Muhammad-Lutfi A R, Zaraihah M R, Anuar-Ramdhan I M
Department of Orthopaedics ,Hospital Sultanah Nur Zahirah, Kuala Terengganu, Malaysia.
Malays Orthop J. 2014 Nov;8(3):22-6. doi: 10.5704/MOJ.1411.005.
Good knowledge and practice regarding diabetic foot care will reduce the risk of diabetic foot complications and ultimately amputation. This study is conducted to assess patients' knowledge and compliance of diabetic foot care. A cross sectional study performed on patients who were admitted to HSNZ from the 1st September 2013 to 30th April 2014 for diabetic foot infections. They were interviewed with a questionnaire of 15 'yes' or 'no' questions on foot care knowledge and practice. Score of 1 was given for each 'yes' answer. The level of knowledge and practice, whether good or poor, was determined based on the median score of each category. The result was tested using a chi-square test in SPSS version 17. A total of 157 patients were included in this study with a mean age of 56.33 years (31-77). There were 72 male (45.9%) and 85 female (54.1%) patients with the majority of them being Malays (154 patients, 98.1%). Majority of the patients (58%) had poor foot care knowledge while 97 patients (61.8%) had poor diabetic foot care practice as compared to the median score. Based on the chi square test of relatedness, there was no significant association between knowledge and practice with any of the variables. In conclusion, the majority of patients admitted for diabetic foot infections had poor knowledge and practice of diabetic foot care. Education regarding foot care strategies should be emphasized and empowered within the diabetic population.
掌握良好的糖尿病足护理知识并付诸实践，将降低糖尿病足并发症的风险，最终避免截肢。本研究旨在评估患者对糖尿病足护理的知识掌握情况及依从性。对2013年9月1日至2014年4月30日因糖尿病足感染入住HSNZ的患者进行了一项横断面研究。通过一份包含15个关于足部护理知识和实践的“是”或“否”问题的问卷对他们进行访谈。每个“是”的回答得1分。根据每个类别的中位数得分来确定知识和实践水平的高低。结果在SPSS 17版本中使用卡方检验进行分析。本研究共纳入157例患者，平均年龄56.33岁（31 - 77岁）。其中男性72例（45.9%），女性85例（54.1%），大多数为马来人（154例，98.1%）。与中位数得分相比，大多数患者（58%）足部护理知识较差，97例患者（61.8%）糖尿病足护理实践较差。基于相关性的卡方检验，知识和实践与任何变量之间均无显著关联。总之，大多数因糖尿病足感染入院的患者对糖尿病足护理的知识掌握和实践情况较差。应在糖尿病患者群体中加强并强化足部护理策略的教育。
