Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05383391 |
| Other study ID # |
Soh-Med-22-05-01 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
June 1, 2022 |
| Est. completion date |
December 1, 2023 |
Study information
| Verified date |
May 2022 |
| Source |
Sohag University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Aim of the study:
Studying patients' knowledge, practice and barriers of foot self-care among diabetic patients
attending Sohag University Hospital,.
Objectives:
1. To determine patients' knowledge and practice of foot self-care among diabetic patients
attending Sohag University Hospital.
2. To detect barriers of diabetic foot self-care among diabetic patients attending Sohag
University Hospital.
Patients and methods:
Place of the study (locality):
Sohag University Hospital at endocrine outpatient clinic .
Type of the study (Study design):
A cross-sectional, descriptive questionnaire based study was designed to evaluate knowledge
and practice of diabetic patients regarding foot care.
Period of data collection . 6 months Questionnaires will be distributed among the diabetes
mellitus patients in Sohag University Hospital to get the information about the knowledge of
the disease among patients. The answer of the questions will be scored with "yes" "no" or I
don't "know".
The questionnaire consists of four sections(8):
1. Demographic section .
2. Knowledge related questions regarding foot care .
3. Practice related questions regarding practice of foot care .
4. Barriers to foot self-care . Questionnaire contained 7 questions regarding knowledge of
foot care and 12 questions regarding practice of foot care, which was approved and
validated by the research committee of faculty of Pharmacy.
Description:
Diabetic foot problems are one of the most common chronic complications of diabetes that has
a tremendous economic and social impact on individuals, families and on health system as a
whole in developing and developed countries.( ) Diabetic foot problems can be prevented
through well-coordinated foot care services. Patient education is an important and essential
element of any health program for diabetic foot prevention and control. ( ) Diabetic foot
problems as one important complication of DM constitute an increasing public health problem
and are a leading cause of hospital admission, amputation and mortality in diabetic patients.
( ) Education is the key element in successful management of diabetes, as knowledge about
diabetes enables patients to play an active role in effective diabetes
self-management.Performing daily foot care routines enables diabetic patients to detect foot
abnormalities and injuries earlier, hence reduce or even prevent the risk of foot ulceration
effectively. ( ) Diabetic peripheral neuropathy (DPN) is the most common complication of type
2 diabetes mellitus requiring frequent referral for medical or surgical management. ( )
Neuropathy results in loss of sensation in gloves and stocking pattern, which leads to loss
of protective sensation to noxious stimuli, such as trauma induced by micro trauma to the
skin and bone or trauma caused by stepping on a sharp object or skin injury due to ill
fitting shoes.
Moreover, due to modulation of neuro muscular junction the muscles get deprived of their
innervations leading to muscle atrophy and foot deformities. Thus, pressures are gradually
abnormally distributed on the plantar aspect of the feet, causing an increased forefoot
pressure than the rear foot, thereby increasing the risk for ulceration. Initially the
situation looks trivial, but the problem posed by DPN in its due course progresses to deep
tissue destruction. ( ) The center for disease control and prevention (CDC) reported that
complementary foot-care programs including risk assessment, self-foot-care education,
metabolic control, and referral to specialists may decrease the risk of amputation by
45%-85%. ( )
