Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur

Foot problems are very common in diabetic patients but may go unnoticed by the patients and undiagnosed by the healthcare providers leading to substantial morbidity and amputations. The aims of this study were to assess patient’s foot care practices, awareness on their foot condition as well as to d...

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Main Authors: Jamani, Nurjasmine Aida, Muhammad, Noor Azimah, Jaafar, Aida, Ahmad, Saharuddin, Tohit, Noorlaili
Format: Article
Language:English
Published: Kulliyyah of Allied Health Sciences, International Islamic University Malaysia 2018
Subjects:
Online Access:http://irep.iium.edu.my/69149/
http://irep.iium.edu.my/69149/
http://irep.iium.edu.my/69149/1/Foot%20Problem%20and%20foot%20care%20preactices%20among%20diabetic%20patients%20in%20a%20primary%20care%20clinic%2C%20Kuala%20Lumpur.pdf
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spelling iium-691492019-01-15T01:32:14Z http://irep.iium.edu.my/69149/ Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur Jamani, Nurjasmine Aida Muhammad, Noor Azimah Jaafar, Aida Ahmad, Saharuddin Tohit, Noorlaili R Medicine (General) RC Internal medicine RD Surgery RM Therapeutics. Pharmacology Foot problems are very common in diabetic patients but may go unnoticed by the patients and undiagnosed by the healthcare providers leading to substantial morbidity and amputations. The aims of this study were to assess patient’s foot care practices, awareness on their foot condition as well as to determine the prevalence of diabetic foot problem and its associated factors. Methods: This was a cross sectional study conducted among diabetic patients in a primary care clinic in Kuala Lumpur. Patients with diabetes, aged more than 18 years were selected using systematic random sampling technique. Patients were requested to answer a set of self-administered pre-tested questionnaire that obtain information on their socio-demographic profiles, diabetic clinical data, awareness on their feet condition and foot care practice. A trained clinician examined patients’ feet using a standard foot examination protocol. Results: A total of 166 patients with diabetes participated in this study. Nearly half of the patients (70, 42.2%) had diabetic foot problem but only 31 (18.7%) of them were aware of their foot condition. The three common problem were trophic changes of the skin (92.8%), followed with hair loss (71.1%) and callosity (65.7%). The independent associated factors for foot problem were increasing age (AOR=1.05, 95% CI 1.015-1.095; p<0.05) and lower education level (AOR=2.32, 95% CI 1.092-4.908; p< .05). Many of the participants did not practice a proper foot care such as not using a proper foot wear, not inspecting their feet daily and thoroughly dry their feet. Conclusion: There was a high prevalent of diabetic foot problem in these patients especially among elderly and those with a lower education level but not many of them were aware of their problem. They were found to have poor foot care practice. Therefore, efforts need to be targeted on increasing patients’ awareness on their foot condition and improve their understanding on foot care practice. In addition, it is important for health professionals to carry out regular foot examination as many of the diabetic patients may not aware of their problem. Kulliyyah of Allied Health Sciences, International Islamic University Malaysia 2018 Article PeerReviewed application/pdf en http://irep.iium.edu.my/69149/1/Foot%20Problem%20and%20foot%20care%20preactices%20among%20diabetic%20patients%20in%20a%20primary%20care%20clinic%2C%20Kuala%20Lumpur.pdf Jamani, Nurjasmine Aida and Muhammad, Noor Azimah and Jaafar, Aida and Ahmad, Saharuddin and Tohit, Noorlaili (2018) Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur. International Journal of Allied Health Science, 2 (3). pp. 435-444. E-ISSN 2600-8491 http://journals.iium.edu.my/ijahs/index.php/IJAHS/article/view/166
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RC Internal medicine
RD Surgery
RM Therapeutics. Pharmacology
spellingShingle R Medicine (General)
RC Internal medicine
RD Surgery
RM Therapeutics. Pharmacology
Jamani, Nurjasmine Aida
Muhammad, Noor Azimah
Jaafar, Aida
Ahmad, Saharuddin
Tohit, Noorlaili
Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
description Foot problems are very common in diabetic patients but may go unnoticed by the patients and undiagnosed by the healthcare providers leading to substantial morbidity and amputations. The aims of this study were to assess patient’s foot care practices, awareness on their foot condition as well as to determine the prevalence of diabetic foot problem and its associated factors. Methods: This was a cross sectional study conducted among diabetic patients in a primary care clinic in Kuala Lumpur. Patients with diabetes, aged more than 18 years were selected using systematic random sampling technique. Patients were requested to answer a set of self-administered pre-tested questionnaire that obtain information on their socio-demographic profiles, diabetic clinical data, awareness on their feet condition and foot care practice. A trained clinician examined patients’ feet using a standard foot examination protocol. Results: A total of 166 patients with diabetes participated in this study. Nearly half of the patients (70, 42.2%) had diabetic foot problem but only 31 (18.7%) of them were aware of their foot condition. The three common problem were trophic changes of the skin (92.8%), followed with hair loss (71.1%) and callosity (65.7%). The independent associated factors for foot problem were increasing age (AOR=1.05, 95% CI 1.015-1.095; p<0.05) and lower education level (AOR=2.32, 95% CI 1.092-4.908; p< .05). Many of the participants did not practice a proper foot care such as not using a proper foot wear, not inspecting their feet daily and thoroughly dry their feet. Conclusion: There was a high prevalent of diabetic foot problem in these patients especially among elderly and those with a lower education level but not many of them were aware of their problem. They were found to have poor foot care practice. Therefore, efforts need to be targeted on increasing patients’ awareness on their foot condition and improve their understanding on foot care practice. In addition, it is important for health professionals to carry out regular foot examination as many of the diabetic patients may not aware of their problem.
format Article
author Jamani, Nurjasmine Aida
Muhammad, Noor Azimah
Jaafar, Aida
Ahmad, Saharuddin
Tohit, Noorlaili
author_facet Jamani, Nurjasmine Aida
Muhammad, Noor Azimah
Jaafar, Aida
Ahmad, Saharuddin
Tohit, Noorlaili
author_sort Jamani, Nurjasmine Aida
title Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
title_short Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
title_full Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
title_fullStr Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
title_full_unstemmed Foot problem and foot care practices among diabetic patients in a primary care clinic, Kuala Lumpur
title_sort foot problem and foot care practices among diabetic patients in a primary care clinic, kuala lumpur
publisher Kulliyyah of Allied Health Sciences, International Islamic University Malaysia
publishDate 2018
url http://irep.iium.edu.my/69149/
http://irep.iium.edu.my/69149/
http://irep.iium.edu.my/69149/1/Foot%20Problem%20and%20foot%20care%20preactices%20among%20diabetic%20patients%20in%20a%20primary%20care%20clinic%2C%20Kuala%20Lumpur.pdf
first_indexed 2023-09-18T21:38:09Z
last_indexed 2023-09-18T21:38:09Z
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