García GY, Hernández LE, Hernández SA, Barnés DJA, Durán BZ

Language: Spanish
References: 20
Page: 36-43
PDF size: 97.29 Kb.

ABSTRACT

Introduction: Diabetes education is the mainstay of treatment for people with diabetes since lack of knowledge about the disease favors the occurrence of complications.
Objectives: To identify the main causes that led to a first diabetic foot amputation, to describe outpatient monitoring of these patients and to explore their knowledge about self diabetic foot care.
Methods: Descriptive and cross-sectional study conducted in 110 diabetic patients hospitalized at the National Institute of Angiology due to first diabetic foot amputation. The demographic and health variables as well as the characteristics of patient follow-up, patients' knowledge about the disease and the leading cause of the triggering injury were all taken into consideration.
Results: It was found that the average age was 61 years, and 15.4 years of disease progression. In the study group, 70.8 % of patients had no regular outpatient follow-up, less than 32 % had received education courses on diabetes. Only one third of them came regularly to podiatric services. Very few patients were able to clearly say the aspects of foot care. The main causes stated by patients, which triggered the injury and led to a first amputation, were "punctures" and "reducing calluses".
Conclusions: Most diabetics with a first amputation did not have a either systematic or specialized monitoring for disease, with insufficient knowledge about self diabetic foot care, which probably led to identified inappropriate behaviors that caused complications and finally amputation. It is necessary to implement an effective educational process for all the diabetic persons and thus reduce amputations.

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