Alotaibi Ahmed, Alqhtani Nawaf, Alluhaymid Abdulaziz, Alhomaidan Lulwah, Alwabel Meshal, Algurafi Abdulaziz, Alenizi Yassir, AsSaigal Omer A
Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Buraydah, SAU.
General Surgery, Qassim University, Buraydah, SAU.
Cureus. 2024 Jan 15;16(1):e52306. doi: 10.7759/cureus.52306. eCollection 2024 Jan.
Introduction Diabetes mellitus (DM) is a chronic condition brought on by either insufficient insulin production by the pancreas or inefficient insulin utilization by the body. A hormone called insulin controls blood sugar. Patients with type 1 or type 2 diabetes frequently experience diabetes complications, which are also a major cause of morbidity and mortality. Microvascular and macrovascular problems of diabetes are the two main categories, with the former having a significantly higher prevalence than the latter. In contrast to macrovascular problems, which include cardiovascular disease, stroke, and peripheral artery disease (PAD), microvascular sequelae include neuropathy, nephropathy, and retinopathy. The occurrence of a foot ulcer coupled with neuropathy, PAD, and infection is known as diabetic foot (DF) syndrome, and it is a primary factor in lower limb amputation. Finally, there are additional diabetes problems that fall outside of the two categories listed before, including birth defects, dental disease, and decreased infection resistance. Aim This study aimed to evaluate the awareness of diabetic patients in the Qassim region about diabetic foot and its complications. Patient and methods This retrospective cohort study was conducted between January 2021 and January 2022 among diabetic patients. The patients were contacted through the contact numbers listed in their medical charts at the Diabetic Center in King Saud Hospital in Unaizah and the Diabetes Center in King Fahad Specialist Hospital. The data were collected by sending the link to the targeted patients using the Google Form questionnaire. Results Of the 384 diabetic patients, 51.6% were females, and 28.6% were aged between 18 and 30 years old. A previous history of foot ulcers has been reported by 10.4%. The overall mean score was 11.3 (SD 2.99) out of 20 points, with poor, moderate, and good awareness levels constituting 25.8%, 66.4%, and 7.8%, respectively. Factors associated with increased awareness include younger age, female gender, having no associated chronic disease, and not experiencing soreness on the foot or leg. Conclusion There was modest awareness among the diabetic population regarding diabetes foot care and its complications. Independent significant predictors of increased knowledge include younger age, female gender, having no associated chronic disease, and not experiencing soreness on the foot or leg. Increased diabetic education is vital to improving awareness levels of diabetic foot complications.
引言
糖尿病(DM)是一种由胰腺胰岛素分泌不足或身体对胰岛素利用效率低下引起的慢性疾病。胰岛素是一种控制血糖的激素。1型或2型糖尿病患者经常会出现糖尿病并发症,这也是发病和死亡的主要原因。糖尿病的微血管和大血管问题是两大主要类型,前者的患病率明显高于后者。与包括心血管疾病、中风和外周动脉疾病(PAD)在内的大血管问题不同,微血管后遗症包括神经病变、肾病和视网膜病变。足部溃疡伴有神经病变、PAD和感染的情况被称为糖尿病足(DF)综合征,它是下肢截肢的主要因素。最后,还有一些不属于上述两类的其他糖尿病问题,包括出生缺陷、牙科疾病和抗感染能力下降。
目的
本研究旨在评估卡西姆地区糖尿病患者对糖尿病足及其并发症的认知情况。
患者与方法
本回顾性队列研究于2021年1月至2022年1月期间在糖尿病患者中进行。通过乌奈宰国王沙特医院糖尿病中心和法赫德国王专科医院糖尿病中心病历中列出的联系电话与患者取得联系。通过使用谷歌表单问卷向目标患者发送链接来收集数据。
结果
在384名糖尿病患者中,51.6%为女性,28.6%年龄在18至30岁之间。有10.4%的患者曾有足部溃疡病史。在满分20分的情况下,总体平均得分为11.3分(标准差2.99),认知水平差、中等和良好的分别占25.8%、66.4%和7.8%。与认知度提高相关的因素包括年龄较小、女性、无相关慢性病以及足部或腿部无酸痛感。
结论
糖尿病患者对糖尿病足护理及其并发症的认知程度一般。知识增加的独立显著预测因素包括年龄较小、女性、无相关慢性病以及足部或腿部无酸痛感。加强糖尿病教育对于提高糖尿病足并发症的认知水平至关重要。