Comparing Knowledge, Attitudes, and Practices among Diabetic Patients regarding Diabetic Foot and Amputationin St. Kitts and Nevis

Autor: Gracelyn Hanley, 韓恩琳
Rok vydání: 2019
Druh dokumentu: 學位論文 ; thesis
Popis: 107
Background: One of the most disabling problems of DM is diabetic foot ulcers, left untreated may lead to amputation. Globally, diabetic foot problems are increasing and St. Kitts and Nevis is no exception from such problem. Diabetic foot and amputation can be prevented with proper foot care, without adequate knowledge, patients with foot problems cannot practice foot care correctly. Yet diabetic foot and amputation remain the main complication of DM in spite of efforts to educate patients about the condition and proper foot care, suggesting that knowledge among patients with the disease remains inadequate which would affect the practice of proper foot care in St. Kitts and Nevis. Purpose: The purpose of the study was to investigate the demographic and disease related characteristics associated with knowledge, attitudes, and practices regarding diabetic foot and amputation among diabetic patients in St. Kitts and Nevis. Methods: This retrospective case control study, with 210 diabetic participants, 89 with diabetic foot and amputation, and 121 without diabetic foot and amputation, were interviewed at two main hospitals, primary health centers and a private doctor’s office, from July to August 2018. This study used the Knowledge, Attitudes, and Practices questionnaire on diabetic foot to conduct research. For analysis, chi-square, t-test and hierarchical logistic regression were used to determine the relationship between independent variables and dependent variables, and to predict the outcome of diabetic foot and amputation. Results: It was found that from the demographic and disease related characteristics in gender, occupation, and duration of DM, was associated with DFA. Overall it was found that the participants had fairly good knowledge, favourable attitudes, and adequate practices of foot care. However, in hierarchical logistic regression KAP was not a significant predictor only gender (OR=3.35; 95%Cl=1.65-7.57; p=
Databáze: Networked Digital Library of Theses & Dissertations