Foot Self Care: Knowledge, Practice and Barriers among Diabetic Patients

Document Type : Original Article

Authors

1 Professor- Department of community Health Nursing- Faculty of Nursing- Menofia University,

2 Assist. Prof. - Department of Medical Surgical Nursing- Faculty of Nursing- Menofia University

10.12816/0029151

Abstract

Background: Diabetic foot is one of the most frightened complications of diabetes and is the
leading cause of hospitalization among diabetic patients. Aim: This study was carried out to
evaluate foot self care Knowledge, Practice, and barriers among diabetic patients. Subjects:
A convenient sample of 118 adult diabetic patients was chosen. Setting: The study was
conducted at the medical outpatient department and in patient ward at Menofia University
Hospital and Shebin El - Kom Teaching Hospital. Tool: A Structured interview questionnaire
was developed and utilized by the researchers. It included six parts. Results: the mean age of
subjects was 47.63± 9.66 years. About two thirds of patients (63.6%) had no diabetic foot
care education experiences. More than three fourths of subjects who had poor foot care
practice (77.6%) didn’t have complete information about foot care (80%). The majority (81%)
of subjects who had poor foot care practice didn’t have diabetic foot care education practice.
55% and 73.3% of subjects who had fair knowledge about diabetes , foot problem and care
respectively had good foot care practice. 63.2% and 73.5% of subjects who had fair
knowledge about diabetes, foot problem and care respectively, had good foot wear practice.
Conclusions: Low level of diabetic foot care education practice has significant association
with current foot care practice. Incomplete information about foot care is the most important
barrier associated with poor foot care practice. Recommendations: A diabetes self care hand
book about diabetes information, foot problems, prevention and care should be available for
all diabetic patients. Specialized team for diabetic foot care should be available in outpatient
clinic to assess, prevent and manage any foot problems. Also this team should provide
continuous education for diabetic patient about proper foot care.

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