Preventive Behaviors Regarding Foot Ulcers in Diabetes Type II Patients at BMA Health Center No.48, Bangkok, Thailand

Abstract

An analytical cross-sectional survey on knowledge, attitude, and practice (KAP) of preventive behaviors regarding foot ulcers in diabetes type II patients at Bangkok Metropolitan Administration (BMA) Health Center No. 48, Bangkok, Thailand, was conducted in 300 subjects being out - patients (OPD patients) visiting Diabetes Clinic at the Center during February to March 2008 and mainly found that (1) the subjects’ knowledge was on a moderate level (53.6%) with moderate level of attitude (49.0%), but still with low level of practice (40.0%). (2) Out of all demographic characteristics data, gender, monthly income, monthly expenditure, family history of diabetes, marital status, and occupation, played a role in statistical association with attitude and practice (3) regarding the association among KAP, there was a statistically significant positive relationship between knowledge and attitude (p<0.05) and between attitude and practice (p<0.05), but not between knowledge and practice (p-value 0.487). The key recommendation is that a complete cycle of intervention should be achieved, considering knowledge, attitude, awareness, and practice, in order to improve patients’ practice of preventive behaviors regarding foot ulcers. The missing link of awareness to KAP on the current issue is the main improvement recommended for existing health prevention/promotion campaign offered by the involved public sector.