INFLUENCE OF HEALTH CARE ON THE OUTCOME OF THE TREATMENT OF PATIENTS WITH THE DIABETIC FOOT
Keywords:
diabetic foot, education, proper foot careAbstract
Diabetes mellitus is chronic and most common metabolic disorder. The prevalence of diabetes is increasing. According to data from 2019, it is estimated that 463 million people worldwide live with this condition, and that by 2030, 578 million, or by 2045, 700 million people will be affected worldwide. Around 40% to 60% of non-traumatic lower limb amputations in the world are caused by diabetic complications, while 80% of these amputations are accompanied by a diabetic foot ulcer. Amputations caused by diabetes have a high mortality rate with a five-year survival rate of 41% to 48%. Even in patients with minor amputations, the five-year survival rate is only 59%. The aim of the research is to examine the impact of health care on the outcome of treatment of patients with diabetic foot. The study is prospective-descriptive, includes 40 patients who visited the diabetes clinic of the Public institution Sarajevo Canton Health Center. The anonymous survey was conducted using a specially created questionnaire created as a result of a literature search and existing similar questionnaires. Patients are educated on the importance of proper foot care and are satisfied with the health care provided. Diabetic foot ulcers are among the most common complications of patients with poorly controlled diabetes mellitus. They are usually the result of poor glycemic control, underlying neuropathy, peripheral vascular disease, or poor foot care
References
Armstrong, D. G., Boulton, A. J., & Bus, S. A. (2017). Diabetic foot ulcers and their recurrence. New England Journal of Medicine, 376(24), 2367-2375.
Heljić, B., Hrisafović, Z., Velija, Z., Bureković, A., & Stevanović, D. (2005). Vodič za diabetesmellitus,Sarajevo http://www.kcus.ba/updf/11_Vodic%20za%20diabetes%20mellitus%202005.pdf
Colberg, S.R., Sigal, R.J., Yardley, J.E. i sar. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065– 2079
Choudhry Abid Nazir, S., & Nawaz, R. (2019). Severity and outcome of patients presenting with diabetic foot at Tertiary Care Center at Gujrat. Pakistan Journal of Medical and Health Sciences. 2019;13(4):1024–1026
Hambleton, I.R., et al. (2009). All-cause mortality after diabetes-related amputation in Barbados: a prospective case-control study. Diabetes care, 2009, 32.2: 306-307.
Hingorani, A. et al. (2016). The management of diabetic foot: a clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. Journal of vascular surgery, 2016, 63.2: 3S-21S.
Hrvatski zavod za javno zdravstvo Šećerna bolest, Zagreb, 2017. dostupno na https://www.hzjz.hr/aktualnosti/secerna-bolest/
IDF Diabetes Atlas 9. izdanje ; 2019. Dostupno na: https://diabetesatlas.org/en/ .
Ibrahim, A. (2017). IDF Clinical Practice Recommendation on the Diabetic Foot: A guide for healthcare professionals. Diabetes research and clinical practice, 127, 285-287.
International Diabetes Federation. Clinical Practice Recommendatio on the Diabetic Foot: A guide for health care professionals: International Diabetes Federation, 2017.
Jalilian, M., Sarbarzeh, P. A., & Oubari, S. (2020). Factors related to severity of diabetic foot ulcer: a systematic review. Diabetes, metabolic syndrome and obesity: targets and therapy, 13, 1835.
Lučkin, A., Katica, M., Mohamed, R. S. A., Mrkulić, E., Mizdrak, A., & Alihodžić, A. (2023). Ulcus Diabetica Hallucis Pedis: The Importance of Timely Treatment. Albanian Journal of Trauma and Emergency Surgery, 7(1), 1213-1217.
Oliver, T. I., & Mutluoglu, M. (2019). Diabetic foot ulcer.
Saeedi, P., et al. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes research and clinical practice, 157: 107843.
Shahbazian, H., Yazdanpanah, L., & Latifi, S. M. (2013). Risk assessment of patients with diabetes for foot ulcers according to risk classification consensus of International Working Group on Diabetic Foot (IWGDF). Pakistan journal of medical sciences, 29(3), 730.
Shaw, J. E., Sicree, R. A., & Zimmet, P. Z. (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice, 87(1), 4-14.
Špehar, B., & Maćešić, B. (2013). Patronažna zdravstvena zaštita osoba oboljelih od šećerne bolesti. Sestrinski glasnik, 18;3:215.
World Health Organization (WHO): Global report on diabetes 2016
Zumbaira, M., Malika, A., & Ahmadb, J. (2012). Incidence, risk factors for amputation among patients with diabetic foot ulcer in a North Indian tertiary care hospital. The Foot, 22, 24–30.
