Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan

Background: Foot complications are considered to be a serious consequence of diabetes mellitus, posing a major medical and economic threat. Identifying the extent of this problem and its risk factors will enable health providers to set up a better prevention programs. Objectives: This study aims to...

Full description

Bibliographic Details
Main Authors:	Azmi, Nurul Husna, Md Aris, Mohd Aznan, Abdul Hadi, Azwanis, Mohamamd Alarosi, Nasreen, Che Ahmad, Aminudin
Format:	Article
Language:	English
Published:	Academy of Family Physicians of Malaysia 2019
Subjects:	R Medicine (General) RA Public aspects of medicine
Online Access:	http://irep.iium.edu.my/73215/ http://irep.iium.edu.my/73215/ http://irep.iium.edu.my/73215/13/73215%20abstract.pdf

id	iium-73215
recordtype	eprints
spelling	iium-732152019-07-17T02:16:28Z http://irep.iium.edu.my/73215/ Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan Azmi, Nurul Husna Md Aris, Mohd Aznan Abdul Hadi, Azwanis Mohamamd Alarosi, Nasreen Che Ahmad, Aminudin R Medicine (General) RA Public aspects of medicine Background: Foot complications are considered to be a serious consequence of diabetes mellitus, posing a major medical and economic threat. Identifying the extent of this problem and its risk factors will enable health providers to set up a better prevention programs. Objectives: This study aims to assess the prevalence of diabetic foot at risk and its associated factors among the type 2 diabetes mellitus patients’ attending primary health clinics in Kuantan. Methods: This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Level of awareness and practice toward diabetic foot care was assessed using validated self-administered questionnaire. Foot examination carried out and foot at risk was classified based on Kings’ Classification. Multiple logistic regressions were performed to identify the risk factors for diabetic foot at risk. Results: The prevalence of diabetic foot at risk was 31.3% (95% CI: 0.27, 0.36) according to Kings Classification (stage 2). Mean age of respondents involved was 56.36 (SD±10.9) years. Multivariate logistic regression analysis identified age (OR 1.04, 95%CI: 1.01-1.06), smoker (OR .911, 95%CI: 1.96-8.63) and duration of diabetes more than 10 years (OR1.77, 95%CI: 1.05-2.98) were risk factors for diabetic foot at risk. However, respondents with good practice score (OR 0.87, 95%CI: 0.774-0.980) have lesser risk of developing diabetic foot at risk. However, level of awareness, race, gender, education level and diabetic control did not show any significant association with diabetic foot at risk. Conclusion: Based on the result, it can be concluded that the screening for diabetic foot at risk is vital for early detection and intervention to prevent serious complication. A sustainable patient education and compliance towards practice of foot care at primary care level should be emphasized more to ensure good foot care practice implementation. Academy of Family Physicians of Malaysia 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/73215/13/73215%20abstract.pdf Azmi, Nurul Husna and Md Aris, Mohd Aznan and Abdul Hadi, Azwanis and Mohamamd Alarosi, Nasreen and Che Ahmad, Aminudin (2019) Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan. Malaysian Family Physician, 14 (Supplement 2). p. 16. ISSN 1985-207X E-ISSN 1985-2274 http://e-mfp.org/wp-content/uploads/v14s2.pdf
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) RA Public aspects of medicine
spellingShingle	R Medicine (General) RA Public aspects of medicine Azmi, Nurul Husna Md Aris, Mohd Aznan Abdul Hadi, Azwanis Mohamamd Alarosi, Nasreen Che Ahmad, Aminudin Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
description	Background: Foot complications are considered to be a serious consequence of diabetes mellitus, posing a major medical and economic threat. Identifying the extent of this problem and its risk factors will enable health providers to set up a better prevention programs. Objectives: This study aims to assess the prevalence of diabetic foot at risk and its associated factors among the type 2 diabetes mellitus patients’ attending primary health clinics in Kuantan. Methods: This was a cross-sectional study conducted at four primary health clinics in Kuantan involving 450 study participants who were selected by using universal sampling method. Level of awareness and practice toward diabetic foot care was assessed using validated self-administered questionnaire. Foot examination carried out and foot at risk was classified based on Kings’ Classification. Multiple logistic regressions were performed to identify the risk factors for diabetic foot at risk. Results: The prevalence of diabetic foot at risk was 31.3% (95% CI: 0.27, 0.36) according to Kings Classification (stage 2). Mean age of respondents involved was 56.36 (SD±10.9) years. Multivariate logistic regression analysis identified age (OR 1.04, 95%CI: 1.01-1.06), smoker (OR .911, 95%CI: 1.96-8.63) and duration of diabetes more than 10 years (OR1.77, 95%CI: 1.05-2.98) were risk factors for diabetic foot at risk. However, respondents with good practice score (OR 0.87, 95%CI: 0.774-0.980) have lesser risk of developing diabetic foot at risk. However, level of awareness, race, gender, education level and diabetic control did not show any significant association with diabetic foot at risk. Conclusion: Based on the result, it can be concluded that the screening for diabetic foot at risk is vital for early detection and intervention to prevent serious complication. A sustainable patient education and compliance towards practice of foot care at primary care level should be emphasized more to ensure good foot care practice implementation.
format	Article
author	Azmi, Nurul Husna Md Aris, Mohd Aznan Abdul Hadi, Azwanis Mohamamd Alarosi, Nasreen Che Ahmad, Aminudin
author_facet	Azmi, Nurul Husna Md Aris, Mohd Aznan Abdul Hadi, Azwanis Mohamamd Alarosi, Nasreen Che Ahmad, Aminudin
author_sort	Azmi, Nurul Husna
title	Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
title_short	Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
title_full	Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
title_fullStr	Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
title_full_unstemmed	Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan
title_sort	prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in kuantan
publisher	Academy of Family Physicians of Malaysia
publishDate	2019
url	http://irep.iium.edu.my/73215/ http://irep.iium.edu.my/73215/ http://irep.iium.edu.my/73215/13/73215%20abstract.pdf
first_indexed	2023-09-18T21:43:49Z
last_indexed	2023-09-18T21:43:49Z
_version_	1777413316648370176

Prevalance and associated factors of diabetic foot at risk among type 2 diabetes mellitus patients attending primary health clinics in Kuantan

Similar Items