A study of risk factors and foot care behavior among diabetics

Nongmaithem, Mackson; Bawa, Arjinder Pal Singh; Pithwa, Abhilash Kumar; Bhatia, Simran Kaur; Singh, Gurjit; Gooptu, Somnath

doi:10.4103/2249-4863.192340

Cited by 36 publications

(48 citation statements)

References 14 publications

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“…8 Some patients with diabetic neuropathy have insensate feet and are thus more prone to injury, are less aware when injuries happen, and are at greater risk of developing foot ulcerations. 23,24 Charcot or diabetic foot syndrome, first described in 1883, is a dreaded complication of DSPN, due to the greatly elevated risk of lower extremity amputation. This syndrome has been defined as the development of foot injuries and ulcerations in association with peripheral neuropathy, peripheral arterial disease, localized trauma, inflammation, and acquisition of infection.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Diabetic Neuropathy

2019

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Diabetes mellitus is becoming increasingly common worldwide. As this occurs, there will be an increase in the prevalence of known comorbidities from this disorder of glucose metabolism. One of the most disabling adverse comorbidities is diabetic neuropathy. The most common neuropathic manifestation is distal symmetric polyneuropathy, which can lead to sensory disturbances, including diminished protective sense, making patients prone to foot injuries. However, focal, multifocal, and autonomic neuropathies are also common. Diabetic nerve pain and Charcot osteoarthropathy are advanced neuropathic conditions that portend a severe deterioration in quality of life. To combat these symptoms, along with glycemic control and establishment of health care systems to educate and support patients with the complexities of diabetes, there are pharmacologic remedies to ameliorate the neurologic symptoms. Several guidelines and review boards generally recommend the use of tricyclic antidepressants, serotonin/norepinephrine-reuptake inhibitors, α-2-delta ligands, and anticonvulsants as medications to improve painful diabetic neuropathy and quality of life.

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Section: Clinical Manifestationsmentioning

confidence: 99%

Diabetic Neuropathy

2019

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“…When this term is focused on individuals with DFU, it may put a lot of emphasis on a specific approach such as the DFU nursing process (assessment, interventions and evaluation) and how the individuals and their families interact with their surrounding communities. In line with reasoning, successful actions pertaining to wound care require a comprehensive approach including looking at the whole aspect of patient and family, and not just the wound . Therefore, the conceptualisation of the concept outlined in this study facilitates to recognise attributes, antecedents, consequences and the outcomes of such procedures relating to DFU.…”

Section: Discussion and Implication On The Practicementioning

confidence: 93%

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Subrata

Phuphaibul

2019

Scandinavian Caring Sciences

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Background Diabetic foot ulcer care demonstrates a beneficial approach to overcoming problems in patients with diabetes. This approach is frequently given but is not always successfully implemented due to its fragmentation amid healthcare providers. What's more, there are a number of different understandings, interchangeable languages and an absence of uniformity overlapping terminologies of meaning for diabetic foot ulcer care. Therefore, analysing the concept of diabetic foot ulcer care is important to provide a wider nursing knowledge, synthesise a greater theoretical model and drive more effective care of diabetic foot ulcer. Objective This article aimed to analyse how the concept of diabetic foot ulcer care is clearly defined in the relevant evidence as it has several implications in nursing practice. Method Walker and Avant's (1995) method of concept analysis was systematically used in this study. Findings Three critical attributes of diabetic foot ulcer care were determined consisting of assessment, intervention and evaluation. Constructed cases are also presented to differentiate the concept of diabetic foot ulcer care from other concepts. This concept analysis results in the critical attributes of diabetic foot ulcer care, defines an operational definition and describes common goals that improve clarity, consistency and understanding of the concept amid healthcare professionals along with researchers. Conclusion Effective implementation of the concept of DFU care into clinical nursing practice may undoubtedly improve patient outcomes and prevent the complexities of DFU in the years to come. Future research needs to be developed for evaluating the current use of this concept.

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“…In our hospital it may be worse, as the patient to doctor ratio is quite high, which may leave the doctor with little time to spend with each patient. Other studies have shown poor knowledge among diabetics with and without foot ulcers [4] [5] [9].…”

Section: Discussionmentioning

confidence: 99%

“…The benefits of foot care knowledge and practice in reducing the incidence of amputations in diabetics have been shown [4] [5] [6]. This is even more important in developing countries such as Nigeria, where poverty abounds and patients seek medical intervention late.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Foot Care Knowledge among Diabetic Amputees at National Orthopaedic Hospital Enugu

Ede¹,

Eyichukwu²,

Iyidobi³

et al. 2018

JBM

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Diabetics with unilateral lower extremity amputation (LEA) have an increased risk of contralateral re-amputation. Foot care knowledge and practice has been shown to reduce the incidence of amputation. The study aims to assess the level of foot care knowledge among diabetics with unilateral LEA. Method: A questionnaire based study involving diabetics with unilateral LEA from August 2015 to August 2017. Demographic data and level of foot care knowledge were assessed. Associations between age, gender, educational level, prior amputation and duration of diabetes with level of foot care knowledge were investigated. The presence of peripheral neuropathy in the contralateral leg was also assessed. Results: A total of 64 patients had unilateral LEA within this period, but only 42 patients completed the study. Twenty-four, 24 (57.1%) were males while 18 (42.9%) were females. Mean age was 58.3 years (SD = 12.0). Fifteen, 15 (35.7%) had secondary, 15 (35.7%) had tertiary education, while 3 (7.1%) and 9 (21.4%) had none and primary education respectively. Below knee amputation (BKA) was the commonest (78.6%), and 35.7% have had a prior amputation. Peripheral neuropathy was present in 71.4% of cases. No participant had a good level of foot care knowledge, while 13 (31%) have a fair knowledge and 29 (69%) have poor knowledge. Only 18 (42%) said they have been taught on foot care. Only duration of diabetes and educational level were significantly associated with level of foot care knowledge. Conclusion: Diabetics with unilateral LEA have poor knowledge of foot care and a high prevalence of peripheral neuropathy. Efforts at education of these susceptible cohorts should be intensified.

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A study of risk factors and foot care behavior among diabetics

Cited by 36 publications

References 14 publications

Diabetic Neuropathy

Diabetic Neuropathy

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Assessment of Foot Care Knowledge among Diabetic Amputees at National Orthopaedic Hospital Enugu

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