PMID- 28155315
OWN - NLM
STAT- MEDLINE
DCOM- 20170213
LR  - 20220409
IS  - 2071-2936 (Electronic)
IS  - 2071-2928 (Print)
IS  - 2071-2928 (Linking)
VI  - 8
IP  - 1
DP  - 2016 Nov 17
TI  - Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus 
      attending the chronic outpatients department at a regional hospital in Durban, 
      South Africa.
PG  - e1-e8
LID - 10.4102/phcfm.v8i1.1170 [doi]
LID - 1170
AB  - BACKGROUND: Diabetic foot disease (DFD) is a major challenge for the healthcare 
      system, with enormous economic consequences for people living with diabetes, 
      their families, and society, affecting both quality of life and quality of care. 
      The study aim was to assess the level of awareness of DFD amongst patients with 
      type 2 diabetes mellitus (T2DM). METHODS: An observational descriptive 
      cross-sectional study was conducted at the chronic outpatients department of a 
      regional hospital in Durban, South Africa. RESULTS: Two hundred participants with 
      T2DM participated in the study. Ninety-one per cent of participants were either 
      overweight or obese. Ninety-two per cent of participants had concomitant 
      hypertension (57.5%), dyslipidaemia (26.7%) and eye disease (7.2%). Seventy-six 
      per cent reported altered sensation in their lower limbs, and 90% reported having 
      no previous DFD education. Only 22.2% of participants reported having examined 
      their feet, but only when they experienced a problem. Participants achieved 
      mediocre scores for knowledge (mean 4.45, standard deviation (s.d.) 2.201, 
      confidence interval (CI) 4.2-4.7) and practice (mean 11.09, s.d. 2.233, CI 
      10.8-11.5) on diabetic foot care (DFC). Those who had a higher level of education 
      and who were less than 65 years old had a significantly better score for previous 
      foot care education (p < 0.05). CONCLUSION: The study demonstrated that 
      awareness of DFD was suboptimal, based on current DFC guidelines. To minimise the 
      burden of DFD, improved screening and prevention programmes as well as patient 
      education should be provided to T2DM patients, whilst maintaining an aggressive 
      approach to risk factor modifications, footwear and identifying the at-risk foot.
FAU - Goie, Thea T
AU  - Goie TT
AD  - Discipline of Family Medicine, School of Nursing and Public Health, University of 
      KwaZulu-Natal, Durban. tshilombo@webmail.co.za.
FAU - Naidoo, Mergan
AU  - Naidoo M
LA  - eng
PT  - Journal Article
DEP - 20161117
PL  - South Africa
TA  - Afr J Prim Health Care Fam Med
JT  - African journal of primary health care & family medicine
JID - 101520860
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - *Ambulatory Care Facilities
MH  - *Awareness
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*complications
MH  - *Diabetic Foot/prevention & control
MH  - Disease Management
MH  - Educational Status
MH  - Female
MH  - Foot
MH  - *Health Knowledge, Attitudes, Practice
MH  - Hospitals
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Outpatients
MH  - Patient Education as Topic
MH  - Quality of Life
MH  - Risk Factors
MH  - South Africa
PMC - PMC5125263
EDAT- 2017/02/06 06:00
MHDA- 2017/02/14 06:00
PMCR- 2016/11/17
CRDT- 2017/02/04 06:00
PHST- 2016/02/20 00:00 [received]
PHST- 2016/06/12 00:00 [accepted]
PHST- 2016/07/07 00:00 [revised]
PHST- 2017/02/04 06:00 [entrez]
PHST- 2017/02/06 06:00 [pubmed]
PHST- 2017/02/14 06:00 [medline]
PHST- 2016/11/17 00:00 [pmc-release]
AID - 1170 [pii]
AID - PHCFM-8-1170 [pii]
AID - 10.4102/phcfm.v8i1.1170 [doi]
PST - epublish
SO  - Afr J Prim Health Care Fam Med. 2016 Nov 17;8(1):e1-e8. doi: 
      10.4102/phcfm.v8i1.1170.