Volume 13, Issue 3 (9-2021)                   IJDO 2021, 13(3): 125-130 | Back to browse issues page


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Endocrinology Unit, Department of Medicine, University College Hospital, Ibadan, Nigeria.
Abstract:   (1202 Views)
Objective: Diabetic foot ulcer (DFU) is a relatively common complication of diabetes mellitus and constitutes a major cause of mortality. This study aimed to assess the knowledge of risk factors for foot ulceration among patients with diabetes in a tertiary health facility in South Western Nigeria.
Materials and Methods: This cross-sectional study was initiated with participation of 100 diabetic patients. Diabetic patients were attending the medical outpatient clinic of the University College Hospital, Ibadan. A structured and validated questionnaire was administered and data was analyzed using SPSS 22. Association between sociodemographic characteristics and knowledge of risk factors for foot ulceration was evaluated by chi-square test.
Results: Most of respondents were female (66%). The mean age of the patients was 58.77 (±11.8) years and 51% of patients did not know that it is possible to develop foot ulcer without feeling pain and 30% did not know that features suggestive of neuropathy could be associated with development of foot ulcer. 75% did not know that surgical vascular repair could play any role in the healing of a diabetic foot ulcer. 11% of patients were walking barefooted at home and as much as 63% of respondents did not know that poor long-term glycemic control could be a risk factor for the development of diabetic foot ulcers.
Conclusion: The knowledge of the patients attending the diabetes clinic of a tertiary hospital in south-western Nigeria on foot care is generally poor. Education in this direction is very paramount to correct this defect.
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Type of Study: Research | Subject: Special
Received: 2021/09/14 | Accepted: 2021/09/19 | Published: 2021/09/19

References
1. International Diabetes Federation. IDF Diabetes Atlas. 9th ed. International Diabetes Federation, Brussels, Belgium, 2019.http://www.diabetesatlas .org. Accessed Dec. 30, 2020.
2. Anumah FO, Mshelia-Reng R, Abubakar A, Sough T, Asudo F, Jamda MA, et al. Management outcome of diabetic foot ulcers in a teaching hospital in Abuja, Nigeria.The Journal of Diabetic Foot Complications. 2017;9(1):15-20.
3. Alexiadou K, Doupis J. Management of diabetic foot ulcers. Diabetes Therapy. 2012;3(1):4. [DOI:10.1007/s13300-012-0004-9]
4. Tuttolomondo A, Maida C, Pinto A. Diabetic foot syndrome: Immune-inflammatory features as possible cardiovascular markers in diabetes. World journal of orthopedics. 2015;6(1):62-76. [DOI:10.5312/wjo.v6.i1.62]
5. Ugwu E, Adeleye O, Gezawa I, Okpe I, Enamino M, Ezeani I. Burden of diabetic foot ulcer in Nigeria: current evidence from the multicenter evaluation of diabetic foot ulcer in Nigeria. World journal of Diabetes. 2019;10(3):200‐211. [DOI:10.4239/wjd.v10.i3.200]
6. Syafril S. Pathophysiology diabetic foot ulcer. InIOP Conference Series: Earth and Environmental Science.IOP Publishing .2018 ; 125(1):012161. [DOI:10.1088/1755-1315/125/1/012161]
7. Ogbera AO, Fasanmade O, Ohwovoriole AE, Adediran O. An assessment of the disease burden of foot ulcers in patients with diabetes mellitus attending a teaching hospital in Lagos, Nigeria. The international journal of lower extremity wounds. 2006;5(4):244-9. [DOI:10.1177/1534734606294538]
8. Ibrahim A. IDF Clinical Practice Recommendation on the Diabetic Foot: A guide for healthcare professionals. Diabetes research and clinical practice. 2017;127:285-7. [DOI:10.1016/j.diabres.2017.04.013]
9. Raimi TH, Fasanmade OA. Precipitating factors for diabetes foot ulcer in a nigerian tertiary hospital. European Journal of Biology and Medical Science Research. 2018;6(2):21-8.
10. Al-Hariri MT, Al-Enazi AS, Alshammari DM, Bahamdan AS, Al-Khtani SM, Al-Abdulwahab AA. Descriptive study on the knowledge, attitudes and practices regarding the diabetic foot. Journal of Taibah University medical sciences. 2017;12(6):492-6. [DOI:10.1016/j.jtumed.2017.02.001]
11. American Diabetes Association. Foot care in patients with diabetes mellitus. Diabetes care. 1998;21(Supplement 1):S54-5. [DOI:10.2337/diacare.21.1.S54]
12. Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Diabetic foot. Bmj. 2017;359:j5064. [DOI:10.1136/bmj.j5064]
13. Ikem RT, Ikem IC. Screening and identifying diabetic patients at risk of foot ulceration: use of the Semes-Weinstein monofilament. Mera Diabetes International. 2009:15-7.
14. Desalu OO, Salawu FK, Jimoh AK, Adekoya AO, Busari OA, Olokoba AB. Diabetic foot care: self reported knowledge and practice among patients attending three tertiary hospital in Nigeria. Ghana medical journal. 2011;45(2):60‐65. [DOI:10.4314/gmj.v45i2.68930]
15. Hasnain S, Sheikh NH. Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. JPMA. The journal of the Pakistan Medical Association. 2009;59(10):687.
16. Buloala LW, John ME. Knowledge of diabetic foot care among nursing practitioners in rivers state, Nigeria.Texila International Journal of Nursing. 2018;4(2). [DOI:10.21522/TIJNR.2015.04.02.Art003]
17. Edo AE, Edo GO, Ezeani IU. Risk factors, ulcer grade and management outcome of diabetic foot ulcers in a Tropical Tertiary Care Hospital. Nigerian medical journal: journal of the Nigeria Medical Association. 2013;54(1):59-63. [DOI:10.4103/0300-1652.108900]
18. Ekore RI, Ajayi IO, Arije A, Ekore JO. Knowledge of and attitude to foot care amongst Type 2 diabetes patients attending a university-based primary care clinic in Nigeria. African journal of primary health care and family medicine. 2010;2(1):1-3. [DOI:10.4102/phcfm.v2i1.175]
19. Taksande BA, Thote M, Jajoo UN. Knowledge, attitude, and practice of foot care in patients with diabetes at central rural India. Journal of family medicine and primary care. 2017;6(2):284. [DOI:10.4103/2249-4863.219994]
20. Khamseh ME, Vatankhah N, Baradaran HR. Knowledge and practice of foot care in Iranian people with type 2 diabetes. International wound journal. 2007;4(4):298-302. [DOI:10.1111/j.1742-481X.2007.00381.x]
21. Teli GO, Ponnappa B. A study on knowledge, attitudes, and practices for the prevention of diabetic foot in rural tertiary care teaching hospital. International Journal of Pharmacy and Pharmaceutical Sciences. 2017;9:138-142. [DOI:10.22159/ijpps.2017v9i9.20114]
22. Pourkazemi A, Ghanbari A, Khojamli M, Balo H, Hemmati H, Jafaryparvar Z, et al. Diabetic foot care: knowledge and practice. BMC endocrine disorders. 2020;20(1):1-8. [DOI:10.1186/s12902-020-0512-y]

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