Acessibilidade / Reportar erro

Diabetic foot: orientations and knowledge about prevention care

INTRODUCTION: Diabetic foot is considered a complication of Diabetes mellitus and the major cause of lower limb amputations. To avoid its appearance orientations are needed for preventive measures and patient self-care. OBJECTIVES: Check the knowledge of the users the diabetes program about preventive care for diabetic foot, identify the orientations that the patient receives about the prevention, and to observe adherence to preventive self-care procedures. MATERIALS AND METHODS: Exploratory research field, involving 40 diabetic type 2 and five nurses. It was conducted a physical examination of the feet of diabetics and a structured interview with nurses. The data were organized and analyzed by descriptive statistics. RESULTS AND DISCUSSION : On physical examination there were degree of mobility impaired in 52.5% of participants; inappropriate use of footwear by 85%; removal of cuticles in 62.5%. There were no significant differences in perfusion between the right and left feet, however, there was the presence of cracks and mycoses. Points of high pressure showed lower sensitivities. The orientations provided by nurses are variables, all claim to advise on the use of footwear and nail cutting, however, there is no adherence to these guidelines and miss important items as the daily examination of feet. CONCLUSION: Items with lower adherence are the most simple and can be corrected. There is a need proper assessment and coaching, taking into account the degree of knowledge and the ability to process information. The multiprofessional action could potentiate orientations and increase the adherence,

Diabetes mellitus; Diabetic foot; Prevention and control; Prevention


Pontifícia Universidade Católica do Paraná Rua Imaculada Conceição, 1155 - Prado-Velho -, Curitiba - PR - CEP 80215-901, Telefone: (41) 3271-1608 - Curitiba - PR - Brazil
E-mail: revista.fisioterapia@pucpr.br