{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:37:51Z","timestamp":1789605471715,"version":"build-2803163510"},"reference-count":64,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Diabetic foot ulcers (DFUs) are a common but serious complication of diabetes mellitus (DM). The factors distressing the worth of diabetic foot care (DFC) are knowledge and practice. Foot ulcers are the main cause of amputation and death in people suffering from DM. This study assessed the knowledge and practice of DFC and the prevalence of DFUs and its associated factors among diabetic patients of selected hospitals in the Volta Region, Ghana. A multihospital\u2010based cross\u2010sectional study was conducted among 473 patients with DM who were recruited using the systematic sampling method. Data were collected using a validated, pretested, and structured questionnaire, while medical variables were obtained from patient folders and analysed using SPSS version 23. All statistically significant parameters in bivariate analysis were incorporated in the multivariate logistic regression analysis. The results showed that 63% of diabetic patients had good knowledge of DFC, while 49% competently practiced it. A negative correlation was found between knowledge and practice levels of DFC (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.15, <jats:italic>P<\/jats:italic>\u00a0=\u00a0&lt;.01). The prevalence of DFUs was 8.7% among the studied diabetic patients. Male diabetic patients were 3.4 times more likely to develop DFUs than female diabetic patients (crude odd ratio [cOR]\u00a0=\u00a03.35; 95% confidence interval [CI]\u00a0=\u00a01.75\u20106.43; <jats:italic>P<\/jats:italic>\u00a0=\u00a0&lt;.001). Type 1 diabetic patients were five times more likely to develop DFUs than those who had type 2 diabetes (cOR\u00a0=\u00a05.00; 95% CI\u00a0=\u00a02.50\u201010.00; <jats:italic>P<\/jats:italic>\u00a0=\u00a0&lt;.001). Diabetic patients who had a family history of diabetes were 4.7 times more likely to develop DFUs than those without family history (adjusted odd ratio [aOR]\u00a0=\u00a04.66; 95% CI\u00a0=\u00a01.55\u201013.89; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.006). Those who had diabetes for 5 to 10\u2009years were 3.3 times more likely to develop DFUs than those who had diabetes for less than 5\u2009years (aOR\u00a0=\u00a03.28; 95% CI\u00a0=\u00a01.40\u20107.67; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.006). Diabetic patients who had comorbidity were 3.4 times more likely to develop DFUs than those without comorbidity (cOR\u00a0=\u00a03.35; 95% CI\u00a0=\u00a01.74\u20106.45; <jats:italic>P<\/jats:italic>\u00a0=\u00a0&lt;.001). The study found that there was good knowledge but poor practices of DFC among patients. Health care providers are expected to better educate patients and emphasise self\u2010care practices to patients. Health care providers should also give more attention to patients with associated risk factors to avoid further complications and reduce the occurrence of DFUs.<\/jats:p>","DOI":"10.1111\/iwj.13656","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T07:35:26Z","timestamp":1625124926000},"page":"601-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana"],"prefix":"10.1111","volume":"19","author":[{"given":"Lawrence Sena","family":"Tuglo","sequence":"first","affiliation":[{"name":"Department of Epidemiology, School of Public Health Nantong University  Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix Kwasi","family":"Nyande","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Percival Delali","family":"Agordoh","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Allied Health Sciences University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunice Berko","family":"Nartey","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Allied Health Sciences University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongqin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health Nantong University  Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Logosu","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsu Eyram","family":"Dei\u2010Hlorlewu","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desire Koku","family":"Haligah","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Osafo","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Taful","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing and Midwifery University of Health and Allied Sciences  Ho Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7533-9119","authenticated-orcid":false,"given":"Minjie","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health Nantong University  Nantong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-11-24"},{"key":"e_1_2_8_3_1","first-page":"55","article-title":"Foot care knowledge and practice among diabetic patients attending primary health care centers in Jeddah City","volume":"18","author":"Al Zahrani HA","year":"2011","journal-title":"J King Abdulaziz Univ Med Sci"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4314\/mmj.v29i2.26"},{"key":"e_1_2_8_5_1","unstructured":"World Health Organization.Diabetes key factshttp:\/\/www.who.int\/mediacentre\/factsheets\/fs312\/en\/. 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