A study to assess the knowledge of patients regarding diabetic foot care
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India is known as the “diabetes capital” of the world with more than 40 million people with diabetes.[1] Diabetes mellitus is a multifaceted disease and foot ulceration is one of its most common complications. The incidence of foot ulcers among people with diabetes ranges from 8% to 17%.[2] Foot ulcers can cause severe disability and hospitalization to patients and considerable economic burden to families and health systems.[3,4] Infection, occurring in about half of the diabetic foot ulcers, is a further complication.[5,6] About 85% of diabetes-related amputations are preceded by foot ulcers, and it accounts for more than half of non-traumatic lower limb amputations.[5,7] Individuals who develop foot ulcers have a decreased health-related quality of life.[8,9]
Neuropathy, mechanical stresses, and angiopathy are the major aetiopathological factors in the development of foot ulcers in people with diabetes.[10] Diabetic peripheral neuropathy is a heterogeneous disorder that includes mononeuropathies, polyneuropathies, plexopathies, and radiculopathies.[11] As diabetic neuropathy frequently leads to foot ulcer, it is recommended to screen all individuals with diabetes at least annually.[12]
Of all the complications of diabetes, those that occur in the foot are considered the most preventable. Poor knowledge of foot care and poor foot care practices were identified as important risk factors for foot problems in diabetes.[13] Evidence suggests that consistent patient education with prophylactic foot care for those judged to be at highest risk may reduce foot ulceration and amputations.[14]
The objective of the current study was to assess the knowledge and practices regarding foot care and to estimate the proportion of people with peripheral neuropathy among people with diabetes attending a secondary care rural hospital in Tamil Nadu. The information gained on the knowledge and practices regarding foot care can aid health care providers and policy makers to develop targeted self-management education programs for people with diabetes.
Neuropathy, mechanical stresses, and angiopathy are the major aetiopathological factors in the development of foot ulcers in people with diabetes.[10] Diabetic peripheral neuropathy is a heterogeneous disorder that includes mononeuropathies, polyneuropathies, plexopathies, and radiculopathies.[11] As diabetic neuropathy frequently leads to foot ulcer, it is recommended to screen all individuals with diabetes at least annually.[12]
Of all the complications of diabetes, those that occur in the foot are considered the most preventable. Poor knowledge of foot care and poor foot care practices were identified as important risk factors for foot problems in diabetes.[13] Evidence suggests that consistent patient education with prophylactic foot care for those judged to be at highest risk may reduce foot ulceration and amputations.[14]
The objective of the current study was to assess the knowledge and practices regarding foot care and to estimate the proportion of people with peripheral neuropathy among people with diabetes attending a secondary care rural hospital in Tamil Nadu. The information gained on the knowledge and practices regarding foot care can aid health care providers and policy makers to develop targeted self-management education programs for people with diabetes.
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