Knowledge and Awareness Regarding Diabetic Foot Complications Among Patients with Diabetes Mellitus in Selected Hospitals Bangladesh: A Cross-Sectional Study
Mohsin Ali
ASA University of Bangladesh, Dhaka, Bangladesh.
Mahdiya Muyeena
Public Health Informatics Foundation, Dhaka, Bangladesh.
Saiful Islam
Public Health Informatics Foundation, Dhaka, Bangladesh.
Rezaul Karim *
Public Health Informatics Foundation, Dhaka, Bangladesh.
Ruksana Akter
ASA University of Bangladesh, Dhaka, Bangladesh.
*Author to whom correspondence should be addressed.
Abstract
Background: Diabetes mellitus (DM) is a major global public health concern. Among its long-term complications, diabetic foot disease significantly contributes to morbidity, disability, and healthcare costs. In Bangladesh, limited patient awareness and preventive practices may increase the risk of diabetic foot complications. Diabetic foot ulcers represent a major global health burden and are associated with high rates of recurrence and amputation among individuals with diabetes. The global prevalence of diabetic foot ulcers remains substantial, particularly in low- and middle-income countries, where healthcare access and preventive practices are often limited.
Objective: To assess knowledge and awareness regarding diabetic foot complications among patients with diabetes mellitus in Bangladesh.
Methods: A cross-sectional descriptive study was conducted among 107 diabetic patients attending Bogra Zilla Sadar Diabetic and Shashthosheba Hospital from January to September 2015. Participants were selected using purposive sampling. Data were collected through face-to-face interviews using a pretested semi-structured questionnaire. SPSS version 16.0 was used for analysis, and descriptive statistics summarized findings.
Results: Among 107 respondents, most were aged 41–50 years (33.6%) with a slight male majority (52.3%). Over half (54.2%) experienced diabetic foot complications, and 9% had undergone foot amputation. While 74.8% knew that uncontrolled diabetes can cause foot problems, only 38.3% were aware of specialized foot care centers. Overall awareness levels varied, with 34.6% highly aware, 29.9% moderately aware, 22.4% poorly aware, and 13.1% unaware of diabetic foot complications.
Conclusion: While moderate awareness of diabetic foot complications exists among Bangladeshi diabetic patients, gaps in knowledge and preventive practices remain. Strengthening patient education and improving access to specialized foot care services are critical to reduce the burden of diabetic foot disease.
Keywords: Diabetes mellitus, diabetic foot, awareness, foot care, Bangladesh