Prevalence of Feet Problems and Protective Measures among Diabetic Pilgrims During AL-Arba'een of Imam Al-Hussain

Аннотация

Background: Pilgrims with diabetes are at high risk for foot problems due to decreased immunity, neuropathies, and peripheral vascular disease. This study was done to assess the prevalence of foot problems and protective measures adopted by diabetic pilgrims to prevent foot problems during AL-Arba'een of Imam Al- Hussain. Methods: A descriptive study was conduct at a mobile clinic in Holy Kerbala during AL-Arba'een of Imam Al- Hussian from the period of 5th October 2019 to 10th July, 2024 in order to accomplish the early listed objectives. A purposive sampling consists of 186 pilgrims who were diagnosed previously as diabetic patients. The data were collected used a constructed questionnaire and therefore analyze used the statistical package for social science (SPSS) version 24 through the application of descriptive statistical analysis (frequencies, percentage, and mean of score). Results: the most prevalent foot problems are foot blisters 52.6%, foot redness 55.9%, 73.1% and 89.7% have foot/legs pain and numb respectively. Most diabetes pilgrims complain from foot, toes, or leg swelling; 86.5%, and 91.9% of them their foot is sensitive to touch, and complains from feet hurt when walking; also 69.8% of pilgrims have muscle cramps in legs or foot. Most of diabetic pilgrims were washed their feet frequently, 44% of them are examined the water temperature before putting their feet in it, 39.7% of diabetic pilgrims are inspected the soles of their feet while walking, 38.1% of them are changed their socks at least one time a day, and 52.1% of diabetic pilgrims are inspected their shoes for a foreign body or torn linings before wearing. Conclusions: Foot blisters, redness, foot/legs pain or numb; foot, toes, or legs swelling; foot sensitive to touch; foot hurt when walking; also, muscle cramps in legs or foot are the most common foot problems among diabetic pilgrims. The most important preventive measures that were done by diabetic pilgrims to prevent foot problems are washed their feet every day, examined water temperature before putting their foot in it, inspect the soles of their foot while walking, and inspect their shoes for foreign objects or torn linings before wearing. Keywords: Foot Problem; Protective Measures; AL-Arba'een of Imam Al-Hussain. International Journal of Medical Sciences And Clinical Research 45 https://theusajournals.com/index.php/ijmscr International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265) examined before to the trip to confirm that they are Introduction: Al-A rba'een is a Shi’a Muslim religious physically capable of this ritual; also, they should be ritual, which occurs 40 days after Ashura day. It is examined periodically to identify early problems such commemorating the martyrdom of Imam Hussain, the as foot harms (Vinary, and Goldman, 2004). Patients grandson of Muhammad (peace be upon him), which should be closely adherence to their health-related falls on the twentieth day of Safar. Al-Arba'een is the recommendations, that’s can be assessed by looking at largest religious mass gatherings worldwide, in which factors such as accuracy, consistency, and willingness more than 26 million people go to the city of Kerbala to follow treatment recommendations for prescription on foot (Wikpedia, Arbeen. 2016). Religious mass medications, dietary modifications, and other lifestyle gatherings are increasingly common in Iraq and can behaviors (Athbi, et al., 2024). No previous studies have harbor considerable public health risks. Hajj is the most been conducted to investigate foot problems and thoroughly studied religious mass gathering. Many preventive measures for pilgrims with diabetes studies have been conducted on described public attending to Holly Kerbala in Iraq. This study aims to health consequences associated with Hajj. In Iraq, identify foot problems and preventive measures numerous religious mass gatherings occur during the among diabetic pilgrims during AL-Arba'een of Imam year mostly in Kerbala. The public health impacts Hussain. associated with mass gatherings are incompetently studying in Iraq (Chitheer, et al., 2020; Hantoosh, et al., METHODS 2019; and Al-Lami, et al., 2010). Design of the study: A descriptive quantitative study Foot problems frequently result from prolonged was conducted at a mobile clinic in Holy Kerbala during walking and standing (Brehove, et al. 2000). Many of AL-Arba'een of Imam Hussian from the period of the pilgrims walked on foot from Baghdad, a journey of 5thOctober (2019) to 10th July (2024), in order to 100 Km, some walked from as far as Basra, a journey of assess foot problems and preventive measures among nearly 700 Km. Hundreds of thousands of pilgrims came diabetic pilgrims. from Iran; a journey that takes around a month on foot Sample of the study: A non-probability (purposive) (Ibtimes, Arbeen. 2016). In a similar situation, the Hajj sample of 186 pilgrims who were diagnosed previously rituals often include walking