Open AccessA STUDY TO EVALUATE SELF-FOOT CARE BEHAVIOUR IN INDIAN PATIENTS WITH TYPE 2 DIABETES MELLITUS
Author(s) -
Kingshuk Bhattacharjee
Publication year - 2019
Publication title -
indian journal of applied research
Language(s) - English
DOI - 10.36106/ijar/0100462
Subject(s) - foot (prosody) , foot care , medicine , diabetic foot , diabetes mellitus , self management , self care , population , type 2 diabetes mellitus , family medicine , physical therapy , health care , environmental health , philosophy , linguistics , machine learning , economic growth , computer science , economics , endocrinology
BACKGROUND:The benefits of self-foot care management are well recognized in type 2 diabetes subjects. However, asubstantial proportion of patients don't perform self-foot care assessment at all. We aimed to enumerate the barriers toself-foot care management in Type 2 Diabetes Mellitus (T2DM) patients and factors associated with these barriers.METHODOLOGY: A cross-sectional study of successive 600 type 2 diabetes patients attending routine out-patient diabetes clinics in tertiarycare hospitals in Kolkata, India from 1st June 2018 to 31st March 2019.Besides demographic details, patient particulars, laboratoryinvestigations, the questionnaire included 2 direct questions on possible barriers to self-foot care management. The questions were grouped intofive categories viz. environmental (4 questions), behavioral (9 questions), occupational (2 questions), physical inability (7 questions) andmedical reason (1 question).RESULTS:An overwhelming 60% of the study population have more than one barrier to self-foot management. Alarger proportion of females(69.9%) were not taking self-foot care management compared to their male counterparts (55.5%). Around one-third of the male participantscited lack of time as a major barrier to self-foot care management. Around 40% females reported lack of foot care education and training as themajor obstacle to self-foot care management.CONCLUSION: This study elaborates the need for awareness regarding possible barriers when counseling T2DM patients. Behavioral causesseem to be the commonest barrier to self-foot care management and hence strategies to target the same needs to be thought of.