RESUMEN
Background: chronic kidney disease [CKD] is defined as a reduced glomerular filtration rate, increased urinary albumin excretion, or both and it is an increasing public health issue with prevalence estimated to be 8-16% worldwide
Objective: the risk factors for CKD are increasing in the Saudi population. Hence, this descriptive study aimed to assess the files of the adult patients with chronic renal failure [CRF] at King Khalid Hospital, Najran City, Saudi Arabia. It also identified the relationship of these common risk factors such as hypertension, diabetes mellitus, polycystic kidney disease, certain infections, effects of nonsteroidal anti-inflammatory drugs [NSAIDs] with CRF
Methods: a structured-type interview was conducted with checklist with 50 samples from the patient's record using the non-probability sampling technique. Frequency and percentage distributions were used to describe the incidence and the common risk factors associated with CKD
Results: this study revealed that the most affected group of people with renal failure was from 41 to 50 years age group, which represented about 30% of all samples taken from King Khalid Hospital. Hypertensive patients occurred to be highest in 90% of patients with CRF, while the patients with polycystic kidney disease had low risk of renal failure with 20%. Diabetes mellitus was reported in about 70% of patients. Lifestyle, diet and genetic factors are important factors in developing this disease and they are greatly associated with chronic renal failure
RESUMEN
Aim of the work: diabetic foot disease[DFD] is diabetic patient's foot affection by ulcers which are accompanied by peripheral vascular disease and/or diabetic neuropathy of the lower limb. Prevalence of diabetic ulcer is ranging from 2%-10%. High rate of lower limb amputation in DFD [More than 15%] and survival rate for undertaken amputation patient are short. Ninety diabetic amputations are performed monthly in Saudi Arabia capital of Riyadh. Identification of DFD and diabetic patient's awareness of DFD and how to take care of it will reduce the incidence of more complications like amputation. This study aimed to evaluate knowledge, education, attitude and practice with diabetic foot among diabetic patients all over Saudi Arabia
Patients and Method: cross-sectional study directed among the diabetic clinic visitors in Primary Health Care Centers [PHCs s]. Selection of 55 PHCs was done by random sampling. Ten diabetic patients were randomly selected from each PHCs and collecting of data was done by interviews. Research questionnaire contains three parts; first part is asking about demographic data; second part is about data that are focusing on diabetes and its related questions and last part is the main part which asking about diabetic foot
Results: 519 diabetic patients were participated in this study. Only 180 participants were complaining of diabetic complications [34.7%]. Most of participants [55.1%] get high score 7-8 out of 8 questions in Knowledge. Although, there were 166 persons [32%] who couldn't reach full score in attitude evaluation. There was a large percentage of our participants [69%] had very low score 0-2 out of 6 in assessment of previous education of diabetic foot. More than half of participants [56.5%] had score 6-10 out of 15 in evaluation of practice with diabetic foot
Conclusion: diabetic foot in Saudi Arabia is existing, even amputations and other diabetic foot complications were also present. Diabetic patients have good knowledge and attitude toward diabetic foot. Education about diabetic foot and practice is still weak