KNOWLEDGE ATTITUDE AND PRACTICES ABOUT PREVETION OF DIABETIC FOOT ULCERS AMONG DIABETIC CLIENTS AT KAMPALA INTERNATIONAL UNIVERSITY-TEACHING HOSPITAL BUSHENYI DISTRICT

TABLE OF CONTENTS

Abstract….……………………………………………………………………………....i

Copyright……………………………………………………………………...…….......ii

Authorisation……………………………………………………………………………iii

Acknowledgement…………………………………………………………..…………...iv

List of figures…………………………………………………………………………..viii

List of tables………………………………………………………………………..……ix

List of acronyms……………………………………………………………...……..........x

Definition of terms………………………………………………………….....………...xi

CHAPTER ONE…...…………….……………………………………………………...1

Introduction………………..…………………………………………………………..…1

Background………………..……………………………………………………………..1

Problem statement……………..…………………………………………………...…....4

Study purpose………………………..………………………………………………......4

Specific objectives…………………………..……………………………………………4

Research questions………………………..……………………………….…………….5

Justification………………….…………………………..…………………………...…..5

CHAPTER TWO…………………..………………….……………………………...…7

Literature review………………………………………….……………………...……..7

Introduction…………………………………………………………………………..…7

Knowledge about prevention of diabetic foot ulcers………………..………….…….7

Attitudes about prevention of diabetic foot ulcers…………………………...…….....9

Practices about prevention of diabetic foot ulcers…………….…………………..….9

CHAPTER THREE………………………………..………………………………….12

Methodology……………………………………………………………………………12

Introduction………………………………………………..……………..…………....12

Study Design and rationale………………………………….……………..……...….12

Study setting………………..……………………………………….………………....12

Study Population………………………...…………………………………………….13

Sample size determination…..………………...………………………………………13

Sampling procedure……………………………..………………………………….....14

Selection criteria……………………………………………………………………….14

Inclusion criteria……………………………………………………………………….14

Exclusion criteria…………………………………………………………….………...14

Study variables…………………………………………………………………………14

Dependent variable………………...………..……………………………………..…..14

Independent variable………………………..…………………………………………14

Research Instruments…………..……………………………………………………...15

Data collection procedure……………………………………...………………………15

Data management………………………………………………….…………………..16

Data analysis and presentation………………………………………………………..16

Quality control techniques…………………………….……………………………....16

Ethical consideration……………………..………………………………………...….16

Anticipated study limitations/delimitations…………………...…………………..….17

Dissemination of results…………………………………………...………………......17

CHAPTER FOUR……………………………………………………………………18

Data analysis and presentation………………………………………………………...18

Introduction……………………………………………………………………………..18

Biodemographic data…………………………………………………………………...18

Knowledge about prevention of diabetic foot ulcers………………..……………….19

Attitudes about prevention of diabetic foot ulcers………………………….....….....22

Practices about prevention of diabetic foot ulcers…………….…………………….24

CHAPTER FIVE……………………………………………………………………..27

Discussion, Conclusion, Recommendations and implications to the nursing

practice………………………..……………………………………………………….27

Introduction………………………………………………………………………...…27

Biodemographic data………………………………………………………………....27

Knowledge about prevention of diabetic foot ulcers………………..…………..….29

Attitudes about prevention of diabetic foot ulcers…………………………...……..31

Practices about prevention of diabetic foot ulcers…………….…………………....33

Conclusion………………………………………………………………………...…..35

Recommendations…………………………………………………………….………35

Implications to the nursing practice………………………………………....………36

References…………………………………………………………………………....37

Appendix I: Informed consent………………………………………………......…..40

Appendix II: Questionnaire…………………………………………………………..41

Appendix III: Introductory letter………………………………………………...…45

Appendix V:Map of Uganda showing Bushenyi district…………………………..46

Appendix: Map of Bushenyi district showing Kampala International University -

Teaching Hospital…………………………………………………………………..…47

ABSTRACT 

Globally, diabetic foot is a major medical, social and economic problem. In most developed countries, the annual incidence of foot ulceration amongst people with diabetes is about 2%. In these countries, diabetes is the most common cause of non-traumatic amputation. In Uganda 10 to 15% of diabetic patients develop foot ulcers. In addition nearly 50% of all diabetes related admissions are due to diabetic foot problems. To assess knowledge, attitudes and practices of diabetic clients attending Kampala International University Teaching Hospital (KIU-TH) about prevention of diabetic foot ulcers, a cross-sectional study design quantitative in nature was used to recruit 67 respondents for the study. Out of whom 67 questionnaires were returned completely filled thus a response rate of 100%. 66% of the respondents stated that daily inspection and cutting of toe nails might be helpful in the prevention of diabetic foot ulcers, 58% of the respondents agreed that performing foot care is cumbersome and 63% of the respondents strongly agreed that drying between toes and cutting toe nails can help prevent foot ulceration. The researcher concluded that Knowledge about prevention of diabetic foot ulcers was not good enough as only less than half of the respondents knew how to maintain foot hygiene. Attitudes about prevention of diabetic foot ulcers were as well not good as more than half of the respondents agreed that performing foot care is cumbersome and Practices about prevention of diabetic foot ulcers were fairly good despite inadequate knowledge and unfavourable attitudes as more than half of the respondents strongly agreed that daily washing of feet and moisturizing can help prevent foot ulceration.