Knowledge, Attitudes, and Practices Among Nurses in Pakistan Towards Diabetic Foot

Bilal, Muhammad; Haseeb, Abdul; Rehman, Abdur; Arshad, Mohammad Hussham; Aslam, Aashir; Godil, Sana; Qamar, Mohammad Aadil; Husain, Saif N; Polani, Muhammad H; Ayaz, Araib; Ghazanfar, Altamash S; Ghazali, Zaki M; Khoja, Khurram A; Malik, Maarij; Ahmad, Hania

doi:10.7759/cureus.3001

Cited by 26 publications

(44 citation statements)

References 17 publications

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“…Diabetes mellitus (DM) is now becomes a global health issue to health care professionals 1. According to International Diabetes Federation (IDF) 451 million (age 18-99 years) people was reported with diabetes worldwide 415 million people in 2017, which expected to increase to 693 million) in 2045 2. Approximately 7.5 million Pakistani people suffer from DM 3.…”

Section: Introductionmentioning

confidence: 99%

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Zubair¹,

Shah²,

Fawwad

et al. 2019

Pak J Med Sci

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Objective:To determine the frequency of urinary tract infections and antibiotic sensitivity among patients with diabetes.Methods:This observational study was carried out in Microbiology Department of Baqai Institute of Diabetology and Endocrinology (BIDE), Baqai Medical University from April 2015 to June 2016. All patients with diabetes having symptoms of UTI attending out patients department of BIDE were analyzed. All samples received in the laboratory were processed according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Antimicrobial susceptibility pattern was determined by disc diffusion method.Results:A total number of 199 urine specimens, frequency of UTI were 24 (12.06%) in male and 175 (87.94%) in female. UTIs were highly found in (age group 51-60) 70 (35.18%). Escherichia coli was the most frequent pathogen (71%), followed by Klebsiellapneumoniae (7.48%), Proteus mirabilis (1.87%), Staphylococcus aureus (9.35%), Candida (5.61%) and Candidaalbicans were (2.80%). Majority of gram negative uropathogens were shown high sensitivity towards Imipenem and Piperacillin / Tazobactam followed by Nitrofurantion, Ceftriaxone, Levofloxacin, Ofloxacine, Ciprofloxacin, Norfloxacin, Cefixime, Nalidixic acid and Cephradine. Gram positive was most sensitive to Nitrofurantionand Vancomycin followed by Piperacillin / Tazobactam, Imipenem, Cephradine, Ceftriaxone, Norfloxacin and Cefixime.Conclusion:We observed the higher frequency of UTIs in female as compared to male participants due to poor hygiene. E.coli was the most frequent pathogen responsible for UTI in patients with diabetes, followed by Staphylococcus aureus.

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Section: Introductionmentioning

confidence: 99%

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Zubair¹,

Shah²,

Fawwad

et al. 2019

Pak J Med Sci

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“…Similar data for the nurses' knowledge assessment were found in a study conducted in Pakistan, which revealed that 13.0% and 15.0% of the nurses had very low or low knowledge, respectively, and only 14.0%. % of participants had high levels of knowledge about diabetic ulcer care, 14 reaffirming the need for training in the area to improve care for people with diabetes in Primary Health Care.…”

Section: Resultsmentioning

confidence: 78%

Conhecimento do enfermeiro acerca dos cuidados com o pé diabético

Arruda

Fernandes

Freitas

et al. 2019

Rev enferm UFPE on line.

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Objetivo: compreender o conhecimento do enfermeiro acerca dos cuidados com os pés de diabéticos na Atenção Primária. Método: trata-se de estudo quantitativo, descritivo, transversal, com 90 enfermeiros da Estratégia Saúde da Família/ESF, utilizando-se um questionário e a escala Likert em que a análise se deu por U de Mann-Whitney, Kruskal-Wallis e ρ de Spearman. Adotou-se o nível de significância nas análises de 5% e o intervalo de confiança de 95%. Resultados: observou-se que nenhum enfermeiro apresentou conhecimento satisfatório para a prevenção do pé diabético e, acerca da autoavaliação do conhecimento, 48,9% dos enfermeiros o consideravam regular. Verificou-se, ao analisar os itens sobre a prevenção do pé diabético, melhor desempenho para o monofilamento e pé neuropático, com menor desempenho para exame físico; quanto à classificação do conhecimento, os profissionais apresentaram conhecimento insatisfatório (45,6%) e conflitante (54,4%). Conclusão: identificou-se conhecimento insatisfatório para os enfermeiros quanto aos cuidados com o pé diabético, destacando-se necessária atualização dos profissionais para as práticas educativas quanto à avaliação dos pés. Descritores: Conhecimento; Enfermagem; Prevenção Primária; Pé Diabético; Atenção Primária; Estratégia Saúde da Família.AbstractObjective: to understand nurses' knowledge about diabetic foot care in Primary Care. Method: this is a quantitative, descriptive, cross-sectional study with 90 nurses from the Family Health Strategy / FHS, using a questionnaire and the Likert scale, which was analyzed by Mann-Whitney U, Kruskal-Wallis and ρ from Spearman. The level of significance was set at 5% and the confidence interval of 95%. Results: it was observed that no nurse had satisfactory knowledge for the prevention of diabetic foot and, regarding the self-assessment of knowledge, 48.9% of nurses considered it regular. It was found, when analyzing the items on the prevention of diabetic foot, better performance for monofilament and neuropathic foot, with lower performance for physical examination; regarding the classification of knowledge, the professionals presented unsatisfactory (45.6%) and conflicting (54.4%) knowledge. Conclusion: it was identified unsatisfactory knowledge for nurses regarding the care of diabetic foot, highlighting the need to update professionals for educational practices regarding the assessment of feet. Descriptors: Knowledge; Nursing; Primary Prevention; Diabetic Foot; Primary Attention; Family Health Strategy.ResumenObjetivo: comprender el conocimiento de los enfermeros sobre el cuidado del pie diabético en Atención Primaria. Método: este es un estudio cuantitativo, descriptivo, transversal con 90 enfermeros de la Estrategia de Salud Familiar / FHS, utilizando un cuestionario y la escala Likert en la que el análisis fue realizado por Mann-Whitney, Kruskal-Wallis y ρ de Spearman. El nivel de significación se estableció en 5% y el intervalo de confianza del 95%. Resultados: se observó que ningún enfermero tenía un conocimiento satisfactorio para la prevención del pie diabético y, con respecto a la autoevaluación del conocimiento, el 48,9% de los enfermeros lo consideraban regular. Se encontró, al analizar los ítems sobre la prevención del pie diabético, un mejor rendimiento para el monofilamento y el pie neuropático, con un rendimiento inferior para el examen físico; en cuanto a la clasificación del conocimiento, los profesionales presentaron conocimientos insatisfactorios (45,6%) y conflictivos (54,4%). Conclusión: se identificó un conocimiento insatisfactorio para los enfermeros con respecto al cuidado del pie diabético, destacando la necesidad de actualizar a los profesionales para las prácticas educativas con respecto a la evaluación de los pies. Descriptores: Conocimiento; Enfermería; Prevención Primaria; Pie diabético; Atención Primaria; Estrategia de Salud Familiar.

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“…The PUKAT took approximately 30 minutes 44,56 . Kumarasinghe's 56 instrument was pilot‐tested and considered to be feasible 56,57 …”

Section: Resultsmentioning

confidence: 99%

A systematic and psychometric review of tests measuring nurses' wound care knowledge

Kielo

Suhonen

Ylönen

et al. 2020

International Wound Journal

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Wound care is an important realm of nurses' clinical responsibilities, and a broad knowledge and range of skills are needed to perform efficient and safe patient care. Nurses' knowledge on this matter can be measured using knowledge tests. This study aims to identify, define, and analyse the knowledge tests developed for the measurement of nurses' wound care knowledge, and to evaluate the psychometric properties of the tests. This study was a systematic literature review. A total of 52 studies and 18 instruments were found. Of the 18 instruments, only 5 had been used more than once and were successful in a psychometric evaluation. These five instruments were analysed on the basis of their psychometric properties by using Zwakhalen et al.'s (2006) psychometric testing framework. According to the analysis, the Pressure Ulcer Knowledge Test (PUKT) and the Pressure Ulcer Knowledge Assessment Tool (PUKAT) were the most valid and reliable instruments for measuring nurses' wound care knowledge. Most of the instruments identified and analysed focused on pressure ulcers, indicating that future instruments could focus more on other types of wounds or on wound care in general in order to receive a broader understanding of nurses' wound care knowledge.

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Knowledge, Attitudes, and Practices Among Nurses in Pakistan Towards Diabetic Foot

Cited by 26 publications

References 17 publications

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Frequency of urinary tract infection and antibiotic sensitivity of uropathogens in patients with diabetes

Conhecimento do enfermeiro acerca dos cuidados com o pé diabético

A systematic and psychometric review of tests measuring nurses' wound care knowledge

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