Carlesso Guilherme Pereira, Gonçalves Mariana Helena Barboza, Moreschi Dorival
Centro Universitário Cesumar - UniCesumar, Cirurgia Vascular, Maringá, PR, Brasil.
J Vasc Bras. 2017 Apr-Jun;16(2):113-118. doi: 10.1590/1677-5449.006416.
One of the consequences of the current phenomenon of population aging is an increasing predominance of chronic diseases, such as diabetes, which is associated with a high risk of chronic and acute complications. Diabetic foot (DF) is of particular concern because of its high incidence and significant potential to mutilate.
To assess knowledge about DF prevention in the diabetic population of primary care health centers (PHCC) in Maringá, PR, Brazil.
This was a descriptive, quantitative study conducted by interview survey. The study population comprised 80 patients with diabetes registered at PHCCs in Maringá, PR, Brazil. Data collection encompassed sociodemographic and epidemiological data, and behavior related to diabetes control and self-care for DF prevention.
Nine of the interviewees did not take any type of test or undergo any examinations for diabetes control. The predominant monthly income bracket was less than the minimum wage. Neither educational level nor monthly income were relevant to knowledge about preventative care for DF or to better compliance with healthy lifestyle habits. Care of DF tends to improve to the extent that there is a clearer understanding of the factors that lead to limb loss and an increase in consensus on managing the various different clinical features of caring for the feet.
There is a lack of knowledge about preventative measures, even among patients who have a reasonable level of education, resulting in deficient self-care behavior.
当前人口老龄化现象的后果之一是慢性病日益占主导地位，如糖尿病，它与慢性和急性并发症的高风险相关。糖尿病足（DF）因其高发病率和严重致残可能性而备受关注。
评估巴西巴拉那州马林加市初级保健健康中心（PHCC）糖尿病患者群体对糖尿病足预防的认知情况。
这是一项通过访谈调查进行的描述性定量研究。研究人群包括巴西巴拉那州马林加市PHCC登记的80名糖尿病患者。数据收集涵盖社会人口统计学和流行病学数据，以及与糖尿病控制和糖尿病足预防自我护理相关的行为。
9名受访者未进行任何类型的糖尿病控制测试或检查。主要月收入水平低于最低工资。教育水平和月收入与糖尿病足预防护理知识或更好地遵守健康生活方式习惯均无关。对导致肢体丧失的因素有更清晰的认识，以及在处理足部护理的各种不同临床特征方面的共识增加，糖尿病足护理往往会得到改善。
即使在教育水平合理的患者中，也缺乏对预防措施的了解，导致自我护理行为不足。
