Kassab Heba Sadek, Ismaeal Marwa Tarek, Elfattah Talaat Abd, Elaaty Abd
Department of Internal Medicine, Diabetes and Metabolism Unit, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Endocr Regul. 2022 Apr 30;56(2):95-103. doi: 10.2478/enr-2022-0011.
Egypt occupies the 8th rank in the prevalence of diabetes mellitus worldwide. The social and financial burden of diabetes and its complications represents a major health problem in Egypt. Diabetic foot and its consequences (ulcers and amputation) are preventable through good education for both physicians and patients. This cross-sectional study was conducted on 100 patients with type 2 diabetes attending diabetes outpatient clinic in Alexandria main university hospital (AMUH). Patients were subjected to history taking, physical examination, and laboratory investigations. Screening for peripheral neuropathy was done using Michigan Neuropathy Screening Instrument (MNSI). A pre-tested questionnaire was used to assess the diabetic foot care knowledge and practice in participants. Only 25% and 24% of participants had good diabetic foot care knowledge and practice, respectively. There was a highly significant positive correlation between knowledge and practice in studied group (p<0.001). The presence of microvascular complications leads to a significantly higher knowledge, but not practice. Diabetic foot care knowledge and practice are poor in our community. Foot care knowledge, unlike practice, is increased with the presence of microvascular complications. We should develop effective educational programs for patients and physicians to increase knowledge and practice before the development of complications.
埃及在全球糖尿病患病率方面位居第8位。糖尿病及其并发症所带来的社会和经济负担是埃及的一个主要健康问题。通过对医生和患者进行良好的教育，糖尿病足及其后果（溃疡和截肢）是可以预防的。这项横断面研究对在亚历山大主大学医院（AMUH）糖尿病门诊就诊的100例2型糖尿病患者进行。对患者进行了病史采集、体格检查和实验室检查。使用密歇根神经病变筛查工具（MNSI）进行外周神经病变筛查。采用预先测试的问卷来评估参与者的糖尿病足护理知识和实践情况。分别只有25%和24%的参与者具备良好的糖尿病足护理知识和实践。在研究组中，知识与实践之间存在高度显著的正相关（p<0.001）。微血管并发症的存在会导致知识显著增加，但实践情况并非如此。我们社区的糖尿病足护理知识和实践情况较差。与实践不同，足部护理知识会随着微血管并发症的出现而增加。我们应该为患者和医生制定有效的教育计划，以便在并发症出现之前增加知识和改进实践。
