SILVA, R. O.; PINHEIRO NETO, N. B.; http://lattes.cnpq.br/3309117589404170; http://lattes.cnpq.br/9209869812126153; SILVA, Rodrigo de Oliveira.; PINHEIRO NETO, Nelson Barros.
Resumen:
Diabetic Foot (PD) is a well-known term that assign a diversity of changes and
complications that occur alone or together in the feet and lower limbs (LLL) of
diabetic patients. Each year about one million diabetic patients undergo amputation
surgeries and experience devastating changes in life quality after these procedures.
Despite the evolution of health education strategies, there is mounting evidence of
lack of awareness of foot care among diabetic patients. In addition, it is possible to
verify that there is not a routine in Primary Health Care Centers to approach this
complication during the medical checks, so that there is adequate tracking and
follow-up. Thus, this research sought to identify the epidemiological situation of a
community in the city of Campina Grande regarding PD and the existence or not of
adequate care. Therefore, a cross-sectional, descriptive study was carried out,
evaluating a population of 54 diabetics previously enrolled in the Unidade Básica
Raimundo Carneiro. It was noticed that 70% had never had their feet previously
examined by a health professional; 68% never received any piece of information on
foot care; 87% had inadequate footwear at the time of evaluation; 30% presented
alterations in the test of loss of protective sensitivity; 39% and 15% presented grades
2 and 3 in the diabetic foot risk classification, respectively.
Only 36 patients had fasting Glycemia cataloged in medical records, 44% of them
were above 130mg / dL; and 55% had HbA1c out of target proposed by the
Sociedade Brasileira de Diabetes (<7.0%). In addition, it was observed that the most
associated comorbidity was Systemic Arterial Hypertension, present in 82% of the
patients; followed by dyslipidemia, 33%; and Coronary Artery Disease, 28%. We had
concluded that there are still deficiencies in the assistance to the diabetic foot in
primary health care, there was negligence in the diagnosis of this complication and
difficulty in the clinical follow-up of these patients.