Nasim Shaukat, Ali Hamza, Tahira Bibi, Haider Ali, Aqsa Bibi, Umm-e- Shifa, Muhammad Naeem Nisar
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Diabetic foot care is a critical aspect of diabetes management, as poor foot care can lead to ulcers, amputations, and mortality. Despite its importance, many patients with diabetes lack adequate knowledge, attitude, and practice (KAP) regarding foot care. Objectives: This study aimed to assess the level of knowledge, attitude, and practice regarding diabetic foot care among type-II diabetic patients of a tertiary care hospital, and to determine the association between patients' demographic and clinical characteristics and their KAP. Methods: An analytical, cross-sectional study was conducted among 150 type-II diabetic patients at Lahore General Hospital, Lahore from January 2026 to June 2026, using convenience sampling. Data were collected using a structured, pre-tested questionnaire (Cronbach's alpha = 0.76) covering demographics, knowledge, attitude, and practice. Data were analyzed in SPSS version 27 using descriptive statistics (frequencies, percentages, mean, standard deviation) and, to test for associations, the Chi-square test. Results: Overall, 62.7% (n = 94) of patients had good knowledge, 64.0% (n = 96) had a positive attitude, and 36.7% (n = 55) had good practice regarding diabetic foot care (45.3%, n = 68, had poor practice). The Chi-square test showed that duration of diabetes, HbA1c (glycemic control), and having previously received foot-care education were significantly associated with knowledge, attitude, and practice categories (all p < .05). Age, gender, and treatment modality showed no significant association with any KAP domain (all p > .05). Conclusion: While patients generally demonstrated good knowledge and a positive attitude, practice regarding diabetic foot care remained suboptimal. Patients with a longer duration of diabetes, better glycemic control, and prior foot-care education demonstrated significantly better KAP, highlighting the value of early, sustained patient education, particularly for newly diagnosed and poorly controlled patients.
TL;DRWhile patients generally demonstrated good knowledge and a positive attitude, practice regarding diabetic foot care remained suboptimal, highlighting the value of early, sustained patient education, particularly for newly diagnosed and poorly controlled patients. (Semantic Scholar)
