Educação terapêutica para diabéticos: os cuidados com os pés na realidade de pacientes e familiares

Abstract

Educação terapêutica para diabéticos: os cuidados com os pés na realidade de pacientes e familiaresTherapeutic education for diabetics: foot care in the reality of patients and family members

Factors associated to the dependence of older adults with diabetes mellitus type 2

“…Regarding the practice of physical activities, a research developed in the state of Rio Grande do Sul, Brazil, corroborates with this study by pointing that individuals classified as sedentary were nearly three times more likely to develop functional incapacity when compared to those who constantly practiced physical exercise (19) . Regarding the Basic Activities of Daily Living (BADL), we identified a significant association between the development of dependence of the older adults and concomitant urinary incontinence with diabetes mellitus, which confirms other studies (14,16,19) . This is worrying, since the embarrassment caused can lead to social isolation (20)(21) , interfere with the sex life, in performing domestic chores and working (21) , as well as contributing to changes in self-esteem and self-image and impairing the realization of instrumental activities of daily living (16) .…”

“…Chronic diseases such as diabetes mellitus tend to manifest more expressively on older adults and at this stage of life they often occur concomitantly with other diseases. Such conditions tend to significantly impair the quality of life of older adults (16) . The findings of this research are consistent with a study carried out in the countryside of Minas Gerais, which noted the dependence of 23.9% of older adults with diabetes mellitus type 2 to cut toenails, especially among those with a diagnostic time equal to or more than five years (16)(17) .…”

“…Such conditions tend to significantly impair the quality of life of older adults (16) . The findings of this research are consistent with a study carried out in the countryside of Minas Gerais, which noted the dependence of 23.9% of older adults with diabetes mellitus type 2 to cut toenails, especially among those with a diagnostic time equal to or more than five years (16)(17) . The self-care with the hygiene of the feet and the constant inspection to detect any injury will depend on the ability of the individual to examine him/herself.…”

Knowledge, attitudes and practices for the prevention of diabetic foot

“…Family members should also be involved in the care that this disease requires, to improve overall assistance (4,16) . In this study, women were more willing to include selfcare practices in their routines, in addition to already moisturizing and massaging their lower limbs, which shows that women take better care of their feet.…”

Conhecimento do enfermeiro sobre a prevenção do pé diabético: revisão integrativa da literatura

“…Para tanto, o enfermeiro e os demais profissionais do serviço de saúde devem estar dispostos a elaborar estratégias preventivas para o pé diabético que envolvam a mudança do estilo de vida e a promoção do autocuidado com os pés. Os membros da família também devem ser envolvidos nos cuidados que a doença requer (37,38) . Nesse seguimento, faz-se necessário que os profissionais de saúde, em especial o enfermeiro, atuem no contexto educativo, uma vez que as práticas educativas também contemplam a assistência, qualquer que seja o nível de atenção à saúde.…”