Knowledge, Attitude and Practice on Diabetic Wound Care Management among Healthcare Professionals and Impact from A Short Course Training in Sabah, Borneo

doi:10.5222/MMJ.2020.02929

. 2020;35(3):188-194.

doi: 10.5222/MMJ.2020.02929. Epub 2020 Sep 30.

Knowledge, Attitude and Practice on Diabetic Wound Care Management among Healthcare Professionals and Impact from A Short Course Training in Sabah, Borneo

Melvin Ebin Bondi¹, Syed Sharizman Syed Abdul Rahim², Richard Avoi³, Firdaus Hayati⁴, Fatimah Ahmedy⁵, Azizan Omar³, Mohammad Saffree Jeffree³, Awang Setia Musleh³

Affiliations

¹ Putatan Health Clinic, Department of Primary Health Care, Putatan, Sabah, Malaysia.
² Universiti Malaysia Sabah, Department of Community and Family Medicine, Kota Kinabalu, Sabah, Malaysia.
³ University of Malaysia Sabah, Department of Community and Family Medicine, Kota Kinabalu, Sabah, Malaysia.
⁴ University of Malaysia Sabah, Department of Surgery, Kota Kinabalu, Sabah, Malaysia.
⁵ University of Malaysia Sabah, Department of Medical Education, Kota Kinabalu, Sabah, Malaysia.

PMID: 33110670
PMCID: PMC7584266
DOI: 10.5222/MMJ.2020.02929

Knowledge, Attitude and Practice on Diabetic Wound Care Management among Healthcare Professionals and Impact from A Short Course Training in Sabah, Borneo

Melvin Ebin Bondi et al. Medeni Med J. 2020.

. 2020;35(3):188-194.

doi: 10.5222/MMJ.2020.02929. Epub 2020 Sep 30.

Authors

Melvin Ebin Bondi¹, Syed Sharizman Syed Abdul Rahim², Richard Avoi³, Firdaus Hayati⁴, Fatimah Ahmedy⁵, Azizan Omar³, Mohammad Saffree Jeffree³, Awang Setia Musleh³

Affiliations

¹ Putatan Health Clinic, Department of Primary Health Care, Putatan, Sabah, Malaysia.
² Universiti Malaysia Sabah, Department of Community and Family Medicine, Kota Kinabalu, Sabah, Malaysia.
³ University of Malaysia Sabah, Department of Community and Family Medicine, Kota Kinabalu, Sabah, Malaysia.
⁴ University of Malaysia Sabah, Department of Surgery, Kota Kinabalu, Sabah, Malaysia.
⁵ University of Malaysia Sabah, Department of Medical Education, Kota Kinabalu, Sabah, Malaysia.

PMID: 33110670
PMCID: PMC7584266
DOI: 10.5222/MMJ.2020.02929

Abstract
in English, Turkish

Objective: Healthcare professionals with an advanced level of knowledge and skills on diabetic wound care management are needed to effectively manage complex wounds. This study aimed to determine the effects of an educational intervention to enhance the management of wound care among healthcare professionals.

Method: This study was part of a quasi-experimental pre-post research design where 82 healthcare professionals were recruited and assigned to intervention and control groups. The participants in the intervention group attended two days of educational intervention training on diabetic wound care management, while there was no intervention in the control group. A questionnaire on knowledge, attitude, and practice was applied before and one-month post-intervention to both groups.

Results: Pre-test resulted in a low level of knowledge 72.1% and 74.4%, negative level of attitude 67.4% and 66.7%, and a moderate level of practice 79.1% and 76.9% in both intervention and control groups respectively. Post-test resulted in increasing levels of knowledge (76.7%), positive attitude (100%), and practice (76.7%) in the intervention group. At the same time, there was no significant change in the control group. Repeated Measure ANOVA for within-subject and between-subject effects resulted in a statistically significant p-value of 0.001 for knowledge, attitude, and practice after the educational intervention.

Conclusion: Health professionals have only a moderate level of knowledge on diabetic wound care management. It is important to improve this level by specific trainings and by using a good training module.

Amaç: Karmaşık yapıdaki yaraları etkili bir şekilde yönetmek için diyabetik yara bakımı yönetimi konusunda üst düzeyde bilgi ve beceriye sahip sağlık uzmanlarına ihtiyaç vardır. Bu çalışmada, sağlık çalışanları arasında yara bakımı yönetimini geliştirmeye yönelik bir eğitimsel müdahalenin etkilerinin belirlenmesi amaçlamaktadır.

Yöntem: Bu çalışma, 82 sağlık uzmanının müdahale ve kontrol gruplarına atandığı ön-son değerlendirmelerin olduğu yarı deneysel desende bir araştırmanın parçasıdır. Müdahale grubundaki katılımcılar, diyabetik yara bakımı yönetimi konusunda iki günlük eğitimsel bir müdahaleye katılırken, kontrol grubunda herhangi bir müdahale olmamıştır. Müdahaleden önce ve bir ay sonra her iki gruba bilgi, tutum ve uygulama üzerine bir anket uygulanmıştır.

Bulgular: Ön-test hem müdahale hem de kontrol grubunda sırasıyla %72,1 ve %74,4 olumsuz tutum; %67,4 ve %66,7 orta seviyede uygulama düzeyi; %79,1 ve %76,9 ile düşük bilgi düzeyleriyle sonuçlanmıştır. Son-test ise müdahale grubunda bilgi düzeyi (%76,7), olumlu tutum düzeyi (%100) ve yüksek düzeyde uygulama (%76,7) için artışlarla sonuçlanmıştır. Aynı zamanda, kontrol grubunda önemli bir değişiklik olmamıştır. Gruplar içi ve gruplar arası etki için uygulanan Tekrarlanan Ölçümlerde ANOVA, eğitimsel müdahaleden sonra bilgi, tutum ve uygulama için istatistiksel olarak anlamlı bir p-değeri (0,001) ile sonuçlanmıştır.

Sonuç: Sağlık çalışanları diyabetik yara bakımı yönetimi konusunda yalnızca orta düzeyde bilgiye sahiptir. Bu seviyeyi konuya özel tasarlanmış eğitimlerle ve iyi bir eğitim modülü kullanarak iyileştirmek önemlidir.

Keywords: Attitude; diabetic wound care management; educational intervention; knowledge; practice.

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Conflict of interest statement

Conflict of interest: The authors declare that they have no conflict of interest.

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References

1. Broughton G, Janis JE, Attinger CE. A brief history of wound care. Plast Reconstr Surg. 2006;117(7 SUPPL.):6–11. - PubMed
1. Chaby G, Senet P, Vaneau M et al. Dressings for acute and chronic wounds: A systematic review. Arch Dermatol. 2007;143:1297–1304. - PubMed
1. AWC L, MR Z, Helmy H, Ramdhan I. Economic Impact of Managing Acute Diabetic Foot Infection in a Tertiary Hospital in Malaysia. Malaysian Orthop J. 2014;8:46–9.
1. Chun D, Kim S, Kim J et al. Epidemiology and Burden of Diabetic Foot Ulcer and Peripheral Arterial Disease in Korea. J Clin Med. 2019;8:748. - PMC - PubMed
1. Greenwell K, Sivyer K, Vedhara K et al. Intervention planning for the REDUCE maintenance intervention: A digital intervention to reduce reulceration risk among patients with a history of diabetic foot ulcers. BMJ Open. 2018;8:1–12. - PMC - PubMed

LinkOut - more resources

Full Text Sources

[1] Broughton G, Janis JE, Attinger CE. A brief history of wound care. Plast Reconstr Surg. 2006;117(7 SUPPL.):6–11. - PubMed

[2] Broughton G, Janis JE, Attinger CE. A brief history of wound care. Plast Reconstr Surg. 2006;117(7 SUPPL.):6–11. - PubMed

[3] Chaby G, Senet P, Vaneau M et al. Dressings for acute and chronic wounds: A systematic review. Arch Dermatol. 2007;143:1297–1304. - PubMed

[4] Chaby G, Senet P, Vaneau M et al. Dressings for acute and chronic wounds: A systematic review. Arch Dermatol. 2007;143:1297–1304. - PubMed

[5] AWC L, MR Z, Helmy H, Ramdhan I. Economic Impact of Managing Acute Diabetic Foot Infection in a Tertiary Hospital in Malaysia. Malaysian Orthop J. 2014;8:46–9.

[6] AWC L, MR Z, Helmy H, Ramdhan I. Economic Impact of Managing Acute Diabetic Foot Infection in a Tertiary Hospital in Malaysia. Malaysian Orthop J. 2014;8:46–9.

[7] Chun D, Kim S, Kim J et al. Epidemiology and Burden of Diabetic Foot Ulcer and Peripheral Arterial Disease in Korea. J Clin Med. 2019;8:748. - PMC - PubMed

[8] Chun D, Kim S, Kim J et al. Epidemiology and Burden of Diabetic Foot Ulcer and Peripheral Arterial Disease in Korea. J Clin Med. 2019;8:748. - PMC - PubMed

[9] Greenwell K, Sivyer K, Vedhara K et al. Intervention planning for the REDUCE maintenance intervention: A digital intervention to reduce reulceration risk among patients with a history of diabetic foot ulcers. BMJ Open. 2018;8:1–12. - PMC - PubMed

[10] Greenwell K, Sivyer K, Vedhara K et al. Intervention planning for the REDUCE maintenance intervention: A digital intervention to reduce reulceration risk among patients with a history of diabetic foot ulcers. BMJ Open. 2018;8:1–12. - PMC - PubMed

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Knowledge, Attitude and Practice on Diabetic Wound Care Management among Healthcare Professionals and Impact from A Short Course Training in Sabah, Borneo

Affiliations

Knowledge, Attitude and Practice on Diabetic Wound Care Management among Healthcare Professionals and Impact from A Short Course Training in Sabah, Borneo

Authors

Affiliations

Abstract
in English, Turkish

Conflict of interest statement

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Abstract in English, Turkish

Conflict of interest statement

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Abstract
in English, Turkish