Diabetic Foot Assessment and Care: Barriers and Facilitators in a Cross-Sectional Study in Bangalore, India

Sudha B. G. (), Umadevi V., Joshi Manisha Shivaram, Pavan Belehalli, Shekar M. A., Chaluvanarayana H. C., Mohamed Yacin Sikkandar and Marcos Leal Brioschi
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Sudha B. G.: Department of Computer Science and Engineering, B.M.S. College of Engineering, Bangalore 560019, India
Umadevi V.: Department of Computer Science and Engineering, B.M.S. College of Engineering, Bangalore 560019, India
Joshi Manisha Shivaram: Department of Medical Electronics, B.M.S. College of Engineering, Bangalore 560019, India
Pavan Belehalli: Department of Podiatry, Karnataka Institute of Endocrinology and Research, Bangalore 560019, India
Shekar M. A.: Department of Podiatry, Karnataka Institute of Endocrinology and Research, Bangalore 560019, India
Chaluvanarayana H. C.: Department of Podiatry, Karnataka Institute of Endocrinology and Research, Bangalore 560019, India
Mohamed Yacin Sikkandar: Medical Equipment Technology, College of Applied Medical Sciences, Majmaah University, Al Majmaah 11952, Saudi Arabia
Marcos Leal Brioschi: Medical Thermography Service, Neurology Department, Hospital das Clínicas, Sao Paulo University, Sao Paulo 01246-903, Brazil

IJERPH, 2023, vol. 20, issue 11, 1-14

Abstract: (1) Background: This cross-sectional study aims to highlight the assessment and foot care practices in an advanced clinical setting, the clinical characteristics of the patients, and to understand the barriers and facilitators for effective foot care from the perspectives of healthcare practices, resources, and patients’ socioeconomic and cultural practices, and other aspects in terms of new technologies for effective foot care such as infrared thermography. (2) Methods: Clinical test data from 158 diabetic patients and a questionnaire to assess the foot care education retention rate were collected at the Karnataka Institute of Endocrinology and Research (KIER) facility. (3) Results: Diabetic foot ulcers (DFUs) were found in 6% of the examined individuals. Male patients were more likely to have diabetes complications, with an odds ratio (OR) of 1.18 (CI = 0.49–2.84). Other diabetes problems raised the likelihood of DFUs by OR 5 (CI = 1.40–17.77). The constraints include socioeconomic position, employment conditions, religious customs, time and cost, and medication non-adherence. The attitude of podiatrists and nurses, diabetic foot education, and awareness protocols and amenities at the facility were all facilitators. (4) Conclusions: Most diabetic foot complications might be avoided with foot care education, regular foot assessments as the standard of treatment, and self-care as a preventive/therapeutic strategy.

Keywords: barriers; diabetic foot assessment; foot care practices; foot complications epidemiology; facilitators; foot care education; thermography (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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