KNOWLEDGE AND ATTITUDE OF DIABETIC FOOT AMONG DIABETIC PATIENTS ATTENDING MEDICAL OUTPATIENT CLINIC IN UNIVERSITY OF BENIN TEACHING HOSPITAL

Abstract

Diabetic foot refers to a serious complication of diabetes mellitus characterized by infection, ulceration, or destruction of foot tissues associated with neuropathy and peripheral vascular disease. It remains a major cause of morbidity, hospitalization, and lower limb amputation among diabetic patients, particularly in developing countries like Nigeria. Despite advances in diabetes management, inadequate knowledge and negative attitudes toward foot care continue to contribute to the high burden of diabetic foot complications. This study aims to assess the knowledge and attitude of diabetic patients toward diabetic foot care among patients attending the Medical Outpatient Clinic at the University of Benin Teaching Hospital (UBTH), Benin City, Edo State. The study adopted a descriptive cross-sectional research design, and a sample size of 98 respondents was selected using a stratified sampling technique. Data were collected using a self-structured questionnaire, which was validated through face and content validity. Data analysis was conducted using simple percentages, frequency distribution, and Chi-square statistical analysis, with results presented in tables. Findings from the study revealed that a majority of respondents (79.6%) had heard of diabetic foot complications, (73.5%) were aware that poor glycemic control could lead to foot problems, and (66.3%) recognized that daily foot inspection could prevent ulcers. However, gaps in knowledge were observed in specific areas such as the role of smoking and the possibility of painless foot ulcers. Regarding attitude, (89.8%) of respondents agreed that foot care should be prioritized, (86.7%) believed that daily foot care prevents complications, and (81.6%) expressed motivation to follow medical advice. Despite these positive attitudes, some respondents perceived foot care as burdensome or were influenced by fear and misconceptions. The Chi-square analysis showed no significant relationship between knowledge and attitude, suggesting that knowledge alone does not necessarily translate into positive attitudes or practices. Overall, the study highlights moderate knowledge and generally positive attitudes among diabetic patients, but identifies critical gaps in practice and systemic barriers. It underscores the need for continuous patient education, improved access to healthcare services, and targeted interventions that address socio-economic and cultural factors influencing diabetic foot care. Keywords: Diabetic Foot, Knowledge, Attitude, Patients, Assessment

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urn:uuid:18bb8419-40f8-4ef8-933b-831b150a26d9