• Émilli Natália dos Santos Nunes - Nunes, E.N.S. - Universidade de Pernambuco - <milinunes@hotmail.com>
• Maria Carolina de Andrade Morais - Morais, M.C.A. - Universidade de Pernambuco - <carollegalm@hotmail.com>
Área Temática:
Epidemiologia
Resumo:
O objetivo desta investigação foi determinar a prevalência de amputações por pé diabético e analisar associações com fatores relacionados à pessoa e a atenção básica. Estudo epidemiológico de corte transversal. A amostra compreendeu 214 portadores de pé diabéticos internados em um dos quatro hospitais com especialidade cirurgia vascular de Pernambuco. Os dados foram coletados mediante questionário semi-estruturado. Na análise dos dados foram aplicados os procedimentos da estatística descritiva, análise de associações de qui-quadrado e de regressão de poisson (p<0,05). A prevalência de amputações encontrada foi de 50%. Estiveram associados à sua ocorrência fatores relacionados à pessoa: baixa escolaridade (p=0,027), duas ou mais pessoas residentes no domicílio (p=0,046) e renda do paciente inferior a um salário mínimo (p=0,004). Dos fatores relacionados à atenção básica: não ter os pés examinados (RP=1,17) e não ter recebido orientações sobre os cuidados com os pés (RP=2,24) nas consultas realizadas no último ano, além de não usar o medicamento para controle do DM conforme prescrição (RP=1,60) e controle inadequado da glicemia (RP=1,83) foram associados à ocorrência de amputações. A compreensão desses fatores ajuda a identificar aspectos da assistência preventiva que precisam ser melhorados.
Palavras-chave:
pé diabético
amputações
atenção básica
Abstract:
The objective of this investigation was to determine the prevalence of diabetic foot amputations and analyze associations with factors related to the person and primary care. Cross-sectional epidemiological study. The sample included 214 hospitalized patients with diabetic foot in one of four specialty hospitals with vascular surgery of Pernambuco. Data were collected through semi-structured questionnaire. In the data analysis procedures were applied descriptive statistics, analysis of associations of chi-square andPoisson regression (p <0.05). The prevalence of amputation was 50%. Were associated with its occurrence people-related factors: low education (p=0,027), two or more people living in the household (p=0,046) and income of the patient less than minimum wage (p=0,004). Factors related to primary care: do not have their feet examined (PR = 1.17) and had not received guidance on foot care (PR = 2.24) in the consultations carried out last year, and not using the drug for DM control as prescribed (PR = 1.60) andinadequate glycemic control (PR= 1.83) were associated with amputation. Understanding these factorshelps to identify aspects of preventive care that need improvement.
PREVALENCE AND FACTORS ASSOCIATED OF DIABETIC FOOT AMPUTATIONS.
Resumo (abstract):
The objective of this investigation was to determine the prevalence of diabetic foot amputations and analyze associations with factors related to the person and primary care. Cross-sectional epidemiological study. The sample included 214 hospitalized patients with diabetic foot in one of four specialty hospitals with vascular surgery of Pernambuco. Data were collected through semi-structured questionnaire. In the data analysis procedures were applied descriptive statistics, analysis of associations of chi-square andPoisson regression (p <0.05). The prevalence of amputation was 50%. Were associated with its occurrence people-related factors: low education (p=0,027), two or more people living in the household (p=0,046) and income of the patient less than minimum wage (p=0,004). Factors related to primary care: do not have their feet examined (PR = 1.17) and had not received guidance on foot care (PR = 2.24) in the consultations carried out last year, and not using the drug for DM control as prescribed (PR = 1.60) andinadequate glycemic control (PR= 1.83) were associated with amputation. Understanding these factorshelps to identify aspects of preventive care that need improvement.
Vieira Santos, I.C.R., Sobreira, C.M.M., Nunes, E.N.S., Morais, M.C.A.. PREVALÊNCIA E FATORES ASSOCIADOS A AMPUTAÇÕES POR PÉ DIABÉTICO.. Cien Saude Colet [periódico na internet] (2012/jun). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-e-fatores-associados-a-amputacoes-por-pe-diabetico/10401?id=10401&id=10401