Back to Journals » Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy » Volume 14

Knowledge and Practice on Diabetic Foot Self-Care and Associated Factors Among Diabetic Patients at Dessie Referral Hospital, Northeast Ethiopia: Mixed Method

Authors Tuha A, Getie Faris A, Andualem A, Ahmed Mohammed S

Received 3 January 2021

Accepted for publication 9 March 2021

Published 17 March 2021 Volume 2021:14 Pages 1203—1214

DOI https://doi.org/10.2147/DMSO.S300275

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Antonio Brunetti


Abdu Tuha, Abebe Getie Faris, Ababil Andualem, Solomon Ahmed Mohammed

Department of Pharmacy, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia

Correspondence: Solomon Ahmed Mohammed P.O. Box: 1145 Tel +251910504378
Email [email protected]

Introduction: Diabetic foot ulcer is a serious and disabling complication of diabetes mellitus that consists of lesions in the deep tissues resulting in lower extremity amputations. The incidence of diabetic foot ulcers has increased due to an increased prevalence of diabetes mellitus. This study assessed the knowledge and practice of diabetic foot self-care among diabetic patients attending Dessie referral hospital.
Methods: A facility-based explanatory sequential mixed method was used from April 03/2019 to May 09/2019. The quantitative method employed an institutional-based cross-sectional study design using a structured questionnaire. A simple random sampling technique was employed to select the study participants. Descriptive and inferential statistics were made using the statistical package for social sciences version 20. Then, a phenomenological study was employed among key informants and content analysis was performed.
Results: Sixty-eight (19.8%) of patients with diabetes developed complication, among them 97 (28%) had foot ulcer. Nearly two-third (217 (61.3%): 95% CI (57.6– 68.3%)) and 134 (39%; 95% CI:34.3– 45.1%) of patients with diabetes had good knowledge and practice on diabetic foot self-care, respectively. Diabetic nephropathy ((AOR): 0.03, 95% CI (0.00– 0.27)) was associated with knowledge on foot self-care. Practice of foot self-care was associated with female ((AOR: 2.07, 95% CI (1.04– 4.12)), age 21– 30 ((AOR: 6.42, 95% CI (1.54– 26.8)), 31– 40 years ((AOR: 7.4, 95% CI (1.42– 39.05)), 41– 50 years ((AOR: 8.4, 95% CI (1.4– 50.6)), single ((AOR: 0.35, 95% CI (0.150– 0.81)), living in rural ((AOR: 0.31, 95% CI (0.18– 0.545)) and no comorbidity ((AOR: 0.406, 95% CI (0.18– 0.88)). Key informants were not compliant, confused and negligent to foot self-care.
Conclusion: Nearly two-third and more than one-third of patients with diabetes had good knowledge and practice on diabetic foot self-care, respectively. Patients lack proper knowledge regarding self-care and how it is practiced. Patient education and proper management of diabetic foot ulcers are recommended to reduce, delay, or prevent complications.

Keywords: diabetic foot self-care, knowledge, practice

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]