Incidence of Diabetic Foot in Patients With Diabetes Mellitus in a Basic Health Unit

Incidence of Diabetic Foot in Patients With Diabetes Mellitus in a Basic Health Unit

Nascimento, J.W.A¹; Silva, E.C.S²; Siqueira, A.C.P.R³; Jesus, S.B4

1,2Nursing Student in the Católica of Pernambuco University; br;
3Medical Student In Católica of Pernambuco University;
4Docent/Researcher in the Católica of Pernambuco University

Open Journal of Gastroenterology and Hepatology

Introduction: Diabetic neuropathy is one of the complications that integrates the pathogenic diabetic foot triad. This neuropathy leads to a foot sensory loss, making the patient vulnerable to minor injuries that could precipitate lesions, subsequent infection and foot amputation. Therefore, the diagnosis needs to come from a complete and detailed physical examination. Objective: The present study aims to investigate the incidence of diabetic foot in diabetic patients who are users of the Basic Health Unit (BHS) in the city of Olinda, Pernambuco. Methodology: The sample of this descriptive exploratory of quantitative methods study was composed of 50 diabetic users of the Basic Health Unit. After signing a Free and Informed Consent Form, a questionnaire was applied regarding the perception of the diabetic on signs and symptoms which are observed in the diabetic foot, proceeding with a thorough evaluation of the feet using 10g of monofilament and performing the Pin Prick Test. Results and Discussion: In total, 70% of patients reported poor glycemic control, 63% reported neuropathic symptoms such as numbness and tingling in the feet and 57% of the evaluated patients have thickened nails and dried or scaly feet. Regarding the vascular evaluation 47% of the evaluated presented with a decreased pedal pulse and 7% presented with this same pulse absent, while 40% had decreased posterior tibial pulse and 7% did not present any pulse at palpation. Regarding the sensitivity assessment, 30% of diabetics presented abnormal results in one of the feet and 7% had no painful and tactile reflex through the sting sensation test. Conclusion: A preventive evaluation of the feet on diabetic patients resulted in important data that informs about the high prevalence of neuropathic findings, contributing to a greater knowledge for the UBS professional team about the presence of neuropathic foot in their diabetic users.

Keywords: Incidence; Diabetic foot; Basic Health Unit

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How to cite this article:
Nascimento, J.W.A; Silva, E.C.S; Siqueira, A.C.P.R; Jesus, S.B. Incidence of Diabetic Foot in Patients With Diabetes Mellitus in a Basic Health Unit.Open Journal of Gastroenterology and Hepatology, 2018, 1:4. DOI:10.28933/ojgh-2018-05-1004

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