KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA

Diabetic foot syndrome is common in uncontrolled diabetes and is a constellation of symptoms and signs that include neuropathy, infection, and ischaemia. It has become a global concern and a frequent cause of hospitalisation among diabetics. In this study, the authors’ objective was to assess the kn...

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Main Authors: Deign Maria John, Jomol John, Mervyn Ronit Raj, Farah Naaz Fathima
Format: Article
Language:English
Published: European Medical Journal 2019-11-01
Series:European Medical Journal Diabetes
Subjects:
Online Access:https://www.emjreviews.com/diabetes/article/knowledge-practices-and-risk-of-diabetic-foot-syndrome-among-diabetic-patients-in-a-tertiary-care-hospital-in-bengaluru-india/
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author Deign Maria John
Jomol John
Mervyn Ronit Raj
Farah Naaz Fathima
author_facet Deign Maria John
Jomol John
Mervyn Ronit Raj
Farah Naaz Fathima
author_sort Deign Maria John
collection DOAJ
description Diabetic foot syndrome is common in uncontrolled diabetes and is a constellation of symptoms and signs that include neuropathy, infection, and ischaemia. It has become a global concern and a frequent cause of hospitalisation among diabetics. In this study, the authors’ objective was to assess the knowledge, practices, and risk of diabetic foot syndrome among diabetic patients seeking outpatient care at a tertiary hospital in Bengaluru, India. A cross-sectional study involving 198 patients with diabetes aged ≥18 years was conducted using a structured questionnaire, followed by examination using Inlow’s 60-second diabetic foot screen tool. The results were based on the International Working Group on the Diabetic Foot (IWGDF) risk classification system. The knowledge regarding diabetic foot syndrome was inadequate for fungal infections (23.5%), shoe bites (26.5%), and changes in foot colour and temperature. Footcare practices were satisfactory, with the exception of wearing footwear indoors (25.0%) and applying moisturiser to feet (19.0%). Lack of education, diabetic neuropathy, peripheral vascular disease, history of foot ulcer, and a lack of knowledge regarding dry skin, special footwear, and inappropriate footwear were important risk factors. The researchers concluded that the knowledge level of the subjects was relatively poor. Foot practices, such as inspecting and washing feet every day, were followed by the majority of subjects. Lack of education, complications such as neuropathy, peripheral vascular disease, dry skin, and lack of information obtained on foot care practices were significantly associated with diabetic foot syndrome.
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spelling doaj.art-dc52c8a55346440f8a0571749c48604f2022-12-21T20:29:11ZengEuropean Medical JournalEuropean Medical Journal Diabetes2054-61812019-11-01718290KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA Deign Maria John0Jomol John1Mervyn Ronit Raj2Farah Naaz Fathima3St. John’s Medical College, Bengaluru, India *Correspondence to jomoljohntp@gmail.comSt. John’s Medical College, Bengaluru, India *Correspondence to jomoljohntp@gmail.comSt. John’s Medical College, Bengaluru, India *Correspondence to jomoljohntp@gmail.comSt. John’s Medical College, Bengaluru, India *Correspondence to jomoljohntp@gmail.comDiabetic foot syndrome is common in uncontrolled diabetes and is a constellation of symptoms and signs that include neuropathy, infection, and ischaemia. It has become a global concern and a frequent cause of hospitalisation among diabetics. In this study, the authors’ objective was to assess the knowledge, practices, and risk of diabetic foot syndrome among diabetic patients seeking outpatient care at a tertiary hospital in Bengaluru, India. A cross-sectional study involving 198 patients with diabetes aged ≥18 years was conducted using a structured questionnaire, followed by examination using Inlow’s 60-second diabetic foot screen tool. The results were based on the International Working Group on the Diabetic Foot (IWGDF) risk classification system. The knowledge regarding diabetic foot syndrome was inadequate for fungal infections (23.5%), shoe bites (26.5%), and changes in foot colour and temperature. Footcare practices were satisfactory, with the exception of wearing footwear indoors (25.0%) and applying moisturiser to feet (19.0%). Lack of education, diabetic neuropathy, peripheral vascular disease, history of foot ulcer, and a lack of knowledge regarding dry skin, special footwear, and inappropriate footwear were important risk factors. The researchers concluded that the knowledge level of the subjects was relatively poor. Foot practices, such as inspecting and washing feet every day, were followed by the majority of subjects. Lack of education, complications such as neuropathy, peripheral vascular disease, dry skin, and lack of information obtained on foot care practices were significantly associated with diabetic foot syndrome.https://www.emjreviews.com/diabetes/article/knowledge-practices-and-risk-of-diabetic-foot-syndrome-among-diabetic-patients-in-a-tertiary-care-hospital-in-bengaluru-india/diabetic foot syndromediabetic patientsknowledgeriskpractices
spellingShingle Deign Maria John
Jomol John
Mervyn Ronit Raj
Farah Naaz Fathima
KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
European Medical Journal Diabetes
diabetic foot syndrome
diabetic patients
knowledge
risk
practices
title KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
title_full KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
title_fullStr KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
title_full_unstemmed KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
title_short KNOWLEDGE, PRACTICES, AND RISK OF DIABETIC FOOT SYNDROME AMONG DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN BENGALURU, INDIA
title_sort knowledge practices and risk of diabetic foot syndrome among diabetic patients in a tertiary care hospital in bengaluru india
topic diabetic foot syndrome
diabetic patients
knowledge
risk
practices
url https://www.emjreviews.com/diabetes/article/knowledge-practices-and-risk-of-diabetic-foot-syndrome-among-diabetic-patients-in-a-tertiary-care-hospital-in-bengaluru-india/
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