Hamidah H, Santhna L P, Ruth Packiavathy R D, Suraya A M, Yap W C, Samsiah M, Das Srijit
Departments of Nursing and Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Clin Ter. 2012 Nov;163(6):473-8.
Diabetic foot ulcer is one of the major health problems that accounts for increased morbidity among the diabetic patients. Having good knowledge, good attitude and practice of managing the foot prevents the impending chronic co-morbidities of the disease.
This cross-sectional study was performed to assess the knowledge, attitude and practice on foot care among the newly diagnosed diabetic type 2 patients with low education and socio economic background. This study was conducted in one of the out patient clinics in a tertiary hospital. A set of questionnaire adopted from The Michigan Diabetes Research and Training Center (MDRTC), was used to assess 109 respondents based on their knowledge of diabetes mellitus, practice and attitude towards the condition and care of the feet.
The overall finding on knowledge, practice and attitude had shown unsatisfactory result. There was no relationship between the knowledge, practice and attitude with care of the feet. Only 20 (18.3%) respondents had a high score on knowledge, 31 (28.4%) had practiced good habits and 5 (4.6%) showed positive attitude towards care of the feet. However, there was significant finding on the level of education and the knowledge of foot care (p=0.01);
Strategies should be developed to overcome the longterm complications. As for the Muslim patients, ablution, the ritual practice of washing and cleaning both feet prior to the prayers may be a possible means of checking the feet for any diabetic foot complication.
糖尿病足溃疡是糖尿病患者中导致发病率增加的主要健康问题之一。具备良好的足部管理知识、态度和实践可预防该疾病即将出现的慢性合并症。
本横断面研究旨在评估新诊断的低教育水平和社会经济背景的2型糖尿病患者在足部护理方面的知识、态度和实践。本研究在一家三级医院的门诊诊所之一进行。采用密歇根糖尿病研究与培训中心（MDRTC）的一套问卷，根据109名受访者对糖尿病的了解、对病情和足部护理的实践及态度进行评估。
在知识、实践和态度方面的总体调查结果显示不尽人意。在足部护理的知识、实践和态度之间没有关联。只有20名（18.3%）受访者在知识方面得分高，31名（28.4%）有良好习惯，5名（4.6%）对足部护理持积极态度。然而，在教育水平和足部护理知识方面有显著发现（p = 0.01）；
应制定策略以克服长期并发症。对于穆斯林患者，净礼，即在祈祷前清洗双脚的宗教仪式，可能是检查足部是否有糖尿病足并发症的一种可行方法。
