Endokrinologie und metabolisches Syndrom
Offener Zugang

Abstrakt

Knowledge, attitude and practices of diabetic foot patients admitted to the surgical wards at Baghdad teaching hospital: A cross-sectional study

Ameer Al-Jasim

Introduction: Diabetic foot disease (DFD) is a common complication of DM. It forms a huge burden on the surgical wards worldwide, yet it can be prevented extensively by patients with appropriate level of knowledge, attitudes and practices towards their diabetes.

Aim: To assess the level of knowledge, attitudes and practices of DFD patients using a structured questionnaire specifically developed for that purpose.

Methods: A structured questionnaire was developed to assess the knowledge, attitudes and practices towards the prevention of both DM and DFD. A pilot study was conducted to examine the effectiveness and practicality of the questionnaire and scoring method, which retained scientific desirable results. The questionnaire was approved by Department of Community and Family Medicine at College of Medicine-University of Baghdad. Questionnaire scores were compared with similar studies and with the study sample itself. A total of 77 patients were included in the study.

Results: 58% were males. Only 27% had finished secondary school education. 27% were presenting with diabetic foot complications for the first time. The mean total score of the sample was 28.4 ± 5.8 out of a possible total of 44. People with secondary school education and those who’ve had DM for more than 15 years had better questionnaire scores overall. Higher knowledge scores of DM and diabetic foot disease were weakly correlated with better attitudes & practices scores for those two diseases.

Discussion/Conclusions: The study showed good DM and DFD knowledge, but moderate DM and DFD attitudes and practices, which is consistent with other similar studies. The weak association between knowledge scores & attitudes and practices scores can be attributed mainly to poor compliance. A large part of subjects failed to translate their knowledge in many aspects of DM & diabetic foot prevention into actual attitudes and practices pertaining to that knowledge.