Main Article Content
Aims: To assess the knowledge of diabetic patients on the health of their feet and research the factors associated with good knowledge, while providing podiatric advice.
Study Design: Descriptive and analytical prospective study.
Place and Duration of Study: C Department (National Institute of Nutrition of Tunis), with a duration from 02 to 30 September 2019.
Methodology: We included 100 diabetic patients (44 men, 56 women; age range 29-87 years). They had an evaluation of their knowledge on the diabetic foot, using a medical chart, as well as a metabolic evaluation.
Results: The mean age was 54±12.9 years, The sex ratio was 0.78. 56% had a high school or higher education level. 35% of the population was smokers. Diabetes was type 2 in the majority of cases (78%). The average duration of progression of diabetes was 13.62±6.29 years. 78% of the population has been unbalanced. 34% of the population had good knowledge of preventive measures for diabetic foot. Having good knowledge of preventive measures was significantly associated with secondary or higher education (p=0.005), female gender (p=0.026) and glycemic control (p=0.043).
Conclusion: The prevalence of patients with good knowledge of preventive measures for the diabetic foot was low in our study and did not exceed one-third of the population. Larger studies are essential in order to identify the factors associated with poor podiatric knowledge and podiatric practices, as well as the factors which slow down adherence to preventive measures recommended.
Bos MAC. Prevalence and complications of diabetes mellitus in Northern Africa, a systematic review. BMC Public Health. 2013;13(1):387.
Imame Y, Damoune I, Anoun N, El Ouahabi H, Ajdi F. Évaluation des connaissances des patients diabétiques sur le pied diabétique. mt. 2016;22(4):267-71. French
Fatma Yılmaz Karada˘ga, Nes¸e Salto˘glub, Öznur Akc, Güle C¸ ınar Aydınd, Seniha S¸ enbayrake, Serpil Erole, et al. Foot self-care in diabetes mellitus: Evaluation of patient awareness. Prim Care Diabetes. 2019;13(6):515- 20.
Hamza Mohammad Abdulghani, Areej Salman Al Rajeh, Budoor Hussain Al Salman, Lulwah Sami Al Turki, Norah Sulaiman Al Najashi, Mohammad Irshad, et al. Prevalence of diabetic comorbidities and knowledge and practices of foot care among diabetic patients: A cross-sectional study. Diabetes Metab Syndr Obes. 2018;16(11):417- 25.
Ahmed SA, Badi S, Tahir H, Ahmed MH, Almobarak AO. Knowledge and practice of diabetic foot care in Sudan: A cross sectional survey. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;13:2431e2435.
Muhammad-Lutfi AR, Zaraihah MR, Anuar-Ramdhan IM. Knowledge and practice of diabetic foot care in an in- patient setting at a tertiary medical center. Malays Orthop J. 2014;8(3):22e6.
Kishore S, Upadhyay AD, VPJ. Awareness of foot care among patients with diabetes attending a tertiary care hospital. Natl Med J India. 2015;28(3):122e5.
Bakris G, Blonde L, Boulton AJM, D'Alessio D, Greene EL, Hood KK, et al. Diabetes Care. 2019;42(Suppl 1).
Magbanya EaL-a R. Knowledge and practice of diabetic foot care in patients with diabetes at Chinese general hospital and medical center. J ASEAN Fed Endocr Soc. 2017;32(2):123e7.
Alshammari ZJ, Alsaid LA, Parameaswari PJ, Alzahrani AA. Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia. J Family Med Prim Care. 2019;8(6):2089-94.
Lamchahab FZ, El Kihal N, Khoudri I, Chraibi A, Hassam B, Ait Ourhroui M. Factors influencing the awareness of diabetic foot risks. Ann Phys Rehabil Med. 2011;54(6):359e65.
Schmidt S, Mayer H, Panfil EM. Diabetes foot self-care practices in the German population. J Clin Nurs. 2008;17(21):2920-6.
Gopi Chellana, Soumya Srikumara, Ajit Kumar Varmaa TS. Mangalanandana KR, Sundaramb RV, Jayakumara, et al. Foot care practice – The key to prevent diabetic foot ulcers in India. Foot (Edinb). 2012;22(4):298-302.
Jonathan M. Olson, Molly T. Hogan, Leonard M. Pogach, Mangala Rajan, Gregory J. Raugi, Gayle E. Reiber. Foot care education and self management behaviors in diverse veterans with diabetes. Patient Prefer Adherence. 2009;3:45-50.
Friis K, Vind BD, Simmons RK, Maindal HT. The relationship between health literacy and health behaviour in people with diabetes: A Danish population based study. J. Diabetes Res; 2016.
Kindig DA, Panzer AM, Nielsen-Bohlman L. Health literacy: A prescription to end confusion. National Academies Press; 2004.