Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 7 Issue 8

Diabetic Patients Awareness about Diabetic Foot in Chronic Disease Clinic, AL-Kharj Hospital, Saudi Arabia

Bandar A Al-Sulami*, Mohammed M Al-Mutairi, Tarek M Al-Kurnas, Ahmed S Al-wohaibi, Mousa S Al-Dabis, Bader S Al-Otaibi and Saleh G Al-Qahtani

Department of Community Medicine, AL-Kharj Hospital, Saudi Arabia

*Corresponding Author: Bandar A Al-Sulami, Department of Community Medicine, AL-Kharj Hospital, Saudi Arabia.

Received: June 15, 2023; Published: July 07, 2023


Background: The diabetic foot is a global threat to public health system with enormous economic consequences for diabetes, families, and society, affecting both quality of life and quality of care. The prevalence of diabetes mellitus (DM) in Saudi Arabia is 18.3% in 2020. One of the most common complications that affects diabetic patients is diabetic foot disease (DFD). Early identification of DFD and diabetic patient's awareness and how to take care of DFD will reduce the incidence of the disease. This study aimed to assess knowledge, awareness and practice with diabetic foot among diabetic patients attended to Chronic Diseases Clinic in Al-Kharj hospital.

Methods: A descriptive cross-sectional study was conducted at chronic diseases clinic, in Al-Kharj hospital, Riyadh Saudi Arabia between 9th of February to 8th of March 2022. standardized questionnaire was used to collect information upon knowledge, attitude and practice toward diabetic foot care. Data entry was performed using SPSS.

Results: The responses of 165 of which (63.6%) were male, (55.2%) were older than fifty years. moreover 32.1% have high school degree (24.2%), have bachelor’s degree. The duration of diabetic foot is more than 6 years among 74.5% of the patients. (62.4%) of participants had good glycemic control. Most (72.1%) of participants claimed to be nonsmoker.

Concerning knowledge (60.6%) of the patients indicating higher level, (mean 5.50, standard deviation 1.80). It was observed that near half of participants (48.5%) had a negative awareness towards the disease (mean 3.07, standard deviation 2.18). while in practice (37.6%) participants scored poorly, (mean 6.77, standard deviation 2.74).

We discovered that educational background, family income, gender, glycemic control, duration of diabetes and smoking correlated with patients’ practice and awareness about foot care.

Conclusions: Participants have adequate knowledge; motivate to improve their awareness and practices toward diabetic foot care. As well as patient education should be provided to patients, the results of this study may help guide those groups most in need and help reducing the incidence of diabetic foot.

 Keywords: DM; Diabetic Foot Care; Knowledge; Awareness and Practices


  1. World Health Organization Media Centre (2015).
  2. World Health Organization Media Centre (2020).
  3. Alexiadou K and Doupis J. “Management of Diabetic Foot Ulcers”. Diabetes Therapy1 (2012): 4.
  4. IDF Diabetes Atlas International Diabetes Federation (2020).
  5. Leung P. “Diabetic foot ulcers - A comprehensive review”. Surgeon 4 (2007): 219-231.
  6. Boulton A., et al. “The global burden of diabetic foot disease”. Lancet 366 (2005): 1719-1724.
  7. Reiber GE., et al. “American Diabetes Association preventive foot care in diabetes”. Diabetes Care 27 (2016): 63-64.
  8. McInnes A., et al. “Foot care education in patients with diabetes at low risk of complications: a consensus statement”. Diabetes Medicine 28 (2011): 162-167.
  9. Alzahrani HA. “Diabetes-related lower extremities amputations in Saudi Arabia: the magnitude of the problem”. Annals of Vascular Diseases2 (2012): 151-157.
  10. Yavuz DG., et al. “Awareness of diabetic foot disease in a group of Turkish and English patients with type 2 diabetes mellitus: assessment of the status and the efficacy of diabetic foot education programs”. Turkish Journal of Endocrinology and Metabolism 2 (1999): 65-70.
  11. Odhayani AAA., et al. “Foot care practices of diabetic patient in Saudi Arabia”. Saudi Journal of Biological Science (2015).
  12. Bloom BS. “Taxonomy Education”. New York, NY: David McKay (1956).
  13. Desalu OO., et al. “Diabetic foot care: self reported knowledge and practice among patients attending three tertiary hospital in Nigeria”. Ghana Medical Journal 45 (2011): 60-65.
  14. Pourkazemi A., et al. “Diabetic foot care: knowledge and practice”. BMC Endocrine Disorders 20 (2020): 40.
  15. Ullah F., et al. “Knowledge of diabetic complications in patients with diabetes mellitus”. Journal of Ayub Medical College Abbottabad 2 (2015): 360-363.
  16. Li R., et al. “The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China”. International Journal of Nursing Sciences 1 (2014): 266-271.
  17. Rezende Neta DS., et al. “Adherence to foot self-care in diabetes mellitus patients”. Teresina, PI, Brazil 68.1 (2015): 103-108, 111-116.
  18. Thea T Goie and Mergan Naidoo. “Awareness of diabetic foot disease amongst patients with type 2 diabetes mellitus attending the chronic outpatients department at a regional hospital in Durban, South Africa”. African Journal of Primary Health Care and Family Medicine1 (2016): 1170.
  19. Crawford F., et al. “A systematic review and individual patient data meta-analysis of prognostic factors for foot ulceration in people with diabetes: the international research collaboration for the prediction of diabetic foot ulcerations (PODUS)”. Health Technology Assessment 19 (2015): 1-210.
  20. Agrawaal KK. “Patients' Awareness about the Complications of Diabetes Mellitus and its Co-relation with the Glycemic Status”. JNMA 200 (2015): 284-287.
  21. Alwahbi A. “Impact of a diabetic foot care education program on lower limb amputation rate”. VHRM 6 (2010): 923-934.
  22. Bell RA., et al. “Diabetes foot self-care practices in a rural triethnic population”. Diabetes Education 31 (2005): 75-83.
  23. Makiling M and Smart H. “Patient-centered health education intervention to empower preventive diabetic foot self-care”. Advances in Skin and Wound Care 33 (2020): 360-365.
  24. Odhayani A., et al. “Foot care practices of diabetic patients in Saudi Arabia”. SJBS 7 (2017): 1667-1671.
  25. Rossaneis MA., et al. “Differences in foot self-care and lifestyle between men and women with diabetes mellitus”. Revista Latino-Americana de Enfermagem 24 (2016): e2761.
  26. Chellan G., et al. “Foot care practice - the key to prevent diabetic foot ulcers in India”. Foot 22 (2012): 298-302.
  27. Golightly YM., et al. “Racial differences in foot disorders and foot type: the Johnston county osteoarthritis project”. Arthritis Care Research 64 (2012): 1756-1759.
  28. Aldhafar AS., et al. “Awareness of diabetic foot disease among patients with diabetes mellitus in Al-Ahsa Saudi Arabia”. International Surgery Journal 8 (2021): 3506-3510.
  29. Laclé A and Valero-Juan LF. “Diabetes-related lower-extremity amputation incidence and risk factors: a prospective seven year study in Costa Rica”. Pan American Journal of Public Health 32 (2012): 192-198.
  30. D'Souza MS., et al. “Foot care behaviors among adults with type 2 diabetes”. Oman6 (2016): 442-451.
  31. Riaz M., et al. “Characteristics and outcomes of subjects with diabetic foot ulceration”. Diabetes Care 35 (2012): e63.
  32. National Diabetes Data Group: Diabetes in America. Bethesda, MD, Department of Health and Human Services; (1995).
  33. Fatma Al-Maskari and Mohammed El-Sadig. “Prevalence of risk factors for diabetic foot complications”. (2007).
  34. Alrashed MS., et al. “Knowledge and attitude of foot care among diabetics in prevention of amputation in Saudi Arabia”. The Egyptian Journal of Hospital Medicine 5 (2017): 2476-2479.


Citation: Bandar A Al-Sulami., et al. “Diabetic Patients Awareness about Diabetic Foot in Chronic Disease Clinic, AL-Kharj Hospital, Saudi Arabia”.Acta Scientific Medical Sciences 7.8 (2023): 68-77.


Copyright: © 2023 Bandar A Al-Sulami., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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