35. Determination of the Severity of Diabetic Foot Ulcer and its Awareness in Patients with Diabetes Mellitus
Anser Abbas1, Ibtisam Ilahi2 and Ruqia Bano3
ABSTRACT
Objectives:To determine the severity of diabetic foot ulcer, and awareness regarding its care in patients with diabetic mellitus
Study Design:Cross sectional study
Place and Duration of Study: This study was conducted at the Medicine Department of DHQ Hospital Muzaffargarh and at some private medical centers from June 2016 to December 2016.
Materials and Methods:Patients with age more than 40 years either gender or with diagnosis of diabetic foot ulcer were selected in the study. Severity of foot ulcer was evaluated by according to Wagner’s classification as: grade 0 (intact skin), grade 1 (superficial ulcer), grade 2 (deep ulcer to tendon, bone, or joint), grade 3 (deep ulcer with abscess or osteomyelitis), grade 4 (forefoot gangrene), and grade 5 (whole foot gangrene). All the selected cases were interviewed regarding awareness of diabetic foot. To assess the awareness a questioner was used from previous published studies.1,8 All the data regarding demographic characteristics, severity of foot ulcer and awareness were recorded on the proforma.
Results: Mean age of the patients was 43.21+5.22 years, male gender was most common 61.41%, while female were 38.59%. Almost equally patients were found according to residential status. 26.31% patients were uneducated, majority of the cases 35.08% had educational status primary to middle, metric pass were 29.82% patients, while graduate patients were only 8.77%. Majority of the cases 52.63% were found with grade II, following by 26.31% with grade III, 17.54% were with grade I and only 3.50% patients were with IV, while no any case was found with grade V. Awareness regarding diabetic ulcer very low , no any patient had complete knowledge regarding all awareness parameters, on some places some patients had average knowledge regarding care of the diabetic foot ulcers like as; taking antidiabetic treatment, daily washing the feet, trimming nails of feet and should not walking bare foot, remaining other questions very few were in the knowledge of the patients
Conclusion:We concluded that mostly severity of diabetic foot ulcer was from grade II to III. Patients had inadequate knowledge regarding care of diabetic foot ulcer. Key Words:Diabetic foot, severity, awareness..
Citation of article:Abbas A, Ilahi I, BanoR.Determination the Severity of Diabetic Foot Ulcer and its Awareness in Patients with Diabetes Mellitus.Med Forum 2017;28(5):146-149.