Degree of risk for foot ulcer due to diabetes: nursing assessment

Lucoveis, Maria do Livramento Saraiva; Gamba, Mônica Antar; Paula, María; Morita, Ana Beatriz Pinto da Silva

doi:10.1590/0034-7167-2017-0189

Cited by 25 publications

(37 citation statements)

References 8 publications

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“…A study stated that there is a gap in the risk assessment of complications resulting from DM and found that 34% of patients have some degree of loss in plantar protective sensation. Besides, it confirmed that these patients need periodic evaluation and scheduling between consultations between 1 and 12 months (29) .…”

Section: Altered Touch Perception and Associated Risk Factors In Indimentioning

confidence: 62%

Altered touch perception and associated risk factors in individuals with diabetes mellitus

et al. 2020

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Objective: To evaluate the prevalence of altered touch perception in the feet of individuals with diabetes mellitus and the associated risk factors. Method: Cross-sectional study with 224 individuals with diabetes mellitus conducted in an endocrinology clinic at a public hospital in Campina Grande, Paraíba. The evaluation used touch sensitivity and perception, and a descriptive and multivariate analysis with Poisson regression was performed. Results: We found the prevalence of altered touch perception to be 53.1%. The risk factors that had a significant and joint impact on its occurrence were: female gender; previous ulcer; diabetes mellitus type 2; burning sensation, cracks, fissures, calluses, and Charcot foot. Conclusions: This study found a high prevalence of altered perception of touch, and this should support the planning of actions aimed at preventing the problem. The study showed the relevance of the phenomenon as a nursing diagnosis that could be included in NANDA-International.

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Section: Altered Touch Perception and Associated Risk Factors In Indimentioning

confidence: 62%

Altered touch perception and associated risk factors in individuals with diabetes mellitus

et al. 2020

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“…It is possible to observe in the literature that this is not an isolated case, similarities being found in it. 22…”

Section: Discussionmentioning

confidence: 99%

Sensorimotor Alterations and Associated Factors in Diabetes Mellitus Patients

Brito

Oliveira

Sousa

et al. 2020

Texto contexto - enferm.

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Objective: to evaluate sensorimotor alterations in the extremities of the lower limbs and associated factors in Diabetes Mellitus patients. Method: this was a cross-sectional and analytical study, conducted in a Basic Health Unit, in Teresina (Brazil) with a sample of 102 participants between April and July 2018, by means of a semi-structured form. For the statistical analyses, the Pearson's chi-square and Fisher's exact tests were performed. Results: among the study participants, 99 (97.1%) presented alterations, 73 (71.6%) on the skin and 40 (39.2%) on nails. The sensorimotor examination identified 40 (39.22%) individuals with tactile sensitivity alterations and 13 (12.7%) with reduced vibratory sensitivity, using the 128 Hz tuning fork. The factors associated with sensorimotor alterations detected by the 10 gram monofilament were the following: time of disease over ten years; absence of periodic foot evaluation (p=0.003); impaired visual acuity (p=0.001); presence of pain or discomfort (p=0.003); pain worsening at night (p=0.008); moderate pain intensity (p=0.012) and relief at rest (p=0.015). Conclusion: sensory alterations in the lower limbs showed their relationship with some of the research variables, such as time of disease, foot evaluation, glycemic value, presence of pain or discomfort (worsening and relief shifts, and intensity), skin coloring and vibratory sensitivity evaluation with a tuning fork.

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“…Among the various chronic complications associated with diabetes mellitus, various conditions, such as those resulting from peripheral neuropathy and venous disease, can lead to chronic ulcers [1].…”

Section: Introductionmentioning

confidence: 99%

Cost of treatment and reduction achieved by chronic ulcer in diabetic patients - a comparison between hydrogel and human recombinant Epidermal Growth Factor

Deutsch

Oliveira

Pessanha

et al. 2019

Preprint

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Background: The study provides results from a double-blind clinical trial of 25 patients with diabetic or venous chronic ulcers. The main focus was to evaluate the assessing cost of outpatient treatment with two technologies: 2% carboxymethylcellulose hydrogel or human recombinant Epidermal Growth Factor carbogel. Methods: Patients were randomly allocated to two ulcer treatment groups, human recombinant Epidermal Growth Factor carbogel treated (intervention group, n = 14), and 2% carboxymethylcellulose hydrogel (CMC) (control group, n = 11); both treated during 90 days. To calculate the costs of each patient's procedures, direct costs and human resources costs were measured in Brazilian currency and converted into US dollars. Statistical analysis of clinical data was performed based on intention to treat. For each treatment were analyzed the proportion of cases with wound reduction; cost benefit of the treatment given by the average value of each 1cm2 wound reduction; statistics on the cost of reducing each cm2 of wound for each patient presenting wound reduction. Results: In all evaluated periods, the proportion of cases with decreased lesion area was higher in the intervention group; It presented better cost-benefit ratio and lower average and median reduction cost for each reduced cm2 of the wound. Conclusion: Data suggested that growth factor therapy may be cost-effective and innovative complement to standard wound care.

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Degree of risk for foot ulcer due to diabetes: nursing assessment

Cited by 25 publications

References 8 publications

Altered touch perception and associated risk factors in individuals with diabetes mellitus

Altered touch perception and associated risk factors in individuals with diabetes mellitus

Sensorimotor Alterations and Associated Factors in Diabetes Mellitus Patients

Cost of treatment and reduction achieved by chronic ulcer in diabetic patients - a comparison between hydrogel and human recombinant Epidermal Growth Factor

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