Aim: To characterize the clinical phenotype of type 2 diabetes mellitus (T2DM) with respect to age, gender, and BMI. Method: Anonymized data of 120 183 people with T2DM from the German/Austrian multicenter Diabetes Patienten Verlaufsdokumentation database were analyzed based on chronological age or age at diagnosis (0-19, 20-39, 40-59, 60-79, and R80 years). Age, gender, and BMI comparisons with clinical phenotype were made using c 2 and Kruskal-Wallis tests (SAS V9.2). Results: Of all the patients, 51.3% were male, average age was 67.1G12.7 years, and average disease duration was 9.9G9.1 years. More girls than boys were diagnosed during adolescence and more men than women during adulthood (20-60 years). No gender differences existed when age at diagnosis was R60 years. Patients were obese on average (BMI: 30.5G6.1 kg/m 2 ) and had significantly higher BMI values than German population peers. The BMI gap was widest in the younger age categories and closed with increasing age. Adult women were significantly more obese than men. Obese patients more often had elevated HbA1c (R7.5%), hypertension or dyslipidemia (irrespective of age), microalbuminuria (adults), or retinopathy (elderly) than nonobese patients. More men than women (20-60 years) had hypertension, dyslipidemia, or microalbuminuria while more women than men (R60 years) had hypertension or dyslipidemia. Conclusion: During puberty, more girls than boys were diagnosed with T2DM while during adulthood males predominated. T2DM manifested at comparatively lower BMI in males, and younger patients were more obese at diagnosis. Age, gender, and BMI were also associated with poor metabolic control and cardiovascular disease comorbidities/complications.
RESUMO:A lesão tecidual por pressão (LTP) é uma complicação bastante comum, torna-se um problema para os clientes e um desafio para os enfermeiros. Estudos mostram que a sistematização da assistência de enfermagem na prevenção de LTP constitui um meio para o enfermeiro promover a saúde e manter o bem-estar durante a recuperação do cliente. Nesse contexto, foi delimitado como objeto de estudo a sistematização da assistência de enfermagem na prevenção de LTP. O objetivo dessa pesquisa foi sistematizar a assistência de enfermagem tendo em vista a prevenção de LTP. Pesquisa de natureza descritiva realizada através de revisão bibliográfica analítica e baseada em obras secundárias. Foi realizada pré-leitura do material e análise inicial em seguida leitura interpretativa. Percebeu-se que o profissional de enfermagem pode sistematizar o cuidado por meio conhecimentos técnico-científicos abrangentes. PALAVRAS-CHAVE: Úlcera de pressão; Prevenção e controle; Assistência de enfermagem.
SYSTEMATIZATION OF NURSING CARE TO PREVENT PRESSURE-RELATED TISSUE INJURYABSTRACT: Pressure-related tissue injury (PTI) is a common complication, becoming a problem for patients and a challenge for nurses. Studies show that the systematization of nursing care to prevent PTI is a way for nurses to promote health and keep clients' welfare during their recovery; in this context, it was defined as study object the systematization of nursing care in the prevention of PTI. The objective of this research study was the systematization of nursing care in the prevention of PTI. Descriptive study, held as a literature review based on secondary works. A previous reading and initial analysis of the material were carried out, followed by interpretative reading. It was perceived that nursing professionals can systemize care by means of broad technical-scientific knowledge. KEYWORDS: Pressure ulcer; Prevention and control; Nursing care.
SISTEMATIZACION DEL CUIDADO DE ENFERMERÍA EN PREVENCIÓN DE DAÑO TISULAR POR PRESIÓNRESUMEN: La lesión tecidual por presión (LTP) es una complicación bastante común y se hace un problema para los pacientes y un desafío para los enfermeros. Estudios muestran que la sistematización de la asistencia de enfermería en la prevención de LTP constituye un medio para el enfermero promover la salud y mantener el bienestar durante la recuperación del paciente. En ese contexto, fue delimitado como objeto de estudio la sistematización de la asistencia de enfermería en la prevención de LTP. El objetivo de esa investigación fue sistematizar la asistencia de enfermería con miras a la prevención de LTP. Estudio descriptivo y exploratório, hecho por medio de revisión de la literatura basada en obras secundarias. Fue realizada prelectura del material y análisis inicial seguida de lectura interpretativa. Se percibió que el profesional de enfermería puede sistematizar el cuidado por medio de conocimientos técnico-científicos amplios. PALABRAS CLAVE: Úlcera por presión; Prevención y control; Cuidados de enfermería.
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