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Study on the Management of Diabetic Foot Ulcer in Diabetic Patients at a Tertiary Care Hospital

Author(s) DIVYA M, G ROSHINI RAJ, ABDUL MOHAMMED BASHA
Country India
Abstract AIM: To study the treatment pattern of diabetic foot ulcer and to assess the effect of patient counselling on diabetic foot ulcer patients.
OBJECTIVE:
1. To study the various modalities of treatment used for Diabetic Foot Ulcer patients in a tertiary
care hospital.
2. To assess the effect of patient counselling on diabetic foot ulcer patients with standard
questionaries
METHODS:
The protocol was reviewed, revised, and approved by the Institutional Review Committee of MVJ Medical College and Research Hospital before commencement of the study. Over the course of six months, a tertiary care hospital conducted prospective research. Following the giving of written
informed permission, diabetic patients with foot ulcers of both genders who were visiting the hospital were invited to participate and enrolled. A total of 150 patients participated in the study. The patients were recruited according to the inclusion and exclusion criteria mentioned. The study was attempted to
improve the patient’s knowledge and attitude towards the self-management of diabetic foot ulcer. And thus, patient counselling is an essential component of clinical pharmacy practice in hospital.
RESULTS:
In this study, majority of the study participants belonged to the age group 61-70 years (30.7%) of age. 22% of the study participants were of the age group between 51-60 years of age. Majority (64.7%) of the study participants were males. In this study, Nottingham Assessment of Functional Footcare (Revised
2015) was used and an improvement in the total score was found i.e., from 18.27+5.85 before counselling jym oof ff\c b to 44.07+4.70 post counselling which was found to be statistically significant
(P<0.001). Thus, a proper foot care education program has been shown to reduce the risk of ulceration.
CONCLUSION:
The present study was conducted to study the effect of patient counselling on diabetic foot ulcer patients using NAFFC score. Majority in the study belonged to 61-70 years and were males. Most of them had type 2 DM and grade 1 foot ulcer. In this study, Nottingham Assessment of Functional Footcare (Revised 2015) was used and an improvement in the total score was found i.e., from 18.27+5.85 before counselling to 44.07+4.70 post counselling which was found to be statistically significant (P<0.001).
NAFFC score played an important role in the study to assess the functional outcome among diabetics with foot ulcers.
Though there is development of new therapies for the management of diabetic foot ulcers, a high rate of failure ending with amputation still exists. Hence a counselling session to the diabetics with foot ulcers can prevent further complications.
Keywords Diabetic Foot Ulcer, Diabetic Mellitus, NAFFC, Management of Diabetic Foot, Patient counselling, Meggitt-Wagner.
Field Medical / Pharmacy
Published In Volume 6, Issue 5, September-October 2024
Published On 2024-10-03
Cite This Study on the Management of Diabetic Foot Ulcer in Diabetic Patients at a Tertiary Care Hospital - DIVYA M, G ROSHINI RAJ, ABDUL MOHAMMED BASHA - IJFMR Volume 6, Issue 5, September-October 2024. DOI 10.36948/ijfmr.2024.v06i05.27597
DOI https://doi.org/10.36948/ijfmr.2024.v06i05.27597
Short DOI https://doi.org/g688wh
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