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TITLE:

INFLUENCING FACTORS AND PATIENTS BEHAVIOR REGARDING DIABETIC FOOT SYNDROME (DFS)

AUTHORS:

Dr Abdul Muqeet, Dr Asfiya Ather, Dr Fahad Fayyaz Bhatti

ABSTRACT:

Objective: The aim of our study was to analyze the behavior of diabetes patients regarding foot care and to find out the factors of influence. Study Design: A cross sectional descriptive study. Place and Duration: The study was held in Bahawal Victoria Hospital (BVH), Bahawalpur of one year starting from May,2018 to April, 2019. Methodology: Selected a total number of 400 patients of diabetes either hospitalized or visiting OPD of hospital. Took the approval from ethical committee of the hospital. Verbal consent was taken from all the patients during interview. We used Nottingham Assessment of Functional Footcare (NAFF) scale for the assessment of footcare behavior of the patients. The scoring of more than 50 was considered satisfactory for footcare behavior. This scoring was linked with numerous variables. We used SPSS 20 for analysis of data. Results: We selected 400 patients of diabetes either hospitalized or visiting OPD of Bahawal-Victoria hospital Bahawalpur. Gender distribution of males and females was as 162 (40.5%) and 238 (59.5%) respectively. We calculated 52.71±11.84 years as Mean±SD age of all selected patients. There were 228(57%) patients who didn’t get any knowledge or education about proper footcare. The patients who scored ≤ 50 according to NAFF scale were 289(72.3%) in number. Significant factors related with better footcare behavior were prior foot-care knowledge given by the doctor, previous diabetes history of family, educational level, monthly income and locality of rural or urban area with the P value of less than 0.05 for each. Conclusion: In this cross-sectional study we concluded that most of the patients were not having sufficient knowledge and practices about diabetic foot syndrome (DFS) because of which observed poor footcare behaviour and it was considerably linked with influencing factors like former footcare knowledge given by doctors, diabetic history in family, monthly income, educational level, urban and rural back ground. Keywords: Diabetic Foot Syndrome (DFS), Diabetes, NAFF, Footcare behavior, inadequate behavior.

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