Assessment Of Self Reported Knowledge Practice And Barriers Of Diabetic Foot Self-care Among Patients Attending Felege Hiwot Referral Hospital Bahir Dar Amhara Regional State North West Ethiopia

Introduction: Diabetic foot ulcers and the resulting lower extremity amputations are arncommon, complex, costly, and disabling complication of diabetes. An estimated 15% ofrnpatients with diabetes will develop a lower extremity ulcer during the course of their disease. The but drying of feet and between toes were poorly practiced. Married individuals have betterrnknowledge of foot care but farmers had poor foot care practices. Participants residing in urbanrnareas and on long duration of diabetic therapies had better knowledge of foot care.rnRecommendation: Policy makers should initiate well organized interventional foot carerneducation program throughout the regional state. The hospital administration should establish arnspecialized DM clinic in which foot care education is integrated as part follow up service.rnKey words; Diabetic foot ulcer, knowledge, practice, foot carernrnrisk of diabetic foot complications can be reduced by 49-85% through proper preventativernmeasures, patient education and foot self-care.rnObjective: The aim of this study was to assess knowledge, practice, and barriers of diabetic footrnself-care among patients attending Felege Hiwot Referral Hospital.rnMethod: Institution based descriptive cross sectional study was employed from March to April,rn2014 using pre-tested, interviewer administered questionnaire. A total of 313 patients whose agernwas 18 year and above, were recruited from inpatient and outpatient department using convenientrnsampling technique. Furthermore, descriptive statistics, chi square, binary and multi-variaternlogistic regression analyses were employed to assess the predicators of knowledge and practice ofrnfoot self-care among patients with diabetes.rnResult: Majority of respondents were males (64.9%). The mean age was 39.1±16.1years andrnmajority (28.1%) lies between 18 and 25 years. The mean knowledge score was 7.5±2.02 ofrnwhich 56.2% had good knowledge, 23.6% had satisfactory and 20.1% had poor knowledge. Twornhundred fifty (79.9%) were unaware of smoking increases risk of foot ulcer; 74.1% were unawarernto the level of temperature of water used to wash feet. The mean practice score was 25.2 ±6.466rnof which 54.6% had good and 45.4% had poor foot care practice. Moreover, 36.1% inspect theirrnfeet once per week or less; 38.7% never checked their shoe before putting on; 45.7% neverrnchecked their shoes when taking off; more than 90% washed their feet at least once a day. Of therntotal participants 59.1% never dry their feet; 69.3% never dry between toes; only 15.3% andrn9.6% walk indoor and outside the house respectively and 75.7% never apply dry dressing onrnblisters, cut, or burn before.rnAge, educational status, occupational status, place of resident and duration of diabetic therapyrnwere significantly associated with knowledge and practice of diabetic foot self-care.rnConclusion: Generally, only about half of the study participants had good knowledge andrnpractice of diabetic foot care. Majority of the respondents had good practice in washing of feet

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