Detalhes bibliográficos
| Ano de defesa: |
2019 |
| Autor(a) principal: |
Cardoso, Hígor Chagas
 |
| Orientador(a): |
Mrué, Fátima
|
| Banca de defesa: |
Mrué, Fátima,
Rosa, Suélia de Siqueira Rodrigues Fleury,
Parisi, Maria Cândida Ribeiro |
| Tipo de documento: |
Dissertação
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| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Universidade Federal de Goiás
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| Programa de Pós-Graduação: |
Programa de Pós-graduação em Ciências da Saúde (FM)
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| Departamento: |
Faculdade de Medicina - FM (RMG)
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| País: |
Brasil
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| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
http://repositorio.bc.ufg.br/tede/handle/tede/12610
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Resumo: |
Introduction: Ulceration and (or) destruction of soft tissues that occur in the feet of the diabetic patient associated with neurological changes and peripheral arterial disease characterize the clinical condition known as diabetic foot. The person with diabetes mellitus has a lifetime risk of developing this complication estimated at 25%, diabetic foot injuries accounting for 20% of all hospitalizations of diabetic patients. Objective: To evaluate the factors related to the development of diabetic foot in individuals attended in a public health service. Method: An observational, descriptive, quantitative study of diabetic patients older than 18 years of age, of both gender, who were attended by endocrinologists, between July 2018 and July October 2018 at the Dr. Ilion Fleury Jr. public Health Unit municipality of Anápolis, Goiás, Brazil. Participants were evaluated for their socioeconomic and clinical characteristics, with vascular and neurological evaluations, as well as the classification of the risk of developing diabetic foot, according to the International Working Group on the Diabetic Foot (IWGDF). For statistical analysis, the IBM SPSS Statistics® program was used, with the Chi-Square Test, Chi-Square Test for Trend and Fisher's Exact Test. Significance was defined as a p value <0.05. Results: A total of 85 patients were evaluated. The prevalence of diabetic foot in the sample was 10.6%. The parameters evaluated diagnosis time of diabetes, nail appearance, humidity and foot deformities presented a statistically significant association with the development of diabetic foot (p <0.05). Considering the IWGDF classification, grade 0, 1, 2 and 3 risks, respectively, were observed in 28.2%, 29.4%, 23.5% and 8.2% of the patients. Conclusion: This study demonstrated the importance of the identification of symptoms and signs of loss of protective sensitivity and peripheral occlusive arterial disease, which are the most important triggering factors for diabetic foot development. The results obtained in this study is hoped to contribute to the development of a more attractive protocol for the basic health units system with greater effectiveness and success. |
