Kaluarachchi V T S, Bulugahapitiya D U S, Arambewela M H, Jayasooriya M D, De Silva C H, Premanayaka P H, Dayananda A
Diabetes and Endocrinology Unit, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka.
Department of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Diabetes and Endocrinology Unit, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka.
Int J Chronic Dis. 2020 Nov 26;2020:4504627. doi: 10.1155/2020/4504627. eCollection 2020.
One in five adults in Sri Lanka has either diabetes or prediabetes, and one-third of those with diabetes are undiagnosed. Diabetic foot is a debilitating condition affecting up to 50% of patients with both type 1 and type 2 diabetes. The risk of nontraumatic lower limb amputations is 15 times higher in diabetic patients when compared with nondiabetics. Patient education about correct foot care practices is the cornerstone of prevention of diabetic foot disease.
To assess the prevalence of diabetic foot disease, knowledge, and practices about diabetic foot care among diabetic patients.
334 patients attending the diabetic clinic in Colombo South Teaching Hospital were recruited according to the inclusion and exclusion criteria. Data were collected using 3 questionnaires, and they were filled using the foot examination findings, patients' medical records, and direct interviewing of the patients.
The mean age of the patients included in the study was 58.23 ± 10.65 years while the median duration of diabetes was 10.54 ± 7.32 years. 34.1% patients had peripheral neuropathy, and 29.5% had peripheral vascular disease. Diabetic foot disease according to the WHO definition was present only in 23 (6.9%) patients. There was a significant association between peripheral neuropathy and current or past foot ulcer which took more than 2 weeks to heal ( < 0.05). Knowledge about foot care was less among the studied population, and it was associated with poor foot care practices. Presence of diabetic foot and current or past foot ulcer which took more than 2 weeks to heal were significantly associated with the foot care knowledge and practices ( < 0.05).
Improvement of patients' knowledge about foot care and their practices have a significant impact on the reduction of diabetic foot disease.
在斯里兰卡，五分之一的成年人患有糖尿病或糖尿病前期，其中三分之一的糖尿病患者未被诊断出来。糖尿病足是一种使人衰弱的疾病，影响着高达50%的1型和2型糖尿病患者。与非糖尿病患者相比，糖尿病患者非创伤性下肢截肢的风险高出15倍。对患者进行正确足部护理方法的教育是预防糖尿病足病的基石。
评估糖尿病患者中糖尿病足病的患病率、关于糖尿病足护理的知识和实践情况。
根据纳入和排除标准，招募了334名在科伦坡南部教学医院糖尿病门诊就诊的患者。使用3份问卷收集数据，并根据足部检查结果、患者病历以及对患者的直接访谈来填写问卷。
纳入研究的患者平均年龄为58.23±10.65岁，糖尿病病程中位数为10.54±7.32年。34.1%的患者患有周围神经病变，29.5%的患者患有周围血管疾病。根据世界卫生组织的定义，仅23名（6.9%）患者患有糖尿病足病。周围神经病变与当前或过去愈合时间超过2周的足部溃疡之间存在显著关联（<0.05）。研究人群中关于足部护理的知识较少，且与不良的足部护理实践相关。糖尿病足的存在以及当前或过去愈合时间超过2周的足部溃疡与足部护理知识和实践显著相关（<0.05）。
提高患者关于足部护理的知识及其实践对减少糖尿病足病有显著影响。
