Introduction Diabetes (especially type 2) is a common and growing health problem with significant mortality and morbidity including foot problems (neuropathy, ulceration, infection and amputation) These micro vascular/macro vascular complications can be decreased with certain treatments including good diabetic foot self-care. With this in mind, I set out to measure self-reported knowledge/awareness and performance of appropriate foot self-care among diabetic patients attending Dr. Yusuf Dadoo Hospital-a level one urban hospital. My premise which was borne by my result was that foot self-care and awareness thereof was poor among sampled diabetic patients. This can be attributed to both scant education and infrequent foot examination by clinicians and poor adherence to appropriate foot care by majority of the patients surveyed. Objectives: To determine the awareness and performance of appropriate foot self-care practices among diabetic patients attending the out-patient unit of Dr. Yusuf Dadoo Hospital. Study design and methods: This was a descriptive cross sectional study. Participants were consecutively recruited until the sample size of 120 was reached. A questionnaire was used to collect data. Data was analysed using STATA version 10.0. Main outcome measures: foot self-care practices, the level of awareness of foot self-care and foot abnormalities found in diabetics Results: There were more females (60%) than males (40%) and the mean age was 56.3 years. About 30.8% of patients had not inspected their feet for one week, while 21.7% had done it poorly. 92.5% did not use talcum powder to dry their feet, 45.8% did not inspect their shoe before wearing and 94.2% did not make use of a podiatrist at all. However, 53.3% did not soak their feet in water and only 25% walked bare foot while 75% did not. Only about 37.5% has had their feet examined by either a doctor or a nurse while 67.5% had not. Hypertension was found to be the commonest co-morbidity occurring in 60% of the patients studied Athlete‟s foot was the most frequently occurring foot problem found in 16.2% of these patients. Conclusion: Majority of the patients had poor awareness and poor foot self-care practices or inadequate foot self-care practices .Appropriate foot care education should be given to diabetic patients by health care professional to enable them carry out adequate foot self-care practices.

SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENT FOR THE AWARD OF THE DEGREE OF MASTER OF FAMILY MEDICINE, FACULTY OF HEALTH SCIENCES, UNIVERSITY OF THE WITWATERSRAND. / BACKGROUND: Diabetes Mellitus is a chronic metabolic disease that is a global problem. The increasing incidence and prevalence globally is of great concern. This condition is a long-term challenge, which requires behavioural change and adherence to management to maintain glycaemic control. Good knowledge of diabetes influences adequate self-care practices, glycaemic control, and overall diabetes management. Incorrect self-care practices impair the achievement of the desired treatment targets. AIMS AND OBJECTIVES: This study aimed to determine patient-reported knowledge, perceptions and practice regarding diabetes self-management skills and behaviour through assessing knowledge, reported practice, and perceptions of diabetic self-management among adult patients with diabetes attending the diabetic clinic at Mokopane provincial hospital, and determining the strength of associations between knowledge, reported practice, perception of self-care and glycaemic control. DESIGN AND METHODS: This was a descriptive cross sectional study using a questionnaire on knowledge, perception and self-management practices. Participants were recruited consecutively until the sample size of 76 was reached. Data was analysed using the statistical software SPSS version 17.0. RESULTS: There were more females (71%) and most of the participants (39%) were above 60 years of age. The majority of participants (87%) had a HbA1c of >7%, with a mean HbA1c of 10.2%. Diabetic knowledge was poor. A majority of the participants answered less than 50% of the knowledge questions correctly. More than half of the respondents could not answer the diabetes knowledge questions correctly. The proportion of participants, who responded positively to 3 of the 4 questions to assess knowledge and perception of self-care, was in the range of 70-90%. 86% of participants indicated that they had adjusted their diet since being diagnosed with diabetes. 48% of participants reported that they always adhered well to medication. Most of the participants (81%) indicated that they do not smoke. Responses to other questions to assess practice of self-care showed that only 29% of the participants always practiced the self-care activities stated. There was no statistically significant association between knowledge of diabetes, practice, perception of self-care and glycae. CONCLUSION: General knowledge of diabetes and practice of self-care were inadequate, but perception about diabetes self-care was good. Although many participants had altered their diet, their diabetic control was poor. Poor general knowledge of diabetes, not practicing self-care and poor diabetic control were found in the majority of participants although there was no statistically significant association among these measures.mic control (HbA1c).

No description available.

Thesis (M.D.)--University of Adelaide, Dept. of Psychiatry, 1976.

Zugl.: Marburg, Universiẗat, Diss., 2005.

Zugl.: Graz, Techn. University, Habil.-Schr., 1998.

Zugl.: Düsseldorf, Universiẗat, Habil.-Schr., 1998.

Objective. To estimate cause of death and to identify factors associated with risk of inhospital mortality among patients with T2D. Methods. Prospective cohort study performed in a referral public hospital in Lima, Peru. The outcome was time until event, elapsed from hospital admission to discharge or death, and the exposure was the cause of hospital admission. Cox regression was used to evaluate associations of interest reporting Hazard Ratios (HR) and 95% confidence intervals. Results. 499 patients were enrolled. Main causes of death were exacerbation of chronic renal failure (38.1%), respiratory infections (35.7%), and stroke (16.7%). During hospital stay, 42 (8.4%) patients died. In multivariable models, respiratory infections (HR = 6.55, ), stroke (HR = 7.05, ), and acute renal failure (HR = 16.9, ) increased the risk of death. In addition, having 2+ (HR = 7.75, ) and 3+ (HR = 21.1, ) conditions increased the risk of dying. Conclusion. Respiratory infections, stroke, and acute renal disease increased the risk of inhospital mortality among hospitalized patients with T2D. Infections are not the only cause of inhospital mortality. Certain causes of hospitalization require standardized and aggressive management to decrease mortality.

Dissertação (mestrado) - Universidade Federal do Rio de Janeiro. Instituto de Nutrição / Made available in DSpace on 2016-01-08T16:20:14Z (GMT). No. of bitstreams: 0 Previous issue date: 1989

Orientador: Sofia Rocha Lieber / Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-07-24T13:39:08Z (GMT). No. of bitstreams: 1 Marques_SilviaBarbosaDutra_M.pdf: 3206548 bytes, checksum: 92ac20cc5ecab74999c4b2cd5c50cb0c (MD5) Previous issue date: 1999 / Mestrado / Microbiologia