Correlation between clinical findings and self-care with the feet of patients with type 2 diabetes in the city of Mossoró-RN
A quali-quantitative approach
DOI:
https://doi.org/10.13037/ras.vol23.e20259238Keywords:
Diabetes Complications, Diabetic Foot, Health Education, Primary Health CareAbstract
Introduction: Diabetes mellitus (DM) has a high worldwide prevalence, currently affecting around 537 million adults. The chronic hyperglycemic state promotes the development of complications, among them, the diabetic foot, which is one of the main responsible for causing the increase in the rates of non-traumatic lower limb amputations and the increase in hospital costs. In this context of the need to prevent diseases, the Sistema Salvando o Pé Diabético (SISPED) operates, a computational tool that offers greater efficiency in screening and monitoring in order to avoid serious outcomes. In addition to SISPED, self-care with the feet of patients with DM is also essential as a preventive measure in primary care. Objective: To correlate clinical findings and self-care with feet in patients with DM2 in primary care in the city of Mossoró-RN. Methods: This is an exploratory and descriptive study carried out in 5 Basic Health Units in Mossoró-RN, using the SISPED and a self-authored questionnaire about self-care of the feet directed to patients with DM2 for data collection. Results: In the clinical findings of the SISPED, a higher prevalence of the use of inappropriate footwear, dry/scaly feet and fissures/cracks was observed. In the assessment of self-care of the feet, the inefficiency of providing basic guidelines was verified. Conclusions:The high prevalence of clinical findings associated with diabetic foot is intrinsically related to inefficiency in performing self-care with the feet, requiring an immediate preventive intervention in primary health care.
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References
Rodacki M, Teles M, Gabbay M, Montenegro R, Bertoluci M. Classificação do diabetes. Diretriz Oficial da Sociedade Brasileira de Diabetes; 2022.
American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes–2020. Diabetes Care. 2020; 43: 14-31.
International Diabetes Federation. IDF Diabetes Atlas. 10th edition. Brussels, Belgium: International Diabetes Federation; 2021.
Alfradique ME, Bonolo P de F, Dourado I, Lima-Costa MF, Macinko J, Mendonça CS, et al. Internações por condições sensíveis à atenção primária: a construção da lista brasileira como ferramenta para medir o desempenho do sistema de saúde (Projeto ICSAP – Brasil). Cad. Saúde Pública. 2009; 25: 1337-1349.
Tschiedel B. Complicações crônicas do diabetes. JBM. 2014; 102: 7-12.
International Working Group on the Diabetic Foot. IWGDF Guidelines on the prevention and management of diabetic foot disease. IWGDF; 2019. 194 p.
Brasileiro JL, Oliveira WTP, Monteiro LB, Chen J, Pinho Jr EL, Molkenthin S, et al. Pé diabético: aspectos clínicos. J Vasc Br. 2019; 4: 11-21.
Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Brasília: Sociedade Brasileira de Diabetes; 2019. 491 p.
Carvalho M, Silva L, Rezende K. Um sistema para monitoramento do pé diabético. In: Anais do III Workshop de Informática Médica; 2003.
Tavares TA, Costa LJSF da, Sales ML da H, Moraes MM de. Fatores de risco para ulceração e amputação de extremidades inferiores em portadores de diabetes mellitus. Rev Bras Promoc Saúde. 2016; 29: 278-287.
Vilar L. Endocrinologia clínica. 7. ed. Rio de Janeiro: Guanabara Koogan; 2021.
Caiafa JS, Castro AA, Fidelis C, Santos VP, Silva ES da, Sitrângulo Jr CJ. Atenção integral ao portador de pé diabético. J Vasc Br. 2011; 10: 1-32.
Jesus WA de, Galinari CB, Arita GS, Mosca VAB, Bonfim-Mendonça P de S, Svidzinski TIE. Estudo sobre a presença simultânea de dermatomicoses e diabetes em pacientes residentes em zona rural de um município do Estado do Paraná. RSD. 2021; 10: e14810917781- e14810917781.
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica. Brasília: Ministério da Saúde; 2016. 64 p.
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