A STUDY ON KNOWLEDGE, ATTITUDES, AND PRACTICES FOR THE PREVENTION OF DIABETIC FOOT IN RURAL TERTIARY CARE TEACHING HOSPITAL

Objective: To assess the knowledge, attitude, and practice of diabetic patients regarding care of their own feet.Methods: This is a cross-sectional study conducted in the inpatient department of surgery at Adichunchanagiri hospital and research centre, B. G. Nagara, Karnataka, India from 1st Nov. 2016 to 31st Dec. 2016. The relation between gender and knowledge, attitude and practices of people with diabetes patients were compared by using the Chi-square test at 95% confidence interval at p<0.05.Results: Out of 51 patients, 72.54% were male and 27.46% female and 45.1% of the patients were in the age range 61-80 y. The mean SD of the age was 60.49±14.02. The mean SD of body weight of the patient was 66.17±8.54. The majority of the patients 45.1% were farmers and 41.7% were illiterate. Most of them did not know the practice of correct foot hygiene (39.22%) and what abnormalities observe in their feet (66.67%). We found that 90.2% patients were engaged in foot self-care practice and more than half of them (54.1%) always inspected their footwear before using it. Interestingly, more women were involved in foot care (100%) as compared to men (86.46%) but statistically not significant (p=0.147).Conclusion: We found that patients were not having sufficient knowledge about the correct hygiene of the foot, what abnormalities to observe in their feet and about ideal footwear. Even though females were showing interest towards self-care examination and foot care practice, it is essential that all the diabetic patients must be educated about the knowledge, attitude and foot self-care practice to prevent diabetic foot related complications

THE RELATION BETWEEN INTERNET, DEPRESSION, SELF-ESTEEM AND SOCIAL ATTACHMENT ON COGNITIVE FUNCTION OF HEALTH CARE INDIVIDUALS

Objective: To assess the internet use in health care individuals and its impact on depression, self-esteem and social attachment on cognitive function of health care individuals.Methods: This was a cross-sectional survey which included one hundred and ten healthcare individuals (Physician, Pharmacist, Psychologist, Social worker and Nurses) in this study conducted in Radianz healthcare and research private limited. Young's internet addiction test and depression score, self-esteem (Rosenberg's) score and MoCA were used to measure internet addiction and psychological variables. EPI 2012 was used for statistical analysis.Results: Out of 110 individuals, the majority of individuals, depressed individual were more addicted to the internet and found to be significant by using depression score. Relationship between baseline values and follow up values in internet addiction was significant (P=0.07636). After follow up the internet addiction found to be reduced as it was greatly affected in initial survey.Conclusion: This study concluded that there is relationship between the internet addiction and depression, cognitive function and self-steam. The depressed individuals were more addicted to the internet followed by abnormal cognitive function and low self-esteem individuals. Internet addiction may be a relevant clinical construct and early diagnostic tools that needs extensive research even in developing nations to explore the relationship. Depression is greatly associated with the internet addiction so if can we reduce the depression then can be reduced internet addiction