ArticleAfrican journal of primary health care & family medicine2022
Knowledge, attitude and perception towards lower limb amputation amongst persons living with diabetes in rural South Africa: A qualitative study.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Diabetes-Associated Major Limb Amputation in Solomon Islands: A National, 5-Year Retrospective Study.World journal of surgery · 2025Article
- Exploring the burden of non-communicable diseases on surgical services in Africa: a comprehensive literature review.Annals of medicine and surgery (2012) · 2025Review
- Challenges of osteosarcoma care in Africa: a scoping review of the burden, management and outcome.Ecancermedicalscience · 2025Review
- South African users' function and experience with a magnetorheological microprocessor knee: A mixed methods study.Canadian prosthetics & orthotics journal · 2025Article
- The Use of the Pedicled Nonislanded Foot Fillet Flap to Avoid an Above-the-Knee Amputation after Trauma.Plastic and reconstructive surgery. Global open · 2024Article
- Determinants of Foot Care Adherence Among High-Risk Diabetic Populations: Insights From an Ethnic Minority Community Study in Southwest China.Journal of primary care & community healthArticle
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSouth Africa has a high prevalence of diabetes mellitus (DM), a leading risk factor for lower limb amputation (LLA). Lower limb amputation is associated with significant morbidity and mortality. Lower limb amputation incidence can be mitigated through prompt identification and treatment of individuals at risk and engagement in self-management practices. Also, when LLA is inevitable, outcomes or prognosis can be improved with timely surgery.
aimThis study explored the knowledge, attitude and perception of persons living with diabetes towards LLA and its prevention.
settingNqamakwe, a rural community in the Eastern Cape province of South Africa.
methodThis was a descriptive, qualitative study involving persons living with DM, with and without LLA, and community leaders. Fifteen participants were recruited purposively and conveniently from a rural community in the Eastern Cape, South Africa. Data collection took place through semistructured interviews, in English and a local language, Xhosa. Interviews were transcribed and translated, and an inductive approach was used for thematic analysis.
resultsA total of 15 individual interviews were conducted. Of those, 13 were persons with DM, five with LLA, including one with bilateral LLA. There was a gap in knowledge on foot self-examination as a measure of preventing LLA amongst persons with DM. The attitude of persons without LLA was mostly fearful and their fears centred around perioperative death, risk for contralateral amputation, loss of limb and independence. Consent to LLA procedure was a last resort and only when pain levels were unbearable. Family support and information on rehabilitation services and assistive devices also fostered consent to LLA surgery.
conclusionThere is a need for awareness creation and adequate health education for persons living with DM on LLA and its prevention measures, especially foot care practices. Also, health education programmes for persons living with DM in rural areas should address the various misperceptions of LLA to reduce delays.Contribution: The article revealed gaps in knowledge on LLA and its prevention among individuals living with diabetes as well as areas of concerns that may potentially delay acceptance when LLA is inevitable. Findings from our study may assist primary health care providers to determine important issues to be addressed during routine and pre-operative patient education.
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