Quality of care of patients with diabetic foot problems in Barbados
West Indian med. j
; West Indian med. j;47(3): 98-101, Sept. 1998.
Article
em En
| LILACS
| ID: lil-473403
Biblioteca responsável:
BR1.1
ABSTRACT
In Barbados diabetics with foot problems account for 80of the patients in the female and 50of those in the male general surgery wards, and many patients have major amputations for preventable problems. A six month prospective study was undertaken of all cases admitted with foot problems to the general surgical wards of the Queen Elizabeth Hospital (QEH) in order to determine the quality of foot care, particularly among diabetics. 67.5of the 195 patients (55female) admitted to the study were diabetic, most of whom were diagnosed 10 to 19 years previously. Most of the patients were 70 to 80 years old, but significantly more diabetics than non-diabetics were 40 to 70 years old. Foot problems in diabetics were precipitated by events that are considered trivial in non-diabetic patients. 87 (58) of 150 responding patients had their feet inspected by health personnel in the previous year. 47 (63.5) of the 74 who responded about the care of their nails said that they took care of their nails themselves. Nearly 40of diabetic and non-diabetic patients had no reported source of care before their admission. 14 patients (10 diabetic) sought care the same day and 11 (nine diabetics) the day after noticing foot problems. Most patients presented with infection as part of their problem; recognition of the early signs of infection should be an integral part of the education of the diabetic patient. Educational efforts for patients must be continually reinforced because many patients said they had had no education about the care of their feet in the previous year.
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Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Pé Diabético
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
Barbados
/
Caribe ingles
Idioma:
En
Revista:
West Indian med. j
Assunto da revista:
MEDICINA
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
Barbados
País de publicação:
Jamaica