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Evaluation of diabetic patients’ knowledge about preventive care of the diabetic foot, in Maringá, PR, Brazil

Abstract

Background

One of the consequences of the current phenomenon of population aging is an increasing predominance of chronic diseases, such as diabetes, which is associated with a high risk of chronic and acute complications. Diabetic foot (DF) is of particular concern because of its high incidence and significant potential to mutilate.

Objective

To assess knowledge about DF prevention in the diabetic population of primary care health centers (PHCC) in Maringá, PR, Brazil.

Methods

This was a descriptive, quantitative study conducted by interview survey. The study population comprised 80 patients with diabetes registered at PHCCs in Maringá, PR, Brazil. Data collection encompassed sociodemographic and epidemiological data, and behavior related to diabetes control and self-care for DF prevention.

Results

Nine of the interviewees did not take any type of test or undergo any examinations for diabetes control. The predominant monthly income bracket was less than the minimum wage. Neither educational level nor monthly income were relevant to knowledge about preventative care for DF or to better compliance with healthy lifestyle habits. Care of DF tends to improve to the extent that there is a clearer understanding of the factors that lead to limb loss and an increase in consensus on managing the various different clinical features of caring for the feet.

Conclusions

There is a lack of knowledge about preventative measures, even among patients who have a reasonable level of education, resulting in deficient self-care behavior.

Keywords:
diabetic foot; primary prevention; knowledge; diabetes

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