Risco De Úlceras De Membros Inferiores Nos Diabéticos De Um Ambulatório Universitário

Abstract

RESUMO ABSTRACTObservational cross-sectional study of 100 patients with type 2 diabetes, 66 men and 34 women, who answered a questionnaire and underwent a physical examination of the feet, in order to stratify the risk of the ulceration of the lower limbs in type 2 diabetic patients of Endocrinology Outpatient Clinic at Santa Casa de Curitiba-PR.

Sensorimotor Alterations and Associated Factors in Diabetes Mellitus Patients

“…17 Similarly, another study carried out in Piauí reports that only 9.2% uses appropriate footwear and, in another one carried out in the State of Paraná, more than half (59%) uses footwear inappropriately. 14,18 The monofilament sensitivity test detected alterations in 39.22% of the participants. A study carried out in a UBS from the state of Minas Gerais (Brazil), using the Semmes-Weinstein monofilament in the tactile neurological evaluation of the lower limbs showed that about 34.8% of the study participants had alterations in protective sensitivity at some of the points.…”

“…13 Other studies also corroborate what was found in this study; in this opportunity, with a predominance of skin alterations such as dry skin (90%) and cracks (63%). 14 Among the participants, 62.7% had inadequate nail cutting and 36.3% had unsatisfactory hygiene, the latter not being less important because it is an essential point to avoid future injuries. Nail clipping and foot hygiene are strengths in the prevention of diabetic foot.…”

“…A study conducted in a university outpatient clinic in Paraná (Brazil) also evaluated the pain level of the participants and, similarly to this study, found a similarity between moderate (34.2%) and severe (39.5%) symptoms. 14 We know that, for neuropathy diagnosis, investigations beyond the use of monofilament are necessary, such as investigating the presence of pain and discomfort in the lower limbs. Pain is found in people with greater impairment of nerve or vascular fibers due to DM.…”

Estratificação De Risco Para Pé Diabético Numa População De Idosos Acompanhados Na Atenção Primária

“…Pesquisas conduzidas com um público de pessoas com DM em serviços de atenção primária e em ambulatórios especializados obtiveram o mesmo achado (7,(13)(14)(15) .…”

“…Averiguou-se ainda um quantitativo considerável de publicações nas quais predominaram pessoas com risco 0 para pé diabético. Entretanto, destaca-se que boa parte não realizou cálculo ITB, mas apenas a palpação dos pulsos associada aos sinais clínicos de DAP para inferir e classificar as pessoas avaliadas (14,(20)(21)(22) . Observou-se, nesta investigação, que as pessoas com risco grau 1 apresentaram associação com variáveis como tabagismo, renda, comorbidade osteomuscular, AVC e idade avançada (>80 anos).…”