Department of Behavioral and Health Sciences, Miguel Hernandez University, Alicante, Spain.
Department of Nursing, University of Malaga, Spain; Biomedical Research Institute (IBIMA), 29010 Malaga, Spain.
Prim Care Diabetes. 2021 Feb;15(1):145-149. doi: 10.1016/j.pcd.2020.08.009. Epub 2020 Aug 27.
This paper determines whether patients with and without Diabetic Peripheral Neuropathy use suitable footwear, taking into account that these persons are subject to a significant loss of sensitivity in the feet.
Cross-sectional observational study was conducted of 108 participants with diabetes mellitus. Inclusion criteria were at least five years' progression of diabetes, the ability to walk unaided and no distal amputation of the foot. The presence of DPN was evaluated according to the criteria of the International Working Group on the Diabetic Foot. Foot length was measured using a Brannock® device and internal shoe length was determined using a CEGI® pedometer.
In relation to adjustment, 21.6% of the shoes examined had no type of closure. The most common form of closure was laces, which were used in 32.4% of the shoes. 92.5% of footwear had internal seams. No significant relationship was found between the presence or otherwise of DPN and the use of appropriate shoe closure (p = 0.304), recommended heel height (p = 0.18), leather material (p = 0.77) and absence of internal seams (p = 0.759).
The majority of our participants living with DPN do not wear fitting shoes. Therefore, it is advisable to evaluate their use of footwear, both in primary health care and in podiatry clinics, to forestall potential complications.
本研究旨在探讨糖尿病周围神经病变（DPN）患者和非 DPN 患者是否穿着合适的鞋子，因为这些患者的足部敏感性明显下降。
本研究为横断面观察性研究，共纳入 108 例糖尿病患者。纳入标准为糖尿病病程至少 5 年，能独立行走且足部无远端截肢。DPN 的诊断采用国际糖尿病足工作组的标准。使用 Brannock®设备测量足部长度，使用 CEGI®计步器测量鞋内长度。
在调整后，21.6%的受检鞋没有任何闭合方式。最常见的闭合方式是鞋带，占 32.4%。92.5%的鞋子有内部缝线。DPN 的存在与否与适当的鞋类闭合（p=0.304）、推荐的鞋跟高度（p=0.18）、皮革材料（p=0.77）和内部缝线的缺失（p=0.759）之间均无显著相关性。
大多数患有 DPN 的患者并未穿着合适的鞋子。因此，建议在初级保健和足病诊所评估他们的鞋子使用情况，以预防潜在的并发症。
