The effectiveness of educational practice in diabetic foot: a view from Brazil
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1758-5996-2-45 http://hdl.handle.net/11449/42532 |
Resumo: | Background: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire scoring from 0-10 (high scores reflect worse practice compliance).Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years. As for compliance, 90% showed a total score <= 5, only 8.7% regularly wore the footwear supplied; self foot inspection 65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no barefoot walking 95%.Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be performed by the services providing care for patients with foot at risk for complications according to the reality of local scenarios. Furthermore, every educational program should assess the learning, results obtained and efficacy in the target population by use of an adequate evaluation system. |
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Repositório Institucional da UNESP |
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The effectiveness of educational practice in diabetic foot: a view from BrazilBackground: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire scoring from 0-10 (high scores reflect worse practice compliance).Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years. As for compliance, 90% showed a total score <= 5, only 8.7% regularly wore the footwear supplied; self foot inspection 65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no barefoot walking 95%.Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be performed by the services providing care for patients with foot at risk for complications according to the reality of local scenarios. Furthermore, every educational program should assess the learning, results obtained and efficacy in the target population by use of an adequate evaluation system.Endocrinology Department, Medical School of the State University of São Paulo, São Paulo, BrazilState Univ São Paulo, Dept Endocrinol, Sch Med, São Paulo, BrazilState Univ São Paulo, Dept Endocrinol, Sch Med, São Paulo, BrazilBiomed Central Ltd.Universidade Estadual Paulista (Unesp)Anselmo, Maria I. [UNESP]Nery, Marcia [UNESP]Parisi, Maria C. R. [UNESP]2014-05-20T15:34:23Z2014-05-20T15:34:23Z2010-06-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttp://dx.doi.org/10.1186/1758-5996-2-45Diabetology & Metabolic Syndrome. London: Biomed Central Ltd., v. 2, p. 4, 2010.1758-5996http://hdl.handle.net/11449/4253210.1186/1758-5996-2-45WOS:000290261200001WOS000290261200001.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDiabetology & Metabolic Syndrome2.4130,943info:eu-repo/semantics/openAccess2023-10-02T06:02:25Zoai:repositorio.unesp.br:11449/42532Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-05-23T11:13:48.541303Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
title |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
spellingShingle |
The effectiveness of educational practice in diabetic foot: a view from Brazil Anselmo, Maria I. [UNESP] |
title_short |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
title_full |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
title_fullStr |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
title_full_unstemmed |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
title_sort |
The effectiveness of educational practice in diabetic foot: a view from Brazil |
author |
Anselmo, Maria I. [UNESP] |
author_facet |
Anselmo, Maria I. [UNESP] Nery, Marcia [UNESP] Parisi, Maria C. R. [UNESP] |
author_role |
author |
author2 |
Nery, Marcia [UNESP] Parisi, Maria C. R. [UNESP] |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Anselmo, Maria I. [UNESP] Nery, Marcia [UNESP] Parisi, Maria C. R. [UNESP] |
description |
Background: The aim of the present study was to evaluate the prevention and self-inspection behavior of diabetic subjects with foot at ulcer risk, no previous episode, who participated in the routine visits and standardized education provided by the service and who received prescribed footwear. This evaluation was carried out using a questionnaire scoring from 0-10 (high scores reflect worse practice compliance).Results: 60 patients were studied (30 of each sex); mean age was 62 years, mean duration of the disease was 17 years. As for compliance, 90% showed a total score <= 5, only 8.7% regularly wore the footwear supplied; self foot inspection 65%, 28,3% with additional familiar inspection; creaming 77%; proper washing and drying 88%; proper cutting of toe nails 83%; no cuticle cutting 83%; routine shoe inspection 77%; no use of pumice stones or similar abrasive 70%; no barefoot walking 95%.Conclusion: the planned and multidisciplinary educational approach enabled high compliance of the ulcer prevention care needed in diabetic patients at risk for complications. In contrast, compliance observed for the use of footwear provided was extremely low, demonstrating that the issue of its acceptability should be further and carefully addressed. In countries of such vast dimensions as Brazil multidisciplinary educational approaches can and should be performed by the services providing care for patients with foot at risk for complications according to the reality of local scenarios. Furthermore, every educational program should assess the learning, results obtained and efficacy in the target population by use of an adequate evaluation system. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-06-29 2014-05-20T15:34:23Z 2014-05-20T15:34:23Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1758-5996-2-45 Diabetology & Metabolic Syndrome. London: Biomed Central Ltd., v. 2, p. 4, 2010. 1758-5996 http://hdl.handle.net/11449/42532 10.1186/1758-5996-2-45 WOS:000290261200001 WOS000290261200001.pdf |
url |
http://dx.doi.org/10.1186/1758-5996-2-45 http://hdl.handle.net/11449/42532 |
identifier_str_mv |
Diabetology & Metabolic Syndrome. London: Biomed Central Ltd., v. 2, p. 4, 2010. 1758-5996 10.1186/1758-5996-2-45 WOS:000290261200001 WOS000290261200001.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Diabetology & Metabolic Syndrome 2.413 0,943 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
4 application/pdf |
dc.publisher.none.fl_str_mv |
Biomed Central Ltd. |
publisher.none.fl_str_mv |
Biomed Central Ltd. |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803045789746855936 |