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Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India

(1) Background: This cross-sectional study aims to highlight the assessment and foot care practices in an advanced clinical setting, the clinical characteristics of the patients, and to understand the barriers and facilitators for effective foot care from the perspectives of healthcare practices, re...

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Autores principales: B. G., Sudha, V., Umadevi, Shivaram, Joshi Manisha, Belehalli, Pavan, M. A., Shekar, H. C., Chaluvanarayana, Sikkandar, Mohamed Yacin, Brioschi, Marcos Leal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252617/
https://www.ncbi.nlm.nih.gov/pubmed/37297533
http://dx.doi.org/10.3390/ijerph20115929
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author B. G., Sudha
V., Umadevi
Shivaram, Joshi Manisha
Belehalli, Pavan
M. A., Shekar
H. C., Chaluvanarayana
Sikkandar, Mohamed Yacin
Brioschi, Marcos Leal
author_facet B. G., Sudha
V., Umadevi
Shivaram, Joshi Manisha
Belehalli, Pavan
M. A., Shekar
H. C., Chaluvanarayana
Sikkandar, Mohamed Yacin
Brioschi, Marcos Leal
author_sort B. G., Sudha
collection PubMed
description (1) Background: This cross-sectional study aims to highlight the assessment and foot care practices in an advanced clinical setting, the clinical characteristics of the patients, and to understand the barriers and facilitators for effective foot care from the perspectives of healthcare practices, resources, and patients’ socioeconomic and cultural practices, and other aspects in terms of new technologies for effective foot care such as infrared thermography. (2) Methods: Clinical test data from 158 diabetic patients and a questionnaire to assess the foot care education retention rate were collected at the Karnataka Institute of Endocrinology and Research (KIER) facility. (3) Results: Diabetic foot ulcers (DFUs) were found in 6% of the examined individuals. Male patients were more likely to have diabetes complications, with an odds ratio (OR) of 1.18 (CI = 0.49–2.84). Other diabetes problems raised the likelihood of DFUs by OR 5 (CI = 1.40–17.77). The constraints include socioeconomic position, employment conditions, religious customs, time and cost, and medication non-adherence. The attitude of podiatrists and nurses, diabetic foot education, and awareness protocols and amenities at the facility were all facilitators. (4) Conclusions: Most diabetic foot complications might be avoided with foot care education, regular foot assessments as the standard of treatment, and self-care as a preventive/therapeutic strategy.
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spelling pubmed-102526172023-06-10 Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India B. G., Sudha V., Umadevi Shivaram, Joshi Manisha Belehalli, Pavan M. A., Shekar H. C., Chaluvanarayana Sikkandar, Mohamed Yacin Brioschi, Marcos Leal Int J Environ Res Public Health Article (1) Background: This cross-sectional study aims to highlight the assessment and foot care practices in an advanced clinical setting, the clinical characteristics of the patients, and to understand the barriers and facilitators for effective foot care from the perspectives of healthcare practices, resources, and patients’ socioeconomic and cultural practices, and other aspects in terms of new technologies for effective foot care such as infrared thermography. (2) Methods: Clinical test data from 158 diabetic patients and a questionnaire to assess the foot care education retention rate were collected at the Karnataka Institute of Endocrinology and Research (KIER) facility. (3) Results: Diabetic foot ulcers (DFUs) were found in 6% of the examined individuals. Male patients were more likely to have diabetes complications, with an odds ratio (OR) of 1.18 (CI = 0.49–2.84). Other diabetes problems raised the likelihood of DFUs by OR 5 (CI = 1.40–17.77). The constraints include socioeconomic position, employment conditions, religious customs, time and cost, and medication non-adherence. The attitude of podiatrists and nurses, diabetic foot education, and awareness protocols and amenities at the facility were all facilitators. (4) Conclusions: Most diabetic foot complications might be avoided with foot care education, regular foot assessments as the standard of treatment, and self-care as a preventive/therapeutic strategy. MDPI 2023-05-23 /pmc/articles/PMC10252617/ /pubmed/37297533 http://dx.doi.org/10.3390/ijerph20115929 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
B. G., Sudha
V., Umadevi
Shivaram, Joshi Manisha
Belehalli, Pavan
M. A., Shekar
H. C., Chaluvanarayana
Sikkandar, Mohamed Yacin
Brioschi, Marcos Leal
Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title_full Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title_fullStr Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title_full_unstemmed Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title_short Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India
title_sort diabetic foot assessment and care: barriers and facilitators in a cross-sectional study in bangalore, india
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10252617/
https://www.ncbi.nlm.nih.gov/pubmed/37297533
http://dx.doi.org/10.3390/ijerph20115929
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