LBPS 02-23 KNOWLEDGE, ATTITUDE AND PRACTICE ON DIABETIC FOOT CARE AMONG GENERAL PRACTITIONERS IN MALAYSIA

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Abstract

Objective:

This study was done to assess the knowledge, attitude and practices of general practioners (GPs) in managing diabetic foot and to identify factors associated with the knowledge, attitude and practice (KAP).

Design and Method:

This was a cross sectional study of GPs working in Johor Bahru and Kota Tinggi in Johor and Kuantan in Pahang. Using convenience sampling, 462 GPs were selected and requested to answer a set of questions. The questionnaire which was developed based on the National CPG 2004 underwent content validity and reliability analysis. It contains the demographic profiles and information on the respondents’ clinical experience, 15 items on knowledge, 14 items on attitude (4 items on physical barrier, 3 items on support barrier and 7 items on psychological readiness) and 10 items on practice Higher scores for each subscale indicate higher knowledge, barrier, readiness and practice respectively.

Results:

There were 286 GPs participated in the study. There was low knowledge score and the mean total score was 11.7Y[REPLACEMENT CHARACTER]Y1.8 out of 15. General practitioners with age less than 55 years old (ρY=Y0.05) and had seen diabetic patient less than 100 patients per months (ρY=Y0.36) were psychological ready to manage diabetic foot ulcer. However, they had barrier in physical (ρY=Y0.05) and supports (ρY=Y0.007) in managing diabetic foot ulcer. The practice of general practitioners in managing diabetic foot ulcer were not satisfactory and not optimal (ρY=Y0.04).

Conclusions:

Overall, there was low level of knowledge and proper diabetic foot management among the selected GPs. Although they were psychologically ready to manage the diabetic foot, the physical barriers such limited time and trained nurses and absence of supportive environment may hinder them to provide the best service to diabetic patients. Therefore, it is recommended for the GPs to have continuous medical education and audits at intervals in order to improve the health outcomes of diabetic patients.

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