Awareness of long-term foot complications in people living with diabetes mellitus in Mauritius: a cross-sectional study.

IF 1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Pan African Medical Journal Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI:10.11604/pamj.2025.51.40.47476
Sameenah Khodabux, Indrajit Banerjee
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引用次数: 0

Abstract

Introduction: Mauritius has a high disease burden of diabetes mellitus and ranked twelfth globally according to the International Diabetes Federation. According to the non-communicable disease survey 2021, it was found that 19.9 % of the Mauritian population suffers from Type 2 diabetes mellitus. The long-term diabetic foot complications contribute to premature mortality and increased morbidity. Proper knowledge of diabetic foot complications and good foot care practices may help mitigate the long-term burden of diabetic foot complications in Mauritius in particular and Africa in general. The main objective of this study was to evaluate the awareness of long-term diabetic foot complications and practice of proper foot care among people living with DM in Mauritius.

Methods: a cross-sectional study was conducted among people living with Diabetes Mellitus (DM) attending Non-Communicable Disease (NCD) clinics at Dr. Abdool Gaffoor Jeetoo Hospital (regional hospital), Mauritius and its nearby primary healthcare centers, which serve a majority of the urban and semi-urban population.

Results: the study showed good knowledge about diabetic foot complications and average foot care practicing among the participants. A significant positive correlation between knowledge and practice scores (r = 0.477, p < 0.05) was found, indicating that increased knowledge was associated with better foot care practices. There was a significant negative association between practice score and glycaemic control (r= -0.311 p< 0.001) as well as a negative association between knowledge score and HbA1c. (r=-0.226, p<0.001). It can be deduced that people living with DM with controlled HbA1c had better knowledge about diabetic foot complications and practiced good foot care. The work status of a patient with DM had a significantly better coefficient on knowledge score OR 7.534 [1.392-40.779]. This was found to be statistically significant (p < 0.05). This implies that as the work status of people living with diabetes mellitus improves, the person is 7.534 times more likely to have improved knowledge of diabetic foot complications.

Conclusion: despite having good knowledge on long-term diabetic foot complications, the participants did not practice proper foot care, which could be a result of a lack of education on foot care among people living with DM or a lack of motivation from healthcare professionals, relatives and friends.

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毛里求斯糖尿病患者对长期足部并发症的认识:一项横断面研究。
简介:根据国际糖尿病联合会的数据,毛里求斯的糖尿病疾病负担很高,在全球排名第十二。根据2021年非传染性疾病调查,毛里求斯有19.9%的人口患有2型糖尿病。长期的糖尿病足并发症导致过早死亡和发病率增加。对糖尿病足并发症的正确认识和良好的足部护理做法可能有助于减轻毛里求斯特别是整个非洲糖尿病足并发症的长期负担。本研究的主要目的是评估毛里求斯糖尿病患者对长期糖尿病足并发症的认识和适当足部护理的做法。方法:在毛里求斯Abdool Gaffoor Jeetoo博士医院(地区医院)及其附近的初级卫生保健中心的非传染性疾病(NCD)诊所就诊的糖尿病(DM)患者中进行了一项横断面研究,这些中心为大多数城市和半城市人口提供服务。结果:研究显示参与者对糖尿病足并发症和平均足部护理实践有良好的了解。知识与实践得分呈显著正相关(r = 0.477, p < 0.05),表明知识的增加与足部护理的改善有关。实践得分与血糖控制呈显著负相关(r= -0.311 p< 0.001),知识得分与糖化血红蛋白呈显著负相关。(r=-0.226, p)结论:尽管对长期糖尿病足并发症有很好的了解,但参与者没有进行适当的足部护理,这可能是由于糖尿病患者缺乏足部护理教育或缺乏医疗保健专业人员、亲戚和朋友的动力。
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来源期刊
Pan African Medical Journal
Pan African Medical Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.80
自引率
0.00%
发文量
691
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