Knowledge Of Diabetic Foot Disease, Foot Self- Care Practices And The Beliefs Of Diabetic Patients Attending Atutur Hospital In Kumi District Uganda

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Date
2024-07-18
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King Ceasor University Institutional Repository.
Abstract
This study investigated the knowledge, self-care practices, beliefs, and perceptions of diabetic patients regarding diabetic foot disease, focusing on Atutur Hospital in Uganda. The objectives included evaluating patients' knowledge levels, examining foot self-care practices, and exploring patients' beliefs and perceptions towards diabetes and diabetic foot disease. A quantitative research approach was employed, with data collected from 300 diabetic patients using structured questionnaires and analyzed using SPSS version 26. Key findings revealed significant gaps in patients' knowledge regarding diabetic foot disease, with only 40% demonstrating adequate awareness of risk factors, symptoms, and preventive measures. Concerning self-care practices, 66.7% of patients reported appropriate footwear selection, while only 40% engaged in regular foot inspections. Chi-square analyses indicated significant associations between certain self-care practices and demographic variables (χ² = 12.67, p = 0.001 for footwear selection). Adjusted Odds Ratios (AORs) were calculated, with appropriate footwear selection associated with a 3.25 times higher likelihood of adherence to self-care practices. Patients' beliefs and perceptions towards diabetes and diabetic foot disease varied, influenced by cultural, social, and psychological factors. Positive attitudes towards medical treatment were observed in some patients, while others faced barriers such as financial constraints and stigma. The study underscores the importance of addressing patients' beliefs and perceptions in diabetes management to improve treatment adherence and health outcomes. In conclusion, targeted educational interventions are necessary to enhance patients' knowledge and promote preventive behaviors. Healthcare providers should prioritize patient-centered approaches and culturally sensitive care to address the diverse needs of diabetic patients. Recommendations include the development of comprehensive diabetes management strategies and the implementation of multidisciplinary interventions to mitigate the burden of diabetic foot disease. Keywords: Diabetic foot disease; Self-care practices; Patient perceptions
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Mulago National Referral Hospital.
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