Santos Isabel Cristina Ramos Vieira, Sobreira Christiana Maria Maia, Nunes Emilli Natália dos Santos, Morais Maria Carolina de Andrade
Cien Saude Colet. 2013 Oct;18(10):3007-14. doi: 10.1590/s1413-81232013001000025.
The scope of this investigation was to establish the prevalence of diabetic foot amputations and analyze associations with factors related to the individual and to primary health care. It is a cross-sectional epidemiological study and the sample included 214 inpatients with diabetic feet in one of the four hospitals specialized in vascular surgery in the state of Pernambuco. Data were collected using semi-structured questionnaires. In the data analysis, chi-square association, Poisson regression (p < 0.05) and descriptive statistics procedures were applied. The prevalence of amputation ascertained was 50%. The following factors related to the individual were associated with its occurrence: low education (p = 0.027); two or more people living in the household (p = 0.046); and patient income below the minimum wage (p = 0.004). The following factors related to primary health care were associated with amputation: not having feet examined (PR = 1.17); not receiving guidance on foot care (PR = 2.24) in consultations in the past year; not using the drug for DM control as prescribed (PR = 1.60); and inadequate glycemic control (PR = 1.83). Understanding these factors helps to identify aspects of preventive care that require improvement.
本调查的范围是确定糖尿病足截肢的患病率，并分析与个体及初级卫生保健相关因素之间的关联。这是一项横断面流行病学研究，样本包括伯南布哥州四家血管外科专科医院之一的214例糖尿病足住院患者。数据通过半结构化问卷收集。在数据分析中，应用了卡方关联分析、泊松回归分析（p<0.05）和描述性统计程序。确定的截肢患病率为50%。与个体相关的以下因素与其发生有关：低教育水平（p=0.027）；家庭中居住两人或更多人（p=0.046）；患者收入低于最低工资（p=0.004）。与初级卫生保健相关的以下因素与截肢有关：未检查足部（PR=1.17）；在过去一年的会诊中未接受足部护理指导（PR=2.24）；未按处方使用控制糖尿病的药物（PR=1.60）；以及血糖控制不佳（PR=1.83）。了解这些因素有助于确定需要改进的预防保健方面。
