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
Introduction: The 2019 Coronavirus disease (COVID-19) pandemic has been a serious global threat with numerous researches indicating that frontline healthcare personnel involved in its management and diagnosis are at risk of experiencing psychological disturbances and deteriorating mental health. By definition, “burnout is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed”. Burnout has been associated with increased mortality and morbidity. Objective: To estimate the prevalence of burnout syndrome and to determine the associated factors among healthcare providers in rural Tamilnadu during the COVID-19 pandemic. Method: A cross-sectional study was done among 120 healthcare providers from Sree Mookambika Institute of Medical Sciences, Tamil Nadu during July 2021. Participants selected by convenient sampling technique were given pre-tested Maslach Burnout Inventory- Human Services Survey (MBI-HSS) questionnaire. Data were entered in MS Excel 2019 and analysis was done in SPSS v26.0. Descriptive statistics and Chi-square tests were applied. Results: Mean age of the participants was 25.48±4.66 years. Among them, 46(38.3%) reported emotional exhaustion, 42(35%) depersonalization and 87(72.5%) reported a lower sense of personal accomplishment. The years of professional experience and the number of working hours per day were associated with emotional exhaustion and depersonalization (p<0.05). The different professional categories showed a significant 2 2association with Emotional Exhaustion (?=20.888,df=6, p=0.002) and Depersonalization (?=23.055,df=6. p=0.001) with high Burnout among doctors and nurses. Conclusion: This study highlights the importance of addressing burnout among healthcare personnel. The issues should be prioritized by authorities to develop appropriate interventions.