative sample of type 2 diabetic patients registered at Aladil PHC center, Makkah. Systematic random sampling technique was adopted. The data were collected through filling an interview questionnaire. It includes socio-demographic data, clinical data, general knowledge data, knowledge of foot care practice data and source of information. Regarding practice, a check list was used by the investigator after examination of the patient and observing his/her feet. Results: Out of 170 eligible type 2 diabetic patients invited to participate in the study, 160 responded, giving a response rate of 94.1%. Almost two-thirds of them (69.4% aged between 45 and 64 years. Male patients present 56.3% of them. Majority of them (85%) were married. Diabetes duration ranged between 5 and 10 years among more than half of the participants (53.8%). The majority of them (88.8%) were treated by oral hypoglycaemic drugs. The overall knowledge score mean was 14.7±2.9 out of 29. The overall knowledge score mean was 14.7±2.9 out of 29. The mean knowledge percentage score was 50.5±7.5%. The mean of the overall practice score was 23.5±3.2 out of 28. The mean practice percentage score was 83.9±11.4%.Older patients (≥65 years) were at almost significant double risk for having insufficient knowledge compared to younger patients (30-44 years) (OR: 2.01 95% CI: 1.11-6.31). Compared to illiterate patients, those with secondary school or university education were at significant decreased risk for insufficient self-foot care knowledge (OR: 0.14 95% CI: 0.07-0.078 and OR: 0.06 95% CI: 0.02-0.39, respectively). Compared to patients who reported health care center/hospital as a source of their information about foot care, those who depend on other sources even with health care center/hospital were more likely to have poor practice of self-foot care (OR: 1.93 95% CI: 1.02-4.15). Patients treated with insulin only were at three-folded risk for poor practice of self-foot care opposed to those treated with oral hypoglycemics alone (OR: 3.51 95% CI: 1.36-6.05). Conclusion: The result of this study showed that a considerable proportion of diabetic patients had a poor knowledge and practice of diabetic foot care. Endocrinologists and family physicians were the persons who will be sought by diabetic patients regarding diabetic self-care in the future. Role of health educators was very minimal in this regard.
Authors and Affiliations
Khaled Ibraheem AlQurashe
Keywords
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- EP ID EP537996
- DOI 10.21276/ijmrp.2018.4.2.012
- Views 84
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