Showing 4 results for Diabetic Foot
Nayereh Salmani, Seyyed Vahide Hosseini,
Volume 2, Issue 2 (4-2010)
Abstract
OBJECTIVE: Foot ulcer in diabetic people has a negative effect on their quality of life. It can decrease social activities, and increase stress. It can also limit doing job tasks, and increase life financial burden and high medical expenses. So examination of feet and considering foot care in these patients are essential.
MATERIALS AND METHODS: This analytic-descriptive research was performed on 80 hospitalized diabetic patients in 2009 using questionnaires to assess their demographic data and self foot care. The subjects were selected in a convenience method.
RESULTS: Only 7.5% of subjects had been educated about self care to prevention of foot ulcer. Practice level in self care behaviors of 15% of them was good, 60% moderate and 25% low. There was a significant relationship between sex and the amount of foot care and between the histories of foot ulcer existence and the amount of foot care according to chi-square test.
CONCLUSION: Preventive measures can decrease the incidence of foot ulcer in diabetic people so it seems that providing educational programs about the ulcer and prevention methods is necessary to improve these patients' quality of life.
Hassan Mozaffari-Khosravi, Mohsen Haratian-Arab, Hosein Moein Tavakkoli, Azadeh Nadjarzadeh,
Volume 8, Issue 4 (12-2016)
Abstract
Objective: The current study was conducted to compare the effect of 150,000 and 300,000 IU of vitamin D on the healing status of diabetic foot ulcer among the patients with diabetes.
Materials and Methods: This randomized clinical trial was carried out on 47 patients with diabetic foot ulcer and vitamin deficiency during four weeks follow-up. The patients were randomly assigned into two groups; group G150 was administered 150000 IU of vitamin D and group G300 was administered 300000 IU of vitamin D. Serum 25-hydroxyvitamin D, ulcer area, fasting blood sugar (FBS), c-reactive protein (CRP), white blood cells (WBC) and erythrocyte sedimentation rate (ESR) were measured in both groups before and after intervention.
Results: Serum vitamin D level in both groups was significantly increased compared to the baseline (P<0.01). The mean of serum vitamin D changes were 12.6±5.0 and 18.4±6.4 ng/ml (P=0.001) in G150 and in G300, respectively. The ulcer area was significantly reduced in both groups compared to the baseline (P<0.01).WBC, ESR, FBS and CRP were significantly declined compared to the baseline in both groups. However, the mean changes of serum FBS and CRP levels were found to be significantly different between groups.
Discussion: The findings showed administration of 150,000 and 300,000 IU of vitamin D improved the ulcer and vitamin D status and reduced ESR, CRP, WBC and FBS in the patients with diabetic foot ulcer. In addition, the 300,000 IU of vitamin D was significantly more effective than 150,000 IU.
Seid Kazem Razavi Ratki, Mahshid Forooghnia, Seyed Mohammad Jalil Abrisham, Reza Nafisi Moghadam,
Volume 9, Issue 3 (9-2017)
Abstract
Orthosis and prosthesis is an expert knowledge in medical field including the design, fabrication and utilizing of orthosis and prosthesis. An orthosis is a device made of different types of material (plastic, aluminum, foam, leather, etc.) used externally on body segments to modify the structural or functional characteristics of musculoskeletal system to objectives such as: reducing pain, restriction or movements and redistribution of abnormal weight bearing pattern. Poor shoes fitting or abnormal friction may not be considered due to loss of senses in neuropathic diabetic patient. Untreating micro injuries may lead to ulceration and possibly even partial foot amputation. Deformities such as b:union:s, hammer toes, Charcot joint and also muscle weakness reported as secondary complications of neuropathy. It is suggested that in sub-acute stages of neuropathy with complication such as: Charcot joint, insensitive feet or muscles, orthotic prescription can be useful. The aim of this review was to assess the usefulness of therapeutic diabetic footwear (shoes) and insoles in treating diabetic foot.
Martins Ehizode Emuze, Taoreed Adegoke Azeez, Arinola Esan, Jokotade Adeleye, William Balogun, Temilola Akande,
Volume 13, Issue 3 (9-2021)
Abstract
Objective: Diabetic foot ulcer (DFU) is a relatively common complication of diabetes mellitus and constitutes a major cause of mortality. This study aimed to assess the knowledge of risk factors for foot ulceration among patients with diabetes in a tertiary health facility in South Western Nigeria.
Materials and Methods: This cross-sectional study was initiated with participation of 100 diabetic patients. Diabetic patients were attending the medical outpatient clinic of the University College Hospital, Ibadan. A structured and validated questionnaire was administered and data was analyzed using SPSS 22. Association between sociodemographic characteristics and knowledge of risk factors for foot ulceration was evaluated by chi-square test.
Results: Most of respondents were female (66%). The mean age of the patients was 58.77 (±11.8) years and 51% of patients did not know that it is possible to develop foot ulcer without feeling pain and 30% did not know that features suggestive of neuropathy could be associated with development of foot ulcer. 75% did not know that surgical vascular repair could play any role in the healing of a diabetic foot ulcer. 11% of patients were walking barefooted at home and as much as 63% of respondents did not know that poor long-term glycemic control could be a risk factor for the development of diabetic foot ulcers.
Conclusion: The knowledge of the patients attending the diabetes clinic of a tertiary hospital in south-western Nigeria on foot care is generally poor. Education in this direction is very paramount to correct this defect.
