Assessment of tissular integrity in patients with diabetic foot
Paula Vitória Costa Gontijo1, Lívia Maia Pascoal1, Leonardo Hunaldo Dos Santos1
1Universidade Federal do Maranhão. Imperatriz, Maranhão, Brazil.
Objective:
Evaluate the impairment of tissue integrity in patients with diabetic foot and verify its association with time of diagnosis of the disease.
Methods:
Cross-sectional study conducted with 134 patients in an outpatient clinic located in the Northeast region of Brazil. A semi-structured questionnaire was used for data collection, which was subjected to descriptive analysis and the Mann-Whitney U non-parametric test.
Results:
Indicators with the lowest average score were: skin temperature, sweating, skin lesions, right and left pedal pulses, right and left tibial pulses. Patients less than ten years old had worse scores on thickness, elasticity, right tibial pulse and tissue integrity. Those with a diagnosis time of more than ten years had a greater impairment of sensation and right pulse.
Conclusion:
All indicators showed some impairment of tissue integrity, and the time of diagnosis of the disease was associated with six of these.
Related Concept Videos
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
01:26Peripheral Artery Disease IV: Nursing Management
01:11Pulse Assessment Sites
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:27Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
01:29Assessment of the Cardiovascular System II: Inspection
Head and Neck