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

Azmi, Nurul Husna and Abdul Hadi, Azwanis and Md Aris, Mohd Aznan and Nasreen, Hashima E and Che Ahmad, Aminudin (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. International Medical Journal Malaysia, 19 (2). pp. 13-19. E-ISSN 1823-4631

	PDF (Article) - Published Version Restricted to Registered users only Download (560kB) | Request a copy
Preview	PDF (scopus) - Supplemental Material Download (198kB) | Preview

Abstract

INTRODUCTION: One of the most important and debilitating complication of diabetes mellitus is foot problem such as ulcers, infections and amputations. However, these complications are preventable by simple intervention such as regular foot care practice. This study aims to assess the foot care practice and its associated factors among type 2 diabetes mellitus patients attending primary health clinics in Kuantan. MATERIALS AND 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. Multiple logistic regressions were performed to identify factors associated with poor foot care practice among the respondents. RESULTS: About 59.6% of respondents had poor foot care practice and 50.9% had poor awareness level. Multivariate logistic regression analysis identified that, increasing age (OR 0.97, 95% CI: 0.955-0.993) and good awareness towards foot problem (OR 0.43, 95%CI: 0.289-0.643) were less likely to have poor foot care practice. However, Malay ethnicity (OR 1.81, 95% CI: 1.002-3.271) and obesity (OR 1.9, 95% CI: 1.225-2.976) were associated with poor foot care practice after controlling other variables. CONCLUSION: Majority of the respondents had poor foot care practice and poor awareness. Respondents who are older and have better awareness are less likely to have poor foot care practice. Diabetic patients who are Malays and/or obese are predicted to have poor diabetic foot practice and hence must be prioritized for a sustainable patient education and compliance towards foot care practice at primary care level.

Item Type:	Article (Journal)
Additional Information:	7384/81614
Uncontrolled Keywords:	diabetes mellitus, diabetic foot care practice, primary health clinics, diabetic foots, Malaysia
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RS Pharmacy and materia medica R Medicine > RZ Other systems of medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011) Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	20 Jul 2020 11:26
Last Modified:	13 Nov 2020 11:06
URI:	http://irep.iium.edu.my/id/eprint/81614

Actions (login required)

View Item