Determining Knowledge and Practice of Self-Foot Care and Adherence of Patient on Self-Foot Assessment among Patients with Diabetes Mellitus

Authors

  • Sanisah Binti Saidi Department of Medical-Surgical Nursing, Kulliyyah of Nursing, International Islamic University, 25200 Kuantan, Pahang Malaysia
  • Juliana Atika Jabar KPJ Bandar Maharani Specialist Hospital, 84000 Muar, Johor, Malaysia
  • Mohd Khairul Zul Hasymi Firdaus Department of Medical-Surgical Nursing, Kulliyyah of Nursing, International Islamic University Malaysia

DOI:

https://doi.org/10.31674/mjn.2023.v14i04.007

Abstract

Introduction: Diabetes neuropathy has been rated the third most common diabetes complication and diabetes foot ulcer which is the result of diabetic neuropathy commonly happens thus, patients with diabetes mellitus need to understand and practice self-foot care and possess excellent technique on foot self-assessment. Objective: This study aimed to determine the knowledge and practice of self-foot care and the technique of self-foot assessment among patients with diabetes mellitus. Methods: A quantitative, cross-sectional study was conducted at the diabetes clinic of two primary care centres in Kuantan Pahang. The study was conducted in May 2022 with 130 participants recruited in this study through the purposive sampling method. The data was collected using self-administered questionnaires and an audit checklist. Results: out of 130 participants, 89.2% had good knowledge, 62.3% had good practice with self-foot care and 43.8% performed good techniques on self-foot assessment. There is a significant association between knowledge and practice of self-foot care, and between practice of self-foot care and technique of self-foot assessment with a p-value of 0.001. Conclusion: It was found that knowledge, practice and techniques of foot self-assessment are significantly associated.  However, the knowledge and practice of self-foot care do not determine the patient's ability to perform the self-foot assessment. The findings would assist in the development of a health education package for preventing foot ulcers among patients with diabetes in Malaysia.

 

Keywords:

Diabetic Foot, Self-Care, Knowledge, Adherence, Practice, Nursing, Diabetes Mellitus, Self-Foot Assessment

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References

Al-Sadawy, M. K. (2022). Determination type2 diabetic patients self-foot-care in Nasiriya diabetes and endocrinology center. University of Thi-Qar Journal, 17(3), 14-28. https://doi.org/10.32792/utq/utj/vol17/3/2

Azmi, N. H., Aris, M., Nasreen, H. E., & Che-Ahmad, A. (2020). Diabetic foot care practice and its associated factors among type 2 diabetes mellitus patients attending Primary Health Clinics in Kuantan, Malaysia: a cross sectional study. IIUM Medical Journal Malaysia, 19(2). https://doi.org/10.31436/imjm.v19i2.1560

Bonger, Z., Shiferaw, S., & Tariku, Z. (2018). Adherence to diabetic self-care practices and its associated factors among patients with type 2 diabetes in Addis Ababa, ethiopia. Patient Preference and Adherence, 12–963. https://doi.org/10.2147/PPA.S156043

Brownlee, M., Aiello, L. P., Cooper, M. E., Vinik, A. I., Plutzky, J., & Boulton, A. J. M. (2016). Complications of Diabetes Mellitus. Williams Textbook of Endocrinology, 1484–1581. https://doi.org/10.1016/B978-0-323-29738-7.00033-2

Cefalu, W. T. (2013). National Diabetes Registry Report. Diabetes Care, 37(Supplement_1), 1–54. https://doi.org/10.2337/dc14-S014

Chiwanga, F. S., & Njelekela, M. A. (2015). Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania – a cross-sectional study. Journal of Foot and Ankle Research, 8(1), 20. https://doi.org/10.1186/s13047-015-0080-y

Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature Reviews Nephrology, 16(7), 377–390. https://doi.org/10.1038/s41581-020-0278-5

Dündar, C., & Akıncı, G. E. (2017). Knowledge and practice of foot care in diabetic inpatients: A descriptive cross-sectional study. Erciyes Medical Journal, 39(4), 160–164. https://doi.org/10.5152/ETD.2017.17023

Faridah, K., & Azmi, M. (2008). Retrospective Study of Predictors for Foot Ulceration among Diabetic Patients Attending Kuala Langat Health Centre from 1999 to 2008. Journal of Community Health, 15(2), 43–59.

Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., Mielgo-Ayuso, J., Caballero-Garcia, A., … Miron-Canelo, J. A. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice, 20(1), 1–12. https://doi.org/10.1186/S12875-019-1019-3/TABLES/4

Guariguata, L., Whiting, D. R., Hambleton, I., Beagley, J., Linnenkamp, U., & Shaw, J. E. (2014). Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice, 103(2). https://doi.org/10.1016/j.diabres.2013.11.002

Harding, J. L., Pavkov, M. E., Magliano, D. J., Shaw, J. E., & Gregg, E. W. (2019). Global trends in diabetes complications: a review of current evidence. Diabetologia, 62, 3–16. https://doi.org/10.1007/s00125-018-4711-2

Hirpha, N., Tatiparthi, R., & Mulugeta, T. (2020). Diabetic foot self-care practices among adult diabetic patients: a descriptive cross-sectional study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 4779. https://doi.org/10.2147/DMSO.S285929

Huang, Y., Lee, W., Chen, S., Yu, Y., & Chen, H. (2010). Self-management with goal setting in type 2 diabetes mellitus patients [Chinese]. Journal of Nursing & Healthcare Research, 6(2), 107–116.

Indrayana, S., Guo, S. E., Lin, C. L., & Fang, S. Y. (2019). Illness Perception as a Predictor of Foot Care Behavior Among People with Type 2 Diabetes Mellitus in Indonesia. Journal of Transcultural Nursing, 30(1), 17–25. https://doi.org/10.1177/1043659618772347

Idris, M. A., Osman, O. S., Salah, S. E., Latif, M. A., Almobarak, A. O., Badi, S., ... & Ahmed, M. H. (2023). Knowledge, practice and attitude towards foot care among adults living with diabetes in Gadarif State, Eastern Sudan: Cross-sectional Study. Ethics, Medicine and Public Health, 28, 100898. https://doi.org/10.1016/j.jemep.2023.100898

Ishak, N. H., Mohd Yusoff, S. S., Rahman, R. A., & Kadir, A. A. (2017). Diabetes self-care and its associated factors among elderly diabetes in primary care. Journal of Taibah University Medical Sciences, 12(6). https://doi.org/10.1016/j.jtumed.2017.03.008

Jinadasa, C. V. M., & Jeewantha, M. (2011). A study to determine the knowledge and practice of foot carein patients with chronic diabetic ulcers. International Journal of Collaborative Research on Internal Medicine and Public Health, 3(3), 115–122.

Li, R., Yuan, L., Guo, X. H., Lou, Q. Q., Zhao, F., Shen, L., … Sun, Z. L. (2014). The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China. International Journal of Nursing Sciences, 1(3), 266–271. https://doi.org/10.1016/J.IJNSS.2014.05.023

Magbanua, E. C., & Lim-Alba, R. (2017). Knowledge and Practice of Diabetic Foot Care in Patients with Diabetes at Chinese General Hospital and Medical Center. Journal of the ASEAN Federation of Endocrine Societies, 32(2), 123. https://doi.org/10.15605/JAFES.032.02.05

Ministry of Health Malaysia, Academy of Medicine Malaysia, M. E. & M. S. and D. M. (2018). MANAGEMENT OF DIABETIC FOOT (SECOND EDITION). http://www.moa-home.com

Mogre, V., Abanga, Z. O., Tzelepis, F., Johnson, N. A., & Paul, C. (2017). Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana. BMC Endocrine Disorders, 17(1), 1–8. https://doi.org/10.1186/s12902-017-0169-3

Muhammad-Lutfi. A. R., Zaraihah, M. R. & Anuar-Ramdhan, I. M. (2014). Knowledge and Practice of Diabetic Foot Care in an In- Patient Setting at a Tertiary Medical Center. Malaysian Orthopaedic Journal, 8(3), 22–26. https://doi.org/10.5704/MOJ.1411.005

Natovich, R., Harman-Boehm, I., Margalit, D., Cukierman-Yaffe, T., & Kushnir, T. (2017). Adherence to self-care among individuals with diabetes with and without diabetic foot complications: Objective and self-report measures. Diabetes Manag, 7(2), 234-239.

Papatheodorou, K., Banach, M., Bekiari, E., Rizzo, M., & Edmonds, M. (2018). Editorial Complications of Diabetes 2017. https://doi.org/10.1155/2018/3086167

Pereira, M. G., Pedras, S., & Ferreira, G. (2019). Self-reported adherence to foot care in type 2 diabetes patients: do illness representations and distress matter? Primary Health Care Research & Development, 20, e40. https://doi.org/10.1017/S1463423618000531

Pocuis, J., Li, S. M. H., Janci, M. M., & Thompson, H. J. (2017). Exploring Diabetic Foot Exam Performance in a Specialty Clinic. Clinical Nursing Research, 26(1), 82–92. https://doi.org/10.1177/1054773815596699

Qasim, M., Rashid, M. U., Islam, H., Amjad, D., & Ehsan, S. B. (2021). Knowledge, attitude, and practice of diabetic patients regarding foot care: Experience from a single tertiary care outpatient clinic. The Foot, 49, 101843. https://doi.org/10.1016/j.foot.2021.101843

Saber, H. J., & Daoud, A. S. (2018). Knowledge and practice about the foot care and the prevalence of the neuropathy among a sample of type 2 diabetic patients in Erbil, Iraq. Journal of Family Medicine and Primary Care, 7(5), 967. https://doi.org/10.4103/JFMPC.JFMPC_163_18

Saidi, S., Milnes, L. J., & Griffiths, J. (2018). Fatalism, faith and fear: A case study of self-care practice among adults with Type 2 diabetes in urban Malaysia. Journal of Clinical Nursing, 27(19–20), 3758–3767. https://doi.org/10.1111/JOCN.14559

Shamim, M., Alhakbani, M. S. A., Alqahtani, M. S. B., Alharthi, O. S. O., & Alhaqbani, Y. J. N. (2021). Knowledge, attitude, and practice regarding diabetic foot care among Saudi and non-Saudi diabetic patients in Alkharj. Journal of Family Medicine and Primary Care, 10(2), 859- 864. https://doi.org/10.4103/jfmpc.jfmpc_1681_20

Shaki, O., Gupta, G. K., Rai, S. K., Gupta, T. P., Kumar, R. V., Upreti, V., & Bajpai, M. (2022). Awareness regarding foot self-care practices among diabetic patients in Northeast part of India. Can primary care physician make a difference? A hospital based cross-sectional study. Journal of Family Medicine and Primary Care, 11(5), 1834. https://doi.org/10.4103/jfmpc.jfmpc_1883_21

Simon-Tuval, T., Shmueli, A., & Harman-Boehm, I. (2016). Adherence to Self-Care Behaviors among Patients with Type 2 Diabetes—The Role of Risk Preferences. Value in Health, 19(6), 844–851. https://doi.org/10.1016/j.jval.2016.04.003

Taher, M., & Kalaldeh, A. (2016). Self-Reported Knowledge and Self-Care Practices of Diabetic Foot Patients Perception of Family Needs in the Emergency Department: A comparative Study Between Nurses and Family Members Having Cancer Patient in Jordan. View project. Wounds Middle East, 3(1), 33–38.

Thunberg, S., & Hellenberg, S. (2013). Knowledge and practices regarding foot care among patients with Type 2 diabetes in Ho Chi Minh City, Vietnam: A quantitative study. Theisis: Uppsala Universitet, Sweden.

Viechtbauer, W., Smits, L., Kotz, D., Budé, L., Spigt, M., Serroyen, J., & Crutzen, R. (2015). A simple formula for the calculation of sample size in pilot studies. Journal of Clinical Epidemiology, 68(11), 1375–1379. https://doi.org/10.1016/J.JCLINEPI.2015.04.014

Zakaria, Z., Afifi, M., & Sharifudin, M. A. (2015). Clinical factors affecting minor amputation in diabetic foot disease at Tengku Ampuan Afzan hospital, Kuantan. Malaysian Journal of Medical Sciences, 22(2), 41–47.

Published

30-04-2023

How to Cite

Saidi, S. B. ., Jabar, J. A., & Firdaus, M. K. Z. H. (2023). Determining Knowledge and Practice of Self-Foot Care and Adherence of Patient on Self-Foot Assessment among Patients with Diabetes Mellitus. The Malaysian Journal of Nursing (MJN), 14(4), 62-72. https://doi.org/10.31674/mjn.2023.v14i04.007

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