Educational program for self-care of the feet in diabetic patients
Keywords:
diabetes mellitus, diabetic foot, self-care, educational programAbstract
Introduction: diabetic patients have special reasons to take care of their feet, the tragedy of an amputation makes us think about the complexity of their education.Objective: to design a proposal for an educational program to modify self-care of the feet in diabetic patients.
Methods: a research was conducted in health system and services in the period from January to December 2018 in the 22nd and 23rd medical offices of the “Marta Abreu” Polyclinic. The population consisted of diabetic patients with a diagnosis of grade 0 risk foot, less than five years of evolution of the disease, between 50 and 70 years old. The sample (45) was selected by non-probabilistic intentional sampling. The variables age, sex and schooling groups and those related to self-care of the feet were operationalized. Observation, documentary review, unstructured interview, questionnaire and participatory techniques were used to obtain the information.
Results: the application of the instruments showed that most of the patients were female, were between 61 and 70 years of age and had poor self-care of their feet.
Conclusions: based on these results, an educational program was designed with a participatory methodology, which was evaluated by a group of specialists and accepted for implementation.
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1.Mena Bouza YZ, Mendoza Fonseca NL. Caracterización de pacientes con pie diabético del Hospital General Docente “Dr. Agostinho Neto”, Guantánamo. Rev Inf Cient [Internet]. 2018 [citado 29/04/2019];97(1):1-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332018000100002
2.García Velázquez JM, Brito Blanco D, Santos Rofes BI, Ricardo Olivera D, García Albelo E, Fleites Fonticiella L. La educación del paciente diabético con pie de riesgo. Acta Méd Centro [Internet]. 2017 [citado 29/04/2019];12(1):29-37. Disponible en: https://revactamedicacentro.sld.cu/index.php/amc/article/view/873/1108
3.Martinella Portuondo I, Vega Mengana V, García Massó D, Morlot Ruíz A, Núñez Álvarez D. Caracterización clínica de pacientes portadores de enfermedad vascular periférica complicada. Rev Cub Med Mil [Internet]. 2018 [citado 29/04/2019];47(2):[aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572018000200004
4.Matute-Martínez CF, Guillermo-Trochez A, Matute-Martínez FJ, Enrique-Padilla J, Fernández-Galo E, Perdomo-Vaquero R. Pie diabético y sus complicaciones. Arch Medicina [Internet]. 2016 [citado 29/04/2019];12(3):7. Disponible en: https://www.itmedicalteam.pl/articles/pie-diabeacutetico-y-sus-complicaciones-103344.html
5.Álvarez Seijas E, Mena Bouza K, Faget Cepero O, Conesa González AI, Domínguez Alonso E. El pie de riesgo de acuerdo con su estratificación en pacientes con diabetes mellitus. Rev Cubana Endocrinol [Internet]. 2015 [citado 29/04/2019];26(2):158-171. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532015000200006
6.García Velázquez JM, García Rodríguez Y, Fleites Fonticiella L, Mirabal Rodríguez A, Victores Moya JA, García Rodríguez LG. La educación del paciente diabético de debut para prevenir las úlceras del pie diabético. Acta Méd Centro [Internet]. 2020 [citado 10/04/2020];14(1):68-81. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2709-79272020000100068
7.Ministerio de Salud Pública. Dirección Provincial de Registros Médicos y Estadísticas de Salud. Santa Clara: MINSAP; 2017.
8.Navarro-Flores E, Gijón-Noguerón G, Cervera-Marín JA, Labajos-Manzanares MT. Evaluación de los autocuidados del pie en pacientes diabéticos. Análisis retrospectivo (2008-2013). Rev Int Cienc Podol [Internet]. 2014 [citado 29/04/2019];8(1):25-35. Disponible en: https://revistas.ucm.es/index.php/RICP/article/view/43253. https://doi.org/10.5209/rev_RICP.2014.v8.n1.43253
9.Rodríguez Moreno I, Ballesteros-Mora M, Reina-Bueno M. Relación de la calidad de vida y los autocuidados podológicos con las complicaciones asociadas a la diabetes. Estudio decriptivo. Rev Esp Podol [Internet]. 2017 [citada 29/04/2019];28(2):66-72 Disponible en: https://www.sciencedirect.com/science/article/pii/S0210123817300282. https://doi.org/10.1016/j.repod.2017.03.008
10.Pinilla Roa AE, Barrera Perdomo MP, Devia C, Devia D. Actividades de prevención y factores de riesgo en diabetes mellitus y pie diabético. Acta Méd Colomb [Internet]. 2014 [citado 29/04/2019];39(3):250-257. Disponible en: http://actamedicacolombiana.com/ojs/index.php/actamed/article/view/260. https://doi.org/10.36104/amc.2014.260
11.Elías-Viramontes AC, González Juárez L. Intervención educativa de enfermería para el autocuidado de los pies en personas que viven con diabetes tipo 2. Aquichan [Internet]. 2018 [citado 29/04/2019];18(3):343–354. Disponible en: https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/9157
12.Huisacayna Díaz FM, Aguilar Semino de Flores Y, Flores García AC, Ninahuaman Huisacayna LK, Yupanqui R. Efectividad de un programa educativo sobre autocuidado en la prevención de complicaciones de miembros inferiores en pacientes con diabetes mellitus. Hospital Santa María del Socorro de ICA, 2014-2015. Rev Enferm Vanguard [Internet]. 2016 [citado29/04/2019];4(2):41-47. Disponible en: https://revistas.unica.edu.pe/index.php/vanguardia/article/view/228/296. https://doi.org/10.35563/revan.v4i2.228
13.Lazo Villalta AE, Silvano Esteban CS, Contreras Castro F. Efectividad del programa “Vida dulce y sana” en los conocimientos y prácticas de autocuidado en pacientes adultos con Diabetes Mellitus del Centro de Atención Primaria III-Huaycán, Lima, 2017. Rev Cient Cienc Salud [Internet]. 2018 [citado 29/04/2019];11(1):66-76. Disponible en: https://revistas.upeu.edu.pe/index.php/rc_salud/article/view/1061
14.Pérez Delgado A, Alonso Carbonell L, García Milián AJ, Garrote Rodríguez I, González Pérez S, Morales Rigau JM. Intervención educativa en diabéticos tipo 2. Rev Cubana Med Gen Integr [Internet]. 2009 [citado 29/04/2019];25(4)17-29. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252009000400003
15.Gallardo Pérez UJ, Puentes Madera IC, Villalón Peñalver DL, Alonso Grau A, Figueredo de Armas DM, Almeida Hernández L. Percepción de riesgos en pacientes con diabetes mellitus durante el autocuidado de los pies. Rev Cubana Angiol Cir Vasc [Internet]. 2010 [citado 29/04/2019];11(1):66-75. Disponible en: http://bvs.sld.cu/revistas/ang/vol11_01_10/ang08110.htm
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