The care of feet and the prevention of ulcers in diabetic patients in Brazil

Abstract

Background

Diabetes mellitus is a public health issue and once corrected, it favors the development of highly disabling complications, such as diabetic foot.

Objective

This study aims to evaluate the prevalence and factors associated with actions to prevent foot ulcers in diabetic patients in Brazil.

Method

This is a cross-sectional study using data from the National Health Survey 2013, regarding the diagnosis of diabetes related to the recommendations for care and a prevalence of foot ulcers.

Results

The examination of patients with diabetes by health professionals was higher in the Southeast and Minor regions of the Central-West Region. Non-predominance of the test was more prevalent among females, in rural, color/race, single, uninstructed or incomplete elementary school subjects. In Brazil, only 58.4% of diabetic patients receiving regular consultation received guidance to examine the feet. The occurrence of sores was important for males; in black people/pardo Brazilians. The presence of foot wound was more significant among diabetic patients who had a regular visit.

Conclusion

Thus, in Brazil, one of the guidelines for the prevention of diabetic ulcers is precarious, with lower prevalence of care in the most vulnerable groups.

Keywords:
diabetes mellitus; diabetes complications; diabetic foot; episode of care; health promotion