Objetivos: Identificar orientacoes fornecidas pelos enfermeiros as pessoas com DM sobre o cuidado com os pes; investigar a frequencia da realizacao do exame dos pes e os aspectos avaliados; verificar quais atividades de educacao em saude sao realizadas pelos enfermeiros para as pessoas com DM. Metodos: estudo descritivo com abordagem quantitativa, realizado com 38 enfermeiros da Estrategia Saude da Familia, atraves de um questionario, durante maio a julho/2013. Os dados foram analisados com base na estatistica descritiva. Estudo aprovado pelo CEP do CCS/UFPB, CAEE no 03459112.1.0000.5188.  Resultados: constatou-se que 26 (68,4%) enfermeiros orientam quanto ao uso de calcados confortaveis; 19 (50,0%) enfermeiros avaliam os pelos e as unhas mensalmente; 12 (31,6%) enfermeiros realizam orientacoes como atividade de educacao em saude. Conclusao: a atuacao dos enfermeiros da Estrategia Saude da Familia contribui na prevencao do pe diabetico, proporcionando a realizacao do autocuidado.  Descritores: Enfermagem, Diabetes Mellitus, Pe diabetico, Educacao em saude.

/pdf/atuacao-do-enfermeiros-da-estrategia-saude-da-familia-na-pod74jmaod.pdf

Atuação do enfermeiros da Estratégia Saúde da Família na prevenção do pé diabético Practice nurse family health strategy in the prevention of diabetic foot

Objective: To analyze the risk factors for lower-extremity ulceration and amputation in patients with diabetes mellitus. Method: Quantitative cross-sectional study conducted in 2013 with 92 individuals with diabetes attending a Family Health Care Center in Maceio, Alagoas, Brazil, through interviews and clinical examination of the feet. The following variables were assessed: sociodemographic characteristics (gender, age group, skin color, marital status, education and income) and additional risk factors for diabetic foot (clinical data, lifestyle and foot self-care practices). Chi-squared test with Yates’ correction, G Test and Fisher’s Exact test were used to check for association between variables considering a significance level of 5% (p<0.05). Results: The sample included 92 patients with diabetes mellitus: 71.7% (66) were women and the predominant age group was 60-79 years – 48.0% (44). There was a prevalence of 95.6% (88) of individuals at risk for ulceration and 4.4% (4) were at risk for amputation. Regarding the risk of ulceration, 64.1% (59) were classified as risk 0 (lowest risk). Conclusion: There was a higher prevalence of patients at lower risk for ulceration and amputation. The inappropriate use of shoes stands out as the most common risk factor and tobacco use appears as a risk factor with significant statistical association.

/pdf/fatores-de-risco-para-ulceracao-e-amputacao-de-extremidades-4hf19inn1y.pdf

Fatores de risco para ulceração e amputação de extremidades inferiores em portadores de diabetes mellitus



Diabetes mellitus is one of the most important health issues
worldwide. The rising incidence of the disease has resulted in a parallel increase of complications
such as diabetic foot ulcers (DFU). It is estimated that 25% of patients with diabetes
will develop foot ulcers over a lifetime. In Mexico, this lifetime incidence is about
40% to 50%, and 20% of the cases will require amputations. DFU can result in staggering
financial burdens for the healthcare system and the patient. Therapies that promote rapid
and complete healing and reduce the need for expensive surgical procedures would impact
these costs substantially.



Cu/TiO2–SiO2 nanoparticles were synthesized by T. López et al. sol-gel patented
method. After synthesis, they were characterized using transmission electron microscopy
(TEM) and X-ray diffraction. Then, they were embedded in a polymeric gel matrix.
The Cu/TiO2–SiO2 nanogel was used as conservative therapy for a chronic non-healing
DFU on a 62-year old female with several comorbidities and chronic complications of diabetes.
Wound debridement was performed prior to nanogel administration. The nanogel
was applied over the ulcer on alternate days for an initial period of 2 weeks and then continued
for 10 months.



Significant improvement was observed in the wound healing process since the
first applications. The infection was limited and tissue regeneration was enhanced until
complete healing of the ulcer.



Cu/TiO2–SiO2 nanogel therapy enhanced reepithelialization and healing of
the DFU. The successful outcome allowed to avoid the amputation that was proposed for
the patient.


Catalytic Nanomedicine. Cu/TiO 2 –SiO 2 Nanoparticles as Treatment of Diabetic Foot Ulcer: A Case Report

RESUMO Objetivo : identificar os fatores de risco contribuintes para o surgimento de complicacoes decorrentes do DM, e verificar o conhecimento dos pacientes diabeticos acerca do DM, com enfase no pe diabetico. Metodo : estudo exploratorio, descritivo, de abordagem quantiqualitativa, realizado em um Servico de Atencao Basica em Saude com 30 usuarios diabeticos, atraves de um formulario, durante dezembro 2011 a fevereiro 2012. Estudo aprovado pelo CEP do HULW/UFPB, CAAE no 0192.0.462.126/11. Resultados : constatou-se que 83% dos diabeticos apresentam HAS, 7% consomem drogas licitas, 77% nao praticam atividade fisica, 33% tem o diagnostico de DM ha mais de dez anos. O conhecimento dos participantes acerca do DM, da prevencao do pe diabetico e dos fatores que contribuem para o seu desenvolvimento, mostra-se insuficiente e inadequado. Conclusao : aponta-se a necessidade de realizacao de acoes de educacao em diabetes, para inserir o diabetico no seu processo de cuidado, evitando o surgimento de complicacoes. Descritores : Diabetes Mellitus; Complicacoes do Diabetes; Enfermagem; Educacao em Saude. ABSTRACT Objective : to identify the risk factors contributing to the onset of complications from diabetes, and to verify the knowledge of diabetic patients about diabetes, with emphasis on the diabetic foot. Method : an exploratory, descriptive study, of quantitative and qualitative approach held in a Service of Primary Health Care with 30 diabetic users through a form during December 2011 to February 2012. Study approved by the CEP HULW/UFPB, CAAE No 0192.0.462.126/11. Results : it was found that 83% of diabetics have hypertension, 7% consume legal drugs, 77% do not exercise, 33% have been diagnosed with diabetes for more than ten years. The participants' knowledge about diabetes, prevention of diabetic foot and the factors that contribute to its development seems insufficient and inadequate. Conclusion : pointing up the need to carry out actions of diabetes education, to insert in their diabetic care process, avoiding the appearance of complications. Descriptors : D iabetes Mellitus; Diabetes Complications; Nursing; Health Education.  RESUMEN Objetivo : identificar los factores de riesgo que contribuyen para la aparicion de las complicaciones de la diabetes, y verificar el conocimiento del paciente diabetico sobre la diabetes, con enfasis en el pie diabetico. Metodo : estudio exploratorio y descriptivo, con enfoque quantiqualitativo, realizado en un Servicio de Atencion Primaria de Salud con 30 usuarios diabeticos a traves de un formulario en diciembre 2011-febrero 2012. Estudio aprobado por el CEP HULW/UFPB, CAAE No 0192.0.462.126/11. Resultados : se encontro que el 83% de los diabeticos tienen hipertension, 7% consumen drogas legales, el 77% no hacen ejercicio, el 33% han sido diagnosticados con diabetes durante mas de diez anos. El conocimiento de los participantes acerca de la diabetes, la prevencion del pie diabetico y de los factores que contribuyen a su desarrollo parece insuficiente e inadecuado. Conclusion : recordar la necesidad de llevar a cabo acciones de educacion en diabetes, para insertar en su proceso de cuidado de la diabetes, evitando la aparicion de complicaciones. Descriptores : D iabetes Mellitus; Complicaciones de la Diabetes; Enfermeria; Educacion para la Salud. Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */
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/pdf/fatores-de-risco-para-complicacoes-decorrentes-do-diabetes-yz4vwjcxs8.pdf

Fatores de risco para complicações decorrentes do diabetes mellitus

The aim was to determine the effect of an educational intervention based on participatory methodology to improve the knowledge, care habits and reduce the risk of diabetic foot among people with type 2 diabetes in mutual-help groups in the state capital of San Luis Potosi. Methods: Pre-experimental study, with three

CoNoCiMiENtoS Y HÁBitoS dE CUidado: EFECto dE UNa iNtErVENCiÓN EdUCatiVa Para diSMiNUir El riESGo dE PiE diaBÉtiCo Care KnoWleDGe anD haBitS effeCt of an eDuCational intervention to reDuCe the riSK of DiaBetiC foot

Se trata de un estudio de tipo descriptivo y transversal con enfoque cuantitativo, realizado en una poblacion de 20 usuarios del estado de Mexico, en 2009 Con el objetivo de identificar la informacion del paciente con diabetes en relacion con el cuidado de los pies Se utilizo un instrumento impreso para la recogida de datos que contienen aspectos sociodemograficos y el cuidado de los pies de los pacientes Se constato que 55% de los pacientes esta centralizado en la edad de mas de 60 anos, 85% eran mujeres, casadas dedicadas a las actividades del hogar Un alto porcentaje senalo los cuidados basicos, lavado, secado, lubricacion y el corte de unas La poblacion de este estudio no tiene informacion clara de su enfermedad, por eso requiere informacion basica para prevenir el pie diabetico y las amputaciones y el profesional de enfermeria necesita perfeccionar los metodos de ensenanza de acuerdo al grado de escolaridad de la poblacion para garantizar el exito de la prevencion a fin de minimizar o evitar la aparicion de lesiones Descriptores: Diabetes, Pie diabetico, Enfermeria, Cuidado Informacoes sobre os cuidados dos pes em usuarios que vivem com diabetes no estado do Mexico: base para a sistematizacao da assistencia de enfermagem Trata-se de um estudo do tipo descritivo transversal com abordagem quantitativa, realizado numa populacao de 20 usuarios do estado do Mexico em 2009, com o objetivo de identificar as informacoes do paciente em relacao ao cuidado com o pe diabetico Utilizou-se como instrumento de coleta um formulario, com dados sociodemograficos e questoes sobre o cuidado com o pe dos pacientes Verificou-se que 55% dos pacientes estao centralizados na idade acima de 60 anos, 85% eram do sexo feminino, casados, envolvidos em atividades do lar Uma alta porcentagem desses conhece os cuidado basicos, lavagem, secagem, lubrificacao e corte de unhas A populacao deste estudo nao tem informacao clara sobre sua doenca e necessita de orientacoes basicas para evitar a amputacao do pe diabetico O enfermeiro precisa aperfeicoar os metodos de ensino, segundo o nivel de escolaridade da populacao, para garantir o exito da prevencao, a fim de minimizar ou evitar o aparecimento de lesoes Descritores: Diabetes, Pe Diabetico, Enfermagem, Cuidado Information on diabetes patients’ feet care in the Mexico state: basis for the sistematization of nursing assistance This is a descriptive and quantitative study, performed in a population of 20 users of the Health Center in San Pedro Cholula State of Mexico, between February and May 2009 aiming to identify patient’s knowledge in relation to diabetic foot care A printed form was used as the instrument for data collection, it contains sociodemographic and foot care for diabetic patients It was found that 55% of patients were at an age over than 60; 85% were female, married and envolved with household activities A high percentage of them know the basic care: washing, drying, lubrication and cutting nails The population of this study has no clear information about their disease, thus they require the information to prevent diabetic foot amputations The nurse needs to improve the teaching methods according to the level of education of the population to ensure the success of prevention to minimize or prevent the onset of injury Descriptors: Diabetes, Diabetic foot, Nursing, Care

/pdf/cuidado-de-los-pies-en-usuarios-que-viven-con-diabetes-en-el-118z0tjuft.pdf

Susana Medina Hernández

Papers

Cuidado de los pies en usuarios que viven con diabetes en el estado de México: bases para la sistematización de la asistencia de enfermería