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<p>Diabetic foot ulcers (DFUs) are serious yet preventable complications of diabetes mellitus (DM). They cause significant morbidity, lead to amputations, and impose financial burdens on the healthcare system. While proper preventive care can reduce the risk of DFUs, patients in developing countries often have inadequate awareness. This study focuses on the knowledge, attitudes toward foot care, and foot care practices among DM patients in India. A total of 500 patients with DM were interviewed in December 2024 using a structured tool assessing their medical history, knowledge, attitude, and foot care practices. Data was analyzed using SPSS (29.0). Knowledge was categorized as poor, average, or good, while attitude was classified as negative or positive. Their association with past histories and demographics was examined using Pearson’s chi-square test. Almost half of the participants had poor knowledge (49.4%), with educational levels significantly influencing awareness. A positive attitude toward foot care was observed in 82.4% of participants. However, this attitude did not translate into practice: 61.2% of respondents had never undergone a foot check-up, 52% relied on self-medication and care, and only 10.4% used diabetic footwear. A major gap exists between the desired level of preventive measures and current practices among DM patients. Targeted education, pre-emptive counseling, and proactive physician involvement are essential to bridge the gap and reduce the burden of DFUs.</p>

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Why Do Diabetic Patients Not Take Care of Their Feet? Knowledge, Attitude, and Preventive Practices for Diabetic Foot: A Cross-Sectional Study at a Tertiary Care Center in India

  • 期刊论文

  • 发表日期：

    2025年9月9日

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  • Aditya Amit Godbole,
  • Mrunal N. Ketkar,
  • Seema Bunglowala,
  • Disha Hegde,
  • Ananya Arora,
  • Garvita Singh,
  • Niska Malani

摘要

Diabetic foot ulcers (DFUs) are serious yet preventable complications of diabetes mellitus (DM). They cause significant morbidity, lead to amputations, and impose financial burdens on the healthcare system. While proper preventive care can reduce the risk of DFUs, patients in developing countries often have inadequate awareness. This study focuses on the knowledge, attitudes toward foot care, and foot care practices among DM patients in India. A total of 500 patients with DM were interviewed in December 2024 using a structured tool assessing their medical history, knowledge, attitude, and foot care practices. Data was analyzed using SPSS (29.0). Knowledge was categorized as poor, average, or good, while attitude was classified as negative or positive. Their association with past histories and demographics was examined using Pearson’s chi-square test. Almost half of the participants had poor knowledge (49.4%), with educational levels significantly influencing awareness. A positive attitude toward foot care was observed in 82.4% of participants. However, this attitude did not translate into practice: 61.2% of respondents had never undergone a foot check-up, 52% relied on self-medication and care, and only 10.4% used diabetic footwear. A major gap exists between the desired level of preventive measures and current practices among DM patients. Targeted education, pre-emptive counseling, and proactive physician involvement are essential to bridge the gap and reduce the burden of DFUs.