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[Risk factors for complications in the lower extremities in people with diabetes mellitus]
Ana Emília Pace1, Milton Cesar Foss, Kattia Ochoa-Vigo
1Departamento de Enfermagem Geral, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo-EERP, USP.
Abstract:
This study analyzed risk factors for feet complications on people with diabetes assisted in an outpatient unit. Data were collected by means of semi-structured interviews, feet evaluation and laboratory tests. Risks were analyzed according to Zavala and Braver and the Classification System of the International Consensus on the Diabetic Foot based on descriptive statistics. Results showed that the mean age was 53.3 +/- 13 years old, the duration of the disease was 12.9 +/- 9 and 58% of the patients had incomplete elementary education. Among the risks, the following were identified: microvascular complications, arterial hypertension, inadequate glycemic level, sedentarism and the use of inappropriate shoes in addition to dermatological ad structural alterations. Concerning risks for ulcers, 19.1% were obtained in categories 2 and 3. The results reinforce the need for primary care with emphasis on risk evaluation and patient education.
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