Measurement of Diabetic Patients’ Knowledge About Diabetic Foot Wound and Evaluation of Foot Care Practices

Abstract

Aim: Diabetic foot ulcer (DFU), a complication of diabetes, is a preventable condition that results in limb losses and even death. With
the training given to diabetic patients, DFU occurrence rate is reduced by 50%. In this study, we aimed to measure the knowledge level
of diabetic patients about foot care and the correct application skills of informed patients. In addition, we aimed to investigate the
importance of education in the development of diabetic foot wound by including the patients with DFU in the study.

Material and Methods: Diabetic patients who received diabetes education in the family medicine clinic and who were followed up
for DFU in the general surgery clinic were evaluated. Questionnaires about the level of knowledge about DFU and the level of correct
application were applied to the patients about the level of knowledge about DAY and the level of correct application. The patients with
DFU were compared with nonDFU patients.

Results: The rate of DFU was found to be significantly higher in the patients who had low level of education, who had been smoking,
who had been diabetic for more than 10 years, who did not go to regular control, who could not regulate blood sugar, who did not meet
daily diet, and who had not received diabetes education. It was found that the answers and daily practices of DFU-developed patients in
their knowledge-level questionnaire were statistically significantly incorrect compared to the other patients.

Conclusion: Patients do not have enough knowledge about diabetic foot care. The rate of application of this information in daily life is
very low in people who have been given diabetic foot training. This situation increases the risk of DFU occurrence in diabetic patients

Keywords

• diabetic foot
• survey

Diyabet Hastalarının Diyabetik Ayak Ülseri Hakkında Bilgi Düzeylerinin ve Ayak Bakımı Uygulamalarının Değerlendirilmesi

Abstract

Amaç: Diyabetin komplikasyonlarından birisi olan diyabetik ayak yarası (DAY) uzuv kayıpları ve hatta ölümle sonuçlanan önlenebilir
bir tablodur. Diyabetik hastalara verilen eğitimlerle DAY gelişme oranı %50 azaltılabilmektedir. Çalışmada diyabetik hastaların ayak
bakımı hakkındaki bilgi düzeylerini ve bilgilendirilmiş hastaların doğru uygulama becerilerini ölçmeyi amaçladık. Ayrıca DAY gelişmiş
hastaları da çalışmaya dahil ederek diyabetik ayak yarası gelişmesinde eğitimin önemini araştırmayı amaçladık.

Gereç ve Yöntemler: Aile hekimliği polikliniğinde diyabet eğitimi alan ve genel cerrahi kliniğinde DAY nedeniyle takip edilmiş
diyabetik hastalar değerlendirildi. Hastalara DAY hakkındaki bilgi düzeylerini ve doğru uygulama düzeylerini ölçen soruları içeren
anketler yapıldı. DAY gelişmiş ve gelişmemiş hastalar karşılaştırıldı.

Bulgular: Eğitim düzeyi düşük, sigara kullanan, 10 yıldan daha uzun süredir diyabetik olan, düzenli kontrole gitmeyen, kan şekeri
regülasyonu sağlanamamış, günlük diyete uymayan, diyabet eğitimi almamış hastalarda DAY gelişme oranının istatistiksel olarak
anlamlı düzeyde yüksek olduğu tespit edildi. DAY gelişmiş hastaların bilgi düzeyleri ölçümü anketine verdikleri cevapların ve günlük
uygulamalarının da diğer hastalara göre istatistiksel olarak anlamlı düzeyde yanlış olduğu tespit edildi.

Sonuç: Hastalar, diyabetik ayak bakımı ile ilgili yeterli bilgi düzeyine sahip değiller. Diyabetik ayak eğitimi verilmiş kişilerde de bu
bilgilerin gündelik hayatta uygulama oranı çok düşüktür. Bu durum diyabetik hastalarda tek başına DAY oluşma riskini artırmaktadır

Keywords

• diyabetik ayak
• anket
• DAY

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