Clinical and epidemiological profile of users of specialized stomatherapy service with amputation by diabetic neuropathy
DOI:
https://doi.org/10.5902/2236583448293Keywords:
Diabetes Melittus, Diabetic Neuropathies, Comfrey, Health Profile.Abstract
OBJECTIVE: To characterize the clinical and epidemiological profile of people with amputation due to diabetic neuropathy, users of an outpatient nursing service in stomatherapy. METHODS: Quantitative descriptive study, carried out in a stoma therapy outpatient clinic of a public hospital in northeastern Brazil. Users participating in a clinical trial were included, whose data were collected between August 2017 and March 2018, through interviews with a structured form and physical examination. The data were tabulated in the Microsoft Excel for Windows® 2016 program and imported into the Statistical Package for the Social Science (SPSS) version 25.0 software, where descriptive analysis and Student’s t test were performed to verify the association between the groups. The results were presented in tables and discussed in support of scientific evidence. RESULTS: Of the 19 individuals included, 63.1% were male, with an average of 67.5 years of age, white, married, retired and with incomplete high school. All of them had comorbidities to diabetes, especially chronic non-communicable diseases, especially hypertension (31.5%) and stroke (21%). In the interview, 73.6% reported the daily consumption of vegetable oil, olive oil and 10 grams of salt. In contrast, fruits, vegetables, meat and fish were widely cited. The physical examination showed that 63.1% of users were overweight and obese and 57.8% had preserved sensitivity for the left lower limb and compromised sensitivity in the right lower limb. FINAL CONSIDERATIONS: The clinical and sociodemographic profile of users with amputation due to diabetic neuropathy showed, in their majority, men over 60 years of age, retired, married, with income from a salary and incomplete high school. The lifestyle of these people is likely to improve and their health status was regular.
Downloads
References
International Diabetes Federation. Diabetes Atlas, 9th ed. 9th ed. Belgium, 2020.
Flor LS, Campos MR. The prevalence of diabetes mellitus and its associated factors in the Brazilian adult population: evidence from a population-based survey. Rev Bras Epidemiol 2017; 20: 16–29.
Petersen BJ, Bus SA, Rothenberg GM, Linders DR, Lavery LA, Armstrong DG. Recurrence rates suggest delayed identification of plantar ulceration for patients in diabetic foot remission. BMJ Open Diabetes Res Care 2020; 8: e001697.
Association AD. Diabetes care in the hospital: standards of medical care in diabetes—2018. Diabetes Care 2018; 41: S144–S151.
Brasil. Ministério da Saúde. Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Ministério da Saúde: Brasília, 2019. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf.
Brasil. Ministério da Saúde. Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica. Ministério da Saúde: Brasília, 2016.
Borges EL. A atuação do enfermeiro na estomaterapia e a legislação brasileira: avanços e crescimentos da área. Rev Enferm do Centro-Oeste Min 2016; 6.
Magela Salomé G, Carlos Bueno J, Masako Ferreira L. Multimedia application in a mobile platform for wound treatment using herbal and medicinal plants. J Nurs UFPE/Revista Enferm UFPE 2017; 11.
Ramalho MP, Santos SLF, Castro NM de, Vasconcelos LM de O, Morais IC de O, Pessoa CV. Plantas medicinais no processo de cicatrização de feridas: revisão de literatura. Rev Expressão Católica 2018.
Sowa I, Paduch R, Strzemski M, Zielińska S, Rydzik-Strzemska E, Sawicki J et al. Proliferative and antioxidant activity of Symphytum officinale root extract. Nat Prod Res 2018; 32: 605–609.
Westphal P, Ferreira C, Adamczeski M, Camargo L, dos Santos R, Massaneiro AC et al. Relação entre Índice de Massa Corporal de Quételet e o de Trefethen. Rev CPAQV-Centro Pesqui Avançadas em Qual Vida-CPAQV J 2016; 8.
Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. Jama 2013; 309: 71–82.
Oliveira J de C, Taquary SA dos S, Barbosa A de M, Veronezi RJB. Pé diabético e amputações em pessoas internadas em hospital público: estudo transversal. ABCS Heal Sci 2016.
Rocha NS, Souza MP, de Oliveira Paegle ACR, dos Santos ACO. Avaliação do controle glicêmico pela glicemia capilar, de usuários diabéticos tipo 2, em um serviço de atenção básica no município do Recife. Cad Grad Biológicas e da Saúde-UNIT-PERNAMBUCO 2017; 3: 75.
Santos MA dos, Marques LA da S, Oliveira-Cardoso ÉA de, Mastropietro AP, Teixeira CR de S, Zanetti ML. Percepção de pacientes com diabetes mellitus tipo 1 sobre o transplante de células-tronco hematopoéticas. Psicol Teor e Pesqui 2012; 28: 425–433.
Carvalho SS, Silva TMA, Coelho JMF. Contribuições do tratamento não farmacológico para diabetes mellitus tipo 2. Rev Epidemiol Control Infect 2015; 5: 59–64.
Cecilio HPM, de Arruda GO, Teston EF, Santos AL, Marcon SS. Comportamentos e comorbidades associados às complicações microvasculares do diabetes. Acta Paul Enferm 2015; 28: 113–119.
Bastos MN, Junior GDJ, Araújo MMM. Alimentação de diabéticos e hipertensos: desafios e recomendações. REVISE - Revista Integr em Inovações Tecnológicas nas Ciências da Saúde 2019; 4.
Malta DC, Bernal RTI, Lima MG, Araújo SSC de, Silva MMA da, Freitas MI de F et al. Doenças crônicas não transmissíveis e a utilização de serviços de saúde: análise da Pesquisa Nacional de Saúde no Brasil. Rev Saude Publica 2017; 51: 4s.
Fonseca MA, Almeida RR, Almeida Reis SR, de Medrado ARAP. Repercussão de doenças sistêmicas no reparo tecidual. J Dent Public Heal 2012; 3.
Massaroli LC, Santos LC, Carvalho GG, Carneiro SAJF, Rezende LF. Qualidade de vida e o imc alto como fator de risco para doenças cardiovasculares: revisão sistemática. Rev da Univ Val do Rio Verde 2018; 16.
Brinati LM, Diogo NAS, Moreira TR, Mendonça ÉT, Amaro MOF. Prevalência e fatores associados à neuropatia periférica em indivíduos com diabetes mellitus Prevalence and factors associated with peripheral neuropathy in individuals with diabetes mellitus. Rev Pesqui Cuid é Fundam Online 2017; 9: 347–355.
