Tunis Med. 2021 Feb;99(2):277-284.
Diabetic foot trophic disorders and their complications leading to the risk of amputation remain a major public health problem.
To determine the level of podiatric risk in our diabetic patients according to the classification of the International Working Group of the Diabetic Foot (IWGDF) and study the relationship between the level of education and the level of podiatry risk..
This is a descriptive and analytical cross-sectional study including all diabetics hospitalized at the National Institute of Nutrition in Tunis for chronic diabetes imbalance, carried out over a period of two months (July - August 2019).
The mean age of the patients was 55.08 ± 14.22 years. The sex ratio was 0.67. The majority of our patients were type 2 diabetics (90.24%). During the clinical examination of the foot, plantar hyperkeratosis was the most noted manifestation (65.85%). Based on the IWGDF classification, 42.68% of patients had a grade 0 podiatric risk. Regarding the overall educational level, we noted 76.83% patients with a poor educational level and 23.17% patients with a satisfactory level of education. The overall educational level is significantly associated with the podiatric grade (p <0.05).
Therapeutic education or even podiatric education of the patient is important in the prevention of complications of the foot. Patient-centered training in foot care practice in public health facilities would reduce the rate of morbidity and mortality from complicated diabetic foot.
糖尿病足的营养障碍及其导致截肢风险的并发症仍然是一个主要的公共卫生问题。
根据国际糖尿病足工作组（IWGDF）的分类，确定我们糖尿病患者的足病风险水平，并研究教育程度与足病风险水平之间的关系。
这是一项描述性和分析性的横断面研究，包括在突尼斯国家营养研究所因慢性糖尿病失衡住院的所有糖尿病患者，研究时间为两个月（2019 年 7 月至 8 月）。
患者的平均年龄为 55.08 ± 14.22 岁。性别比为 0.67。我们的大多数患者是 2 型糖尿病患者（90.24%）。在足部临床检查中，足底过度角化是最常见的表现（65.85%）。根据 IWGDF 分类，42.68%的患者足病风险等级为 0 级。关于整体教育水平，我们注意到 76.83%的患者教育水平较差，23.17%的患者教育水平令人满意。整体教育水平与足病等级显著相关（p<0.05）。
对患者进行治疗教育甚至足病教育对于预防足部并发症很重要。在公共卫生机构对患者进行以患者为中心的足部护理实践培训，将降低复杂糖尿病足的发病率和死亡率。
