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Received date : 20-01-2023 Revised date : 12-02-2023 Accepted date : 20-02-2023 Published date : 31-03-2023

Mediterr J Pharm Pharm Sci 3 (1): 34-41, 2023

DOI: https://doi.org/10.5281/zenodo.77771360

Original Research

Knowledge and practice of foot care among Libyan diabetic patients

Amal S.M. Atair, Muna A.I. Mohamed, Aya N. Abdelfadel, Heba A. Ahmed and Sarah A. Atiya

Diabetes mellitus is a common and chronic metabolic disorder. Uncontrolled diabetes mellitus leads to body organ damage if not treated properly. Educational intervention is necessary from health-care providers such as pharmacists to prevent or reduce organ damage and complications among the diabetic patients. Several studies have demonstrated the contribution of pharmacists in achieving a better control of diabetes mellitus. Thus, this study intended to assess the knowledge and practice regarding foot care among Libyan diabetic patients in Al-Bayda city. In addition, to determine the association between knowledge and practice regarding diabetic foot care with selected demographic variables. This is a cross sectional study conducted at Diabetes Center Aljabal Al akhdar in Al-Bayda between April and August, 2022. A total of 400 participants with diabetes were enrolled and interviewed by using a self-design questionnaire for knowledge and practice of foot care after taking verbal agreement. Data was analyzed by using SPSS software version 26.0. In this study, 191 subjects were male (47.8%) and 209 subjects (52.3%) were female. On the topic of foot care, 51.8% of the participants stated they did know how to perform correct foot hygiene and 33.5% stated that drying should consist of passing a towel between their toes. Female subjects statistically had more knowledge than male subjects on the right footwear and correct way of nail cutting (p < 0.01 and p < 0.001, respectively). In relation to practice, the frequency of patients with a good practice was 126 (31.5%) and with poor practice was 274 (68.5%). Evaluating the parameters dry, moisturize and nail cutting, women showed a significant difference in relation to men, with a high significance level in the three parameters. In conclusion, the knowledge and practice of foot care in Libyan patients with diabetes were poor. So, an educational program is recommended to improve the awareness of foot care. Diabetic patients should be provided information about self-care of their feet by health care providers such as pharmacists to prevent and delay onset of foot complications and improve the quality of life.

1. American Diabetes Association (2020) 2. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes-2020. Diabetes care. 43 (Suppl 1): S14-S31. doi: 10.2337/dc20-S002.
2. Wild S, Roglic G, Green A, Sicree R, King H (2004) Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 27 (5): 1047-1053. doi.org/10.2337/diacare.27.5.1047.
3. Paisey RB, Abbott A, Levenson R, Harrington A, Browne D, Moore J (2018) South-West Cardiovascular Strategic Clinical Network peer diabetic foot service review team. Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services: peer review of the South-West of England. Diabetic Medicine. 35 (1): 53-62. doi: 10.1111/dme.13512.
4. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y (2017) Global epidemiology of diabetic foot ulceration: A systematic review and meta-analysis. Annals of Medicine. 49 (2): 106-116. doi: 10.1080/07853890.2016. 1231932.
5. Bos M, Agyemang C (2013) Prevalence and complications of diabetes mellitus in Northern Africa, a systematic review. BMC Public Health. 13 (1): 1-7. doi: 10.1186/1471-2458-13-387.
6. International Diabetes Federation (2015) IDF Diabetes Atlas. 7th edition. Karakas print, USA. ISBN: 978-2-930229-81-2.
7. Narres M, Kvitkina T, Claessen H, Claessen H, Droste S, Schuster B, Morbach S, Lcks A (2017) Incidence of lower extremity amputations in the diabetic compared with the non-diabetic population: a systematic review. PLoS One. 12 (8): e0182081. doi: 10.1371/journal.pone.0182081.
8. Roaeid RB, Kadiki OA (2011) Prevalence of long-term complications among Type 2 diabetic patients in Benghazi, Libya. Journal of Diabetology. 2 (3): 3. IP:
9. Walsh JW, Hoffstad OJ, Sullivan, MO, Margolis, DJ (2016) Association of diabetic foot ulcer and death in a population-based cohort from the United Kingdom. Diabetic Medicine. 33 (11): 1493-1498. doi: 10.1111/ dme.13054.
10. Hurlow JJ, Humphreys GJ, Bowling FL, McBain, AJ (2018) Diabetic foot infection: a critical complication. International Wound Journal. 15 (5): 814-821. doi: 10.1111/iwj.12932.
11. Rice JB, Desai U, Cummings AKG, Birnbaum HG, Skornicki M, Parsons NB (2014) Burden of diabetic foot ulcers for Medicare and private insurers. Diabetes Care. 37 (3): 651-658.9. doi: 10.2337/dc13-2176.
12. Muhammad-Lutfi AR, Zaraihah MR, Anuar-Ramdhan IM (2014) Knowledge and practice of diabetic foot care in an in-patient setting at a Tertiary Medical Center. Malaysian Orthopaedic Journal. 8 (3): 22-26. doi. org/10.5704/MOJ.1411.005
13. Kim SY, Hongsranagon P (2008) Preventive behaviors regarding foot ulcers in diabetes type II patients at BMA Health Center No. 48, Bangkok, Thailand. Journal of Health Research. 22 (suppl): 21-28.
14. Gautam A, Bhatta DN, Aryal UR (2015) Diabetes related health knowledge, attitude and practice among diabetic patients in Nepal. BMC Endocrine Disorders. 15: 25. doi: 10.1186/s12902-015-0021-6.
15. Saadia Z, Rushdi S, Alsheha M, Saeed H, Rajab M (2010) A study of knowledge attitude and practices of Saudi women towards diabetes mellitus. A (KAP) study in Al-Qassim region. The Internet Journal of Health. 11 (2): 1-7.
16. Haq NU, Durrani P, Nasim A, Riaz S (2017) Assessment of knowledge and practice of diabetes mellitus patients regarding foot care in tertiary care hospitals in Quetta, Pakistan. Specialty Journal of Medical Research and Health Science. 2 (4): 35-43.
17. Gul N (2010) Knowledge, attitudes and practices of type 2 diabetic patients. Journal of Ayub Medical College. 22 (3): 128-131. PMID: 22338437.
18. Al-Hariri MT, Al-Enazi AS, Alshammari DM, Bahamdan AS, Al-Khtani SM, Al-Abdulwahab AA (2017) Descriptive study on the knowledge, attitudes and practices regarding the diabetic foot. Journal of Taibah University Medical Sciences. 12 (6): 492-496. doi: 10.1016/j.jtumed.2017.02.001.
19. Hasnain S, Sheikh NH (2009) Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. JPMA. The Journal of the Pakistan Medical Association. 59 (10): 687-690. PMID: 1983683.
20. Saber HJ, Daoud AS (2018) Knowledge and practice about the foot care and the prevalence of the neuropathy among a sample of type 2 diabetic patients in Erbil, Iraq. Journal of Family Medicine and Primary Care. 7 (5): 967-974. doi: 10.4103/jfmpc.jfmpc_163_18. 
21. Desalu OO, Salawu FK, Jimoh AK, Adekoya AO, Busari OA, Olokoba AB (2011) Diabetic foot care: self reported knowledge and practice among patients attending three tertiary hospital in Nigeria. Ghana Medical Journal. 45 (2): 60-65. doi: 10.4314/gmj.v45i2.68930.
22. Hamidah H, Santhna LP, Ruth Packiavathy RD, Suraya AM, Yap WC, Samsiah M, Das S (2012) Foot care strategy for the newly diagnosed DM Type 2 patients with low educational and socio-economic background: a step towards future. La Clinica terapeutica. 163 (6): 473-478. PMID: 23306740.
23. Almeida SAD, Silveira MM, Espírito Santo PFD, Pereira RDC, Salomé GM (2013) Avaliação da qualidade de vida em pacientes com diabetes mellitus e pe ulcerado. 28 (1): 142-146. doi. org/10.1590/S1983-5175201000100024.
24. Bragança CM, Gomes IC, Fonseca MRCC, Colmanetti MNDS, Vieira MG, Souza MDF (2010) E pé ulcerado. Revista Brasileira de Cirurgia Plástica Avaliação das práticas preventivas do pé diabético. Journal of Health Science Institute. 28 (2): 159-163.
25. Abu-elenin MM, Elshoura AA, Alghazaly GM (2018) Knowledge, practice and barriers of foot self-care among diabetic patients at Tanta University Hospitals, Egypt. The Egypt Journal of Community Medicine. 36 (4): 94-102. doi: 10.21608/EJCM.2018.23001.
26. Rossaneis MA, Haddad M, Mathias TA, Marcon, SS (2016) Differences in foot self-care and lifestyle between men and women with diabetes mellitus. Revista Latino-Americana de Enfermagem. 24: e2761. doi: 10.1590 /1518-8345.1203.2761.
27. Chiwanga FS, Njelekela MA (2015) Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar el Salaam, Tanzania-a cross-sectional study. Journal of Foot Ankle Research. 8 (1): 20. doi: 10.1186/s13047-015-0080-y.   
28. Khan AH, Iqbal ZM, Sulaiman SAS, Ibrahim A, Binti NS, Azmi Y, Iqbal MS, Albassam AA (2021) Impact of pharmacist-led educational intervention on predictors of diabetic foot at two different hospitals of Malaysia. Journal of Pharmacy and BioAllied Sciences. 13 (1): 108-115. doi: 10.4103/jpbs.JPBS-475-20.

Citation :

Atair et al. (2023) Knowledge and practice of foot care among Libyan diabetic patients. Mediterr J Pharm Pharm Sci. 3 (1): 34 - 41. https://doi.org/10.5281/zenodo.7771360.

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