Ošetřovatelské perspektivy 2021, 4(1):71-81 | DOI: 10.25142/osp.2021.003

DIABETIC LEG SYNDROME DETERMINANTS

Mária Šupínová1, Elena Janiczeková1, Júlia Jankovičová1,2
1 Fakulta zdravotníctva SZU so sídlom v Banskej Bystrici
2 FOZOŠ SZU v Bratislave

Background: Diabetic foot syndrome (DFS) is one of the most common late complications of diabetes, which significantly affects the quality of life of patients with   diabetes.

Aim: The aim of the paper is to interpret the results of the analysis of the acting determinants in patients with diabetic foot  syndrome.

Methods: The method of analysis of medical records of patients with diabetic foot syndrome was used. The group included 30 patients with dg. Type I DM with complication of diabetic foot syndrome.

Results: The average age of the respondents was 34.67 years. The BMI of men was statistically higher than that of women. The average duration of DM was 13.67 years,  the average duration of non-healing wounds was 2.2 months. The glycated hemoglobin HbA1c values of all three measurements, as well as the total mean values of all three measurements, statistically significantly exceeded he reference value of 7.5%. HbA1c values were not related to gender,  age, or BMI values of respondents. There was a significant correlation between the duration of the non-healing  wound and HbA1c values (r = 0.6396) and adherence to dietary principles and HbA1c (p = 0,0094 < α = 0,01).

Conclusion: Glycated hemoglobin levels, as a manifestation of diabetes compensation, are related to the incidence and duration of non-healing wounds. Non-compliance with regimen measures indicates the need for more effective education of patients with dg. diabetes mellitus, searching for people at risk at risk for diabetic foot syndrome. A multidisciplinary approach is necessary in the prevention and care of diabetic  foot.

Keywords: diabetes mellitus I. type, diabetic foot syndrome, glycated hemoglobin, regime measures

Received: February 28, 2021; Revised: March 29, 2021; Accepted: April 7, 2021; Prepublished online: April 8, 2021; Published: September 21, 2021  Show citation

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Šupínová M, Janiczeková E, Jankovičová J. DIABETIC LEG SYNDROME DETERMINANTS. Ošetřovatelské perspektivy. 2021;4(1):71-81. doi: 10.25142/osp.2021.003.
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References

  1. BANDYK, D. F. The diabetic foot: Pathophysiology, evaluation, and treatment. Semin Vasc Surg. Jun-Dec 2018, vol. 31, no. 2-4, p. 43-48. DOI: 10.1053/j.semvascsurg.2019.02.001. Go to original source... Go to PubMed...
  2. JIRKOVSKÁ, A. et al. Syndrom diabetické nohy. Praha: Maxdorf, 2006. ISBN 978-80- 7345-095-3.
  3. KMECOVÁ, D. Syndróm diabetickej nohy - diagnostika, prevencia a liečba. Via practica. [online]. 2016, č. 6, s. 187-190. ISSN 1339-424X. Dostupné z: https://www.solen.sk/ storage/file/article/b4e618a19064cba7ccc43e229178b3ef.pdf.
  4. LIM, J. Z. M., LYNN, N. G. N. S., THOMAS, C. Prevention and treatment of diabetic foot ulcers. Journal of the Royal Society of Medicine. 2017, vol. 110, no. 3, p. 104-109. Available from: ttps://doi.org/10.1177/0141076816688346. Go to original source... Go to PubMed...
  5. METELKO, Z., CRKVENCIĆ, N. B. Prevention of diabetic foot. Acta Med Croatica. 2013, Oct., vol. 67, Suppl. 1, 35-44. PMID: 24371974.
  6. NATHER, A., CAO, S., CHEN, J. L. W., LOW, A. Y. Prevention of diabetic foot complications. Singapore Medical Journal. 2018, Jun, vol. 59, no. 6, 291-294. DOI: 10.11622/smedj.2018069. Go to original source... Go to PubMed...
  7. NOOR, S., ZUBAIR, M., AHMAD J. Diabetic foot ulcer-A review on pathophysiology, classification and microbial etiology. Diabetes Metab Syndr. Jul.-Sep. 2015, vol.9, no. 3, 192-1999. DOI: 10.1016/j.dsx.2015.04.007. Go to original source... Go to PubMed...
  8. PHILLIPS, A., MEHL, A. A. Diabetes mellitus and the increased risk of foot injuries. Journal Wound Care. 2015 May, vol. 24, no. 5, Suppl 2, 4-7. DOI: 10.12968/jowc.2015.24. Sup5b.4. Go to original source... Go to PubMed...
  9. SUTKOWSKA, E., SUTKOWSKI, K., SOKOŁOWSKI, M., FRANEK, E., DRAGAN, S., Sr.Distribution of the Highest Plantar Pressure Regions in Patients with Diabetes and Its Association with Peripheral Neuropathy, Gender, Age, and BMI: One Centre Study. Journal Diabetes Res. 2019. DOI: 10.1155/2019/7395769. Go to original source... Go to PubMed...
  10. VIRGULOVÁ, J., SCHEDOVÁ, D. Kvalita života seniorov z pohľadu miery nezávislosti.Profese. 2013, roč. 6, č. 1, s. 35-39. ISSN 1803-4330. Go to original source...

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