Cosson Ionar C de Oliveira, Ney-Oliveira Fabrizio, Adan Luís Fernando
Fundação Hospital Estadual do Acre, Rio Branco, AC.
Arq Bras Endocrinol Metabol. 2005 Aug;49(4):548-56. doi: 10.1590/s0004-27302005000400013. Epub 2005 Oct 19.
The diabetic foot is one of the main complications of diabetes mellitus (DM) of high socio-economic impact, characterized by foot lesions resulting from neuropathy, ischemia and infection. To verify the knowledge of preventive measures for the diabetic foot in a public health institution in Rio Branco, Acre, between August 2002 and February 2003 patients with type 2 DM (n= 109 patients, 71.6% female) were evaluated regarding their clinical-epidemiological history, demographic attitudes towards DM control and preventive care of the feet, before and after attending an informative educational program. There was a significant improvement of knowledge of preventive measures for the diabetic foot after the program (p< 0.0001), as well as for the attitudes towards DM control (p< 0.0001). We conclude that the population sample evaluated is unaware of preventive measures for the diabetic foot and of attitudes related to glycemic control. The utilization of educational programs, easily implemented in health centers, might reduce the rates of lower extremity amputation in patients with DM.
糖尿病足是糖尿病（DM）的主要并发症之一，具有较高的社会经济影响，其特征是由神经病变、缺血和感染导致的足部病变。为了核实阿克里州里奥布兰科市一家公共卫生机构中糖尿病足预防措施的知晓情况，在2002年8月至2003年2月期间，对2型糖尿病患者（n = 109例患者，71.6%为女性）在参加信息教育项目前后的临床流行病学病史、对糖尿病控制和足部预防护理的人口统计学态度进行了评估。项目结束后，糖尿病足预防措施的知晓情况（p < 0.0001）以及对糖尿病控制的态度（p < 0.0001）均有显著改善。我们得出结论，所评估的人群样本不了解糖尿病足的预防措施以及与血糖控制相关的态度。在健康中心易于实施的教育项目的使用，可能会降低糖尿病患者下肢截肢的发生率。
