OJCD  Vol.9 No.4 , December 2019
Foot Care Practices among Type 2 Diabetics Mellitus Patients Attending Diabetes Clinics in Embu County, Kenya
Abstract: Diabetes mellitus has become a global epidemic of 21st century with dispro- portionately high socioeconomic burden in the developing world. Foot ulcerations secondary to peripheral neuropathy and peripheral vascular disease have led to devastating health outcomes including amputations. A descriptive survey targeting a sample size of 301 was drawn from the selected health facility. Majority of the respondents were female and aged between 40 and 70 years old. The duration that a patient had lived with diabetes, history of smoking and respondents age was significantly associated with foot ulcers at P-value < 0.05. Walking bare foot in and out of the house, breaking into new shoes, poor inspection of feet were associated with the development of foot ulcers while dressing of blisters with sterile dressings was associated with the prevention of foot ulcers.
Cite this paper: Mbisi, A. , Gitonga, L. and 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, 126-144. doi: 10.4236/ojcd.2019.94009.

[1]   Martínez-De Jesús, F. (2013) A Checklist System to Score Healing Progress of Diabetic Foot Ulcer. International Journal of Lower Extremity Wounds, 9, 74-83.

[2]   International Diabetis Federation, IDF (2017) IDF Diabetic Atlas. 6 Edition, Brussels, Belgium.

[3]   World Health Organization, WHO (2017) Global Reports on Diabetes

[4]   Pengzi, Z., Jing, L. and Yali, J. (2017) Global Epidemiology of Diabetic Foot Ulceration: A Systemic Review and Meta-Analysis. Annals of Medicine, 49, 106-116.

[5]   Abbas, Z. and Archibald, K. (2015) Epidemiology of the Diabetic Foot in Africa. Medical Science Monitor, 11, 262-270.

[6]   Abbas, Z., Lutale, J., Baker, N. and Archibald, L. (2011) The ‘Step by Step’ Diabetic Foot Project in Tanzania: A Model for improving Patient Outcomes in Less Developed Countries. International Wound Journal, 8, 169-175.

[7]   Mcferran, L. (2014) Obstacles to Diabetic Care in Kenya. Medical Journal of Therapeutics Africa, 2, 127-129.

[8]   Odour, P. and Ondari, N. (2016) The Prevalence of Diabetic Foot at Risk in Kenyatta National Hospital. International Journal of Research and Innovation, 3.

[9]   Jain, A. (2014) A New Classification (Grading System) of Debridement of Diabetic Lower Limbs—An Improvization and Standardization in Practice of Diabetic Lower Limbs Salvage around the World. Medicine Science, 3, 991-1001.

[10]   Chu, Y. and Wang, P. (2016) Clinical Outcome of Toe Amputation Patients with Type 2 Diabetes in Tianjin, China. International Wound Journal, 13, 175-181.

[11]   Walsh, J., Hoffstad, O., Sullivan, M. and Margolis, D. (2016) Association of Diabetic foot Ulcer and Death in a Population Based Cohort from the United Kingdom. Diabetic Medicine, 33, 1493-1498.

[12]   Padma, K., Beles, S., Bodhere, N. and Valsangkar, S. (2012) Evaluation of Knowledge and Self Care Practices in Diabetic Patients and Their Role in Disease Management. National Journal of Community Medicine, 3, 3-6.

[13]   Rocha, R., Zanetti, M. and Santos, M. (2013) Behavior and Knowledge; Basis for Prevention for Diabetic Foot. Acta Paulista de Enfermagem, 22, 17-23.

[14]   Call-paschal, A., Duran, A. and Benedi, A. (2001) Reduction in Foot Ulcer Incidence. Diabetes Care.

[15]   Fisher, A.A., Stoeckel, J.E., Laing, J.E. and Townsend, J. (1991) Handbook for Family Planning Operation Research Design. Population Council, New York.

[16]   Taksande, B., Thote, M. and Jajoo, U. (2017) Knowledge, Attitude and Practice of Foot Care in Patients with Diabetes at Central Rural INDIA. Journal of Family Medicine and Primary Health Care, 6, 284-287.

[17]   Amogne, W., Reja, A. and Amare, A. (2013) Diabetic Foot Disease in Ethiopian Patients; A Hospital Based Study. Ethiopian Journal of Health Development, 25, 17-21.

[18]   Selvakumar, S. and Shah, P. (2016) Awareness and Practice Regarding Foot Self-Care among Patients of Known Type 2 Diabetes Mellitus in a Rural Area. International Journal of Community Medicine and Public Health, 3, 861-864.

[19]   Muhammad-Lutfi, A., Zaraihah, M. and Anuar-Ramdhan, I. (2014) Knowledge and Practice of Diabetic Foot Care in an in-Patient Setting at a Tertiary Medical Center in Malaysia. Malaysia Orthopedic Journal, 8, 22-26.