Factors associated with awareness and practice about foot care among patients admitted with diabetes mellitus: A cross sectional research from a medical college hospital of southern India.
IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
H Pavithra, Kibballi Madhukeshwar Akshaya, Abhay Subashrao Nirgude, A G Balakrishna
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引用次数: 6
Abstract
Background: Diabetes Mellitus (DM) causes micro and macro vascular complications. One of the complications of DM is diabetic foot that results in amputations and decreased quality of life. The aim of this study was to assess the awareness and practice about foot care and associated factors among admitted patients in a teaching hospital of coastal Karnataka, India.
Material and methods: A cross-sectional study was conducted in a medical college hospital after obtaining institutional ethics approval from 24th December 2016 to 21st January 2017. Adults with diabetes (N=317) admitted in the hospital were interviewed with a validated structured questionnaire for awareness and practice regarding foot care. The scores obtained were further graded into good and poor. Data was analyzed with SPSS version 22 for descriptive statistics. Bivariate logistic and linear regressions were used to determine the association between variables and awareness/practice scores.
Results: Mean age of the participants was 56.98 (±10.54) years with males constituting the majority (63.4%). Good awareness and practice scores were observed among 69.1% and 41.6% participants, respectively. Good awareness scores were associated with male patients (p=0.027), currently not married (p=0.044), below poverty line socioeconomic status (p=0.014) and presence of foot ulcer (p=0.021). Good practice scores was associated with secondary schooling (p=0.003) and receiving insulin (p=0.045). Moderate correlation with coefficient 0.493 (p<0.001) was observed between awareness and practice scores.
Conclusion: Seven and four out of 10 study participants had good awareness and practice scores about foot care, respectively. A tailor-made health education module addressing the lacunae identified in the awareness and practice domains needs to be provided to the patients with diabetes mellitus.
背景:糖尿病(DM)可引起微血管和大血管并发症。糖尿病的并发症之一是糖尿病足，导致截肢和生活质量下降。本研究的目的是评估印度卡纳塔克邦沿海一家教学医院住院患者对足部护理的认识和实践及其相关因素。材料与方法:横断面研究于2016年12月24日至2017年1月21日在某医学院附属医院获得机构伦理批准。对住院的成人糖尿病患者(N=317)进行了有效的结构化问卷调查，以了解足部护理的意识和实践。获得的分数进一步分为好和差。数据分析采用SPSS version 22进行描述性统计。使用双变量逻辑回归和线性回归来确定变量与意识/练习分数之间的关联。结果:参与者的平均年龄为56.98(±10.54)岁，男性占多数(63.4%)。69.1%和41.6%的参与者分别有良好的意识和实践得分。良好的认知得分与男性患者(p=0.027)、未婚(p=0.044)、低于贫困线的社会经济地位(p=0.014)和存在足部溃疡(p=0.021)相关。良好实践得分与中等教育程度(p=0.003)和接受胰岛素(p=0.045)相关。结论:10名研究对象中有7人对足部护理有良好的意识，4人对足部护理有良好的实践。需要为糖尿病患者提供量身定制的健康教育模块，以解决在认识和实践领域发现的空白。
期刊介绍：
The Nepal Journal of Epidemiology is a international journal that encompasses all aspects of epidemiology. The journal encourages communication among those engaged in the research, teaching, and application of epidemiology of both communicable and non-communicable disease, including research into health services and medical care. Also covered are new methods, epidemiological and statistical, for the analysis of data used by those who practise social and preventive medicine. It provides the most up-to-date, original, well designed, well interpreted and significant information source in the multidisciplinary field of epidemiology. We publish manuscripts based on the following sections: 1.Short communications 2.Current research trends 3.Original research 4.Case reports 5.Review articles 6.Letter to editor
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