Foot self-care behaviour among type 2 diabetes mellitus patients in Nakuru county, Kenya.
Kones, Joan Chepkoech
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Diabetes mellitus is a condition characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, action or both. Diabetes mellitus Type 2 accounts for 85% of all diabetic cases making it a common and growing health problem with significant mortality and morbidity including foot problems such as neuropathy, ulceration, infection and amputation. Diabetic foot amputations are the most frequent of diabetic complications in developing countries and patients with foot complications spend higher percentage of their income on treatment when compared with those without. Ten to fifteen percent of diabetic patients develop foot ulcers at some stage of their lives and nearly fifty percent of all diabetes related hospital admissions are due to diabetic foot problems. The prevalence of Diabetes mellitus in Kenya is 3.3% and is a leading cause of amputation in both urban and rural hospitals. In Nakuru County, the prevalence of Diabetes mellitus is 6.6% and foot complications are a major source of morbidity and leading cause of hospitalization among the diabetic patients. Self-care of the foot among diabetic patients however, is a cost effective way of preventing diabetic foot complications. Compliance with proper foot care reduces the incidence of foot ulcers, particularly among persons with reduced severity of neuropathy. In light of the recommendations put forward by Diabetes Associations on foot care and footwear practice for persons with diabetes, this study aims at assessing foot self-care behaviour among Type 2 diabetes mellitus patients in Nakuru County. It is a community based descriptive survey that will systematically sample343diabetic patients who have had diabetes for more than 5 years, from the registers of 3 simple randomly selected health facilities with diabetic clinics in Nakuru County. Interviewer administered questionnaires, observation check lists and Key Informant Interviews will be used to collect data, which will then be analyzed using SPSS version 20 and chi square will be used to test for strength of association between variables. The anticipated output of this study is an increased number of diabetic patients with knowledge on appropriate foot self-care behavior and the anticipated outcome is improved practice of foot self- care among the diabetic patients