Document Detail

Foot care among diabetic patients in south Auckland.
MedLine Citation:
PMID:  7715874     Owner:  NLM     Status:  MEDLINE    
AIM: To describe footcare among diabetic patients in south Auckland. METHOD: Direct interview of 331 European, 86 Maori and 123 Pacific Islands patients attending local diabetes services and a stratified subsample of general practitioners. Interviews included closed and open questions of diabetes knowledge, demographic and medical history and were followed by a thorough inspection of the feet. RESULTS: Major lesions (amputation, foot ulcer) and predisposing lesions (callus or fungal infection/maceration) were present in 48.5% of patients. Major lesions were particularly common among Pacific Islands patients (9.4%) vs European (3.9%), Maori (5.5%), (p < 0.05). Fungal infection/maceration was less common among Pacific Islands patients (23.0%) vs 42.3%, 42.2% respectively, (p < 0.001). Fungal infection/maceration was more common and callus formation less common among men when compared with women. Forty percent (n = 214) of patients, including eight with either an ulcer or a blister, had not had their feet examined over the preceding 12 months. Good foot care was present in 52.7% Europeans, 31.0% Maori and 26.8% Pacific Islands patients (p < 0.001). Diabetes knowledge was poorest in those with poor foot care among Europeans and Maori. CONCLUSION: While the provision of footcare advice, adherence to such advice and monitoring of footcare remain uneven, the hospital and community costs of the diabetic foot will continue to be high.
D Simmons; D Scott; T Kenealy; R Scragg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  108     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-05-16     Completed Date:  1995-05-16     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  106-8     Citation Subset:  IM    
Middlemore Hospital, Auckland.
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MeSH Terms
Diabetic Foot / ethnology,  prevention & control*,  therapy*
Middle Aged
New Zealand
Patient Education as Topic
Self Care*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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