Foot Care Behaviour among Patients with Type 2 Diabetes Mellitus in Malaysia: A cross-sectional study

Main Article Content

Norazlina Md Jazli
Nadia Abd Kadir
Rosehaidza Mat Zam
Mei Sin Chong

Abstract

Diabetic foot complications result in morbidity and lower extremity amputation. Our cross-sectional study aimed to assess the foot care behaviour among patients with type 2 diabetes mellitus. More than half of the participants (56.2%) reported a low level of foot care behaviour. Gender and educational level were significantly associated with foot care behaviour (p < 0.05). This study provides an overview of the current foot care behaviour in a multi-ethnic population in Southeast Asia. Future studies with rigorous methods are needed to examine the factors associated with the foot care behaviour among patients with type 2 diabetes mellitus.

Article Details

How to Cite
Md Jazli, N. ., Abd Kadir, N. ., Mat Zam, R. ., & Chong , M. S. (2021). Foot Care Behaviour among Patients with Type 2 Diabetes Mellitus in Malaysia: A cross-sectional study. Journal of ASIAN Behavioural Studies, 6(20), 13–26. https://doi.org/10.21834/jabs.v6i20.398

References

Ahmad Sharoni, S. K., Abdul Rahman, H., Minhat, H. S., Shariff Ghazali, S., & Azman Ong, M. H. (2017). A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: A Quasi-experimental Pilot Study. BMJ open, 7(6), e014393. https://doi.org/10.1136/bmjopen-2016-014393

Akhtar, K., Ali, A., & Bhatti, R. (2018). Knowledge and Practice of Foot Care among Diabetic Patients at a Public Tertiary Care Hospital Lahore. National Journal of Health Sciences, 3(4), 139-144.

Al-Gaows, F., & Alzahrani, A. (2019). Knowledge and practice of foot care among diabetic patients attending diabetic care center in Jeddah City. Int. J. Med. Rev. Case Rep, 3(11), 1.

AlOwais, M. M., & Shido, O. A. (2020). Knowledge and practice of foot care in patients with diabetes mellitus attending primary care center at Security Forces Hospital, Riyadh, Saudi Arabia: A cross-sectional study. Journal of Family Medicine and Primary Care, 9(12), 5954.

Alshammari, Z., Alsaid, L., Parameaswari, P., & Alzahrani, A. (2019). Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(6), 2089. https://doi.org/10.4103/jfmpc.jfmpc_248_19

Alsaleh, F. M., AlBassam, K. S., Alsairafi, Z. K., & Naser, A. Y. (2021). Knowledge and practice of foot self-care among patients with diabetes attending primary healthcare centres in Kuwait: A cross-sectional study. Saudi Pharmaceutical Journal. https://doi.org/10.1016/j.jsps.2021.04.006

American Diabetes Association. (2014). Skin Complications | ADA. Retrieved from https://www.diabetes.org/diabetes/complications/skin-complications

Azmi, N.H, Abdul Hadi, A., Md. Aris, M.A, Nasreen, H.E, & Che-Ahmad A. (2020). Diabetic Foot Care Practice and its Associated Factors among Type 2 Diabetes Mellitus Patients Attending Primary Health Clinics in Kuantan, Malaysia: A Cross Sectional Study. IIUM Medical Journal Malaysia, 19(2). Retrieved from https://doi.org/10.31436/imjm.v19i2.1560

Barwick, A. L., Hurn, S. E., van Netten, J. J., Reed, L. F., & Lazzarini, P. A. (2019). Factors associated with wearing inadequate outdoor footwear in populations at risk of foot ulceration: A cross-sectional study. PloS one, 14(2), e0211140. https://doi.org/10.1371/journal.pone.0211140

Bonner, T., Foster, M., Spears-Lanoix. E. (2016). Type 2 diabetes-related foot care knowledge and foot self-care practice 00interventions in the United States: a systematic review of the literature. Diabetic Foot and Ankle 7: 29758

Chatterjee, S., Basu, M., Bandyopadhyay, K., De, A., & Dutta, S. (2017). Knowledge and practice of foot care amongst diabetic patients attending a tertiary care hospital of Kolkata, India. J Prevent Medi Holistic Health, 3(1), 15-21.

Chiwanga, F. S., & Njelekela, M. A. (2015). Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania – a cross-sectional study. Journal of Foot and Ankle Research, 8(1), https://doi.org/10.1186/s13047-015-0080-y

Clinical Practice Guideline. (2018). Management of Diabetic Foot. 2nd ed. Ministry of Health Malaysia. Retrieved from https://mdes.org.my/2019/05/01/cpg-management-of-diabetic-foot-second-edition-2018/

Devarajooh, C., & Chinna, K. (2017). Depression, distress and self-efficacy: The impact on diabetes self-care practices. PloS one, 12(3), e0175096.

Gurmu, Y., Gela, D., & Aga, F. (2018). Factors associated with self-care practice among adult diabetes patients in West Shoa Zone, Oromia Regional State, Ethiopia. BMC health services research, 18(1), 732. Retrieved from https://doi.org/10.1186/s12913-018-3448-4

Hanley, G., Chiou, P., Liu, C., Chen, H., & Pfeiffer, S. (2020). Foot care knowledge, attitudes and practices among patients with diabetic foot and amputation in St. Kitts and Nevis. International Wound Journal, 17(5), 1142–1152. https://doi.org/10.1111/iwj.13446

Hirpha, N., Tatiparthi, R., & Mulugeta, T. (2020). Diabetic Foot Self-Care Practices Among Adult Diabetic Patients: A Descriptive Cross-Sectional Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Volume 13, 4779–4786. https://doi.org/10.2147/dmso.s285929

Kamaru Zaman, N.H, Mohd Shah, N.S., & Hussein, S.Z. (2018). Knowledge and Practice Foot Care Among Diabetic Elderly in Ukm Medical Centre (UKMMC). The Malaysian Journal of Nursing (MJN), 9(3), 6-12. Retrieved from https://ejournal.lucp.net/index.php/mjn/article/view/378

Laopoulou, F., Kelesi, M., Fasoi, G., Vasilopoulos, G., & Polikandrioti, M. (2020). Perceived social support in individuals with diabetic foot ulcers: a cross-sectional survey. Journal of Wound Ostomy & Continence Nursing, 47(1), 65-71.

Li, J., Cao, Y., Liu, W., Wang, Q., Qian, Y., & Lu, P. (2019). Correlations among Diabetic Microvascular Complications: A Systematic Review and Meta-analysis. Scientific Reports, 9(1). https://doi.org/10.1038/s41598-019-40049-z

Lin, X., Xu, Y., Pan, X., Xu, J., Ding, Y., Sun, X., Song, X., Ren, Y., & Shan, P. F. (2020). Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Scientific reports, 10(1), 14790. https://doi.org/10.1038/s41598-020-71908-9

Magbanua, E. & Lim-Alba, R. (2017). Knowledge and Practice of Diabetic Foot Care in Patients with Diabetes at Chinese General Hospital and Medical Center. Journal of the ASEAN Federation of Endocrine Societies, 32(2), 123–131. https://doi.org/10.15605/jafes.032.02.05

Manjunath, M. & Nandini, T. (2020). Prospective study on the knowledge and practice of foot care among diabetic patients. International Journal of Basic & Clinical Pharmacology, 9(6), 924. https://doi.org/10.18203/2319-2003.ijbcp20202183

Mbisi, A. M., Gitonga, L. K., & Kiruki, S. (2019). Foot care practices among type 2 diabetics mellitus patients attending diabetes clinics in Embu County, Kenya. Open Journal of Clinical Diagnostics, 9(04), 126.

Mehmood, M., Parkar, A., Mustafa, N., Mustafa, S., Makin, M., Alawadi, F. and Farghaly, S. (2018). Diabetic foot selfcare: awareness and practice among type 2 diabetic patients in primary healthcare centers, Dubai Health Authority. International Journal of Community Medicine and Public Health, 6(1), p.1.

Miikkola, M., Lantta, T., Suhonen, R., & Stolt, M. (2019). Challenges of foot self-care on older people: a qualitative focus group study. Journal of Foot and Ankle Research. 12 (5). https://doi.org/10.1186/s13047-019-0315

Muhammad-Lutfi A.R., Zaraihah, M.R, Anuar-Ramdhan, I.M. (2014). Knowledge and practice of diabetic foot care in an in-patient setting at a tertiary medical centre. Malays Orthop J.8(3):22-6.

Parker, J., Scharfbillig, R., & Jones, S., (2017). Moisturisers for the treatment of foot xerosis: a systematic review. Journal of foot and ankle,10(9). https://doi.org/10.1186/s13047-017-0190-9.

Pippitt, K., Li, M., & Gurgle, H. E. (2016). Diabetes Mellitus: Screening and Diagnosis. American family physician, 93(2), 103–109.

Pitchai, P., & Joshi, J. (2015). Knowledge and practice of foot care amongst diabetics in India: comparison between urban and rural setting-a reality check. Int J Health Sci Res, 5(4), 181-189.

Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., & Motamed, B. (2020). Diabetic foot care: knowledge and practice. BMC endocrine disorders, 20(1), 40. https://doi.org/10.1186/s12902-020-0512-y

Prajapati, A. K. (2019). Urinary Tract Infection in Diabetics. Microbiology of Urinary Tract Infections - Microbial Agents and Predisposing Factors. doi:10.5772/intechopen.79575

Sari, Y., Upoyo, A. S., Isworo, A., Taufik, A., Sumeru, A., Anandari, D., & Sutrisna, E. (2020, February 1). Foot self-care behavior and its predictors in diabetic patients in Indonesia. BMC Research Notes. 13(38). https://doi.org/10.1186/s13104-020-4903-y

Seid, A., Tsige, Y. (2015). Knowledge, practice, and barriers of foot care among diabetic patients attending Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia. Adv Nurs. https://doi.org/10.1155/2015/934623.

Patients with Type 2 Diabetes Mellitus in DaNang, Vietnam. Ramathibodi Medical Journal, 42(3), 57 - 68. https://doi.org/10.33165/rmj.2019.42.3.162035

Solan, Y. M., Kheir, H. M., Mahfouz, M. S., Al-Faify, A. A., Hakami, D. T., Faifi, M. A. A., Hakami, A. W., Hakami, A. H., & Sharif, H. H. (2016). Diabetic Foot Care: Knowledge and Practice. Journal of Endocrinology and Metabolism, 6(6), 172–177. Retrieved from https://doi.org/10.14740/jem388e

Sulistyo A.H.S., Sae-Sia W., Maneewat K. (2020). Diabetic Foot Care Knowledge and Behaviors of Individuals with Diabetes Mellitus in Indonesia. Retrieved 20 August 2020, from http://dl6.globalstf.org/index.php/jnhc/article/view/1999/2003

Świątoniowska, N., Chabowski, M., & Jankowska-Polańska, B. (2020). Quality of Foot Care Among Patients With Diabetes: A Study Using a Polish Version of the Diabetes Foot Disease and Foot Care Questionnaire. The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons, 59(2), 231–238. https://doi.org/10.1053/j.jfas.2019.07.020

Tuglo, L. S., Nyande, F. K., Agordoh, P. D., Nartey, E. B., Pan, Z., Logosu, L., Dei Hlorlewu, A. E., Haligah, D. K., Osafo, L., Taful, S., & Chu, M. (2021). Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana. International Wound Journal. https://doi.org/10.1111/iwj.1365.

Tuha, A., Faris, A. G., Andualem, A., & Ahmed Mohammed, S. (2021). Knowledge and Practice on Diabetic Foot Self-Care and Associated Factors Among Diabetic Patients at Dessie Referral Hospital, Northeast Ethiopia: Mixed Method. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 1203.

World Health Organization. (2014, June 4). WHO | About diabetes. Retrieved from https://www.who.int/diabetes/action_online/basics/en/index3.

Yılmaz Karadag, F., Saltoglu, N., Ak, O., Çınar Aydın, G., Şenbayrak, S., Erol, S. Mıstanoglu Ozatag, D., Kadanalı, A., Kuçukardalı, Y., Çomoglu, Ş., Yoruk, G., Akkoyunlu, Y., Meriç Koç, M., & Altunçekiç Yıldırım, A. (2019). Foot self-care in diabetes mellitus: Evaluation of patient awareness. Primary care diabetes, 13(6),515–520. https://doi.org/10.1016/j.pcd.2019.06.003