ABSTRACT
Introduction : Diabetic foot has got a high prevalence of 52% among diabetics. The duration of hospital stay and physical disability are likely to cause depression and affects overall quality of life. So it is important for general population, to know about Self Care activities which include foot care practice to avert long term complications and improve quality of life which is likely to be effective in reducing the burden of diabetic foot ulcer. Objective: To assess the knowledge, attitude and practice about foot care among Type 2 DM patients in a Tertiary health care center, Tamil Nadu. Method: A cross-sectional study was done during August and September 2021 among diabetic patients after obtaining consent at a Tertiary Hospital in southern district of Tamil Nadu. Results: The mean age of the study participants was 47.56 ± 9.718 years with 55.9% being male and 44.1% female and the majority (65.6%)of subjects was residing in rural areas. Among the participants, 103 (92.8%) were found to have good attitude towards self-care activities whereas69 (62.2%) respondents practiced proper footcare. Age, gender and education were found to have significant association with the practice of proper foot care. Female gender was found to be an independent predictor for practice of adequate foot care. Conclusion: Regardless of good attitude towards diabetic foot care there is considerable resistance in practicing it.
ABSTRACT
Background: The pandemic COVID19, a serious global threat has led to elevated levels of pressure on medical professionals. The research shows that occupational stressors has been significantly associated with the pandemic. Objective: To estimate the professional quality of life of doctors in Tamil Nadu and their mental health during the COVID19 pandemic. Settings andDesign: Cross-sectional study in Tamil Nadu, South India. Method: Among 318 doctors from both private and government sectors in Tamil Nadu, South India during April 9th - May 10th 2021, the study was conducted to estimate the professional quality of life [Compassion Satisfaction (CS), Secondary Traumatization (ST) and burnout] using ProQOL-5 scale. Depression and Anxiety were estimated using PHQ-9 and GAD-7 scales respectively. Statistical analysis used: Association between the variables was found using Chi-square test. Results: Among the 318 respondents (170 males and 148 females), CS and ST levels were high in 77(24.2%), and 10(3.1%) respondents respectively. Severe depression and anxiety were among 36(11.3%) and 109(34.3%) respectively. Statistically significant association was found for Burnout (?2=55.671; OR=15.135; 95% CI=6.361- 36.013 and ?2=57.518; OR=18.014; 95% CI=7.054-46.007) and ST (?2=56.701; OR=15.432; 95% CI=6.486-36.717 and ?2=26.281; OR=4.558; 95% CI=2.476-8.390) with both depression and anxiety (p<0.05). Conclusions: Doctors of Tamil Nadu, South India are challenged with adverse mental health outcomes during the COVID-19 pandemic with a significant association between the quality of life at work and psychological distress.