Efectos psicosociales como factor determinante en los trastornos vasculoperiféricos del pie diabético en pacientes atendidos en el Hospital León Becerra en un período de 6 meses desde el 2 de noviembre del 2014 al 2 de mayo del 2015
No hay miniatura disponible
Fecha
2015
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
´´Efectos psicosociales como factor determinante en los trastornos vasculoperifericos del pie diabético en pacientes atendidos en el hospital león becerra en un periodo de 6 meses desde el 2 de noviembre del 2014 al 2 de mayo del 2015 ´´. YAJAYRA LILIBETH PIZARRO LOOR INTERNA de la carrera de medicina. Universidad estatal de Guayaquil Escuela de Medicina.
Más de la mitad del total de amputaciones de extremidad inferior tiene origen diabético. De hecho, la ulceración del pie es un problema creciente en todo el mundo y existen pocas pruebas que muestren una reducción del número de úlceras y amputaciones del pie en personas con diabetes. Debemos mejorar nuestra comprensión de los factores psicosociales implicados en el desarrollo de las úlceras de pie diabético y de la manera en que las lesiones diabéticas del pie influyen sobre el funcionamiento diario y la calidad de vida de la persona.
Según el Consenso Internacional sobre Pie Diabético, es una infección, ulceración o destrucción de los tejidos profundos relacionados con alteraciones neurológicas y distintos grados de enfermedad vascular periférica en las extremidades inferiores que afecta a pacientes con diabetes mellitus.
Las herramientas empleadas tales como la observación y las encuestas tuvieron una gran importancia en esta investigación ya que ayudo a descubrir motivos principales que deterioran la vida del paciente, El pie del paciente diabético es muy sensible a todas formas de traumatismos: el talón y las prominencias óseas resultan especialmente vulnerables, los daños a los nervios periféricos de los pies provocan trastornos sensoriales, úlceras de la planta del pie, atrofia de la piel. El objetivo de esta investigación es definir la problemática y recomendar prevenciones para evitar en un
VII
futuro consecuencias como estas, y si por tal motivo ya las padece el objetivo sería como curar un pie diabético y evitar consecuencias tales como las amputaciones.
Las úlceras del pie en los pacientes diabéticos constituyen un gran problema de salud pública que genera un alto costo para el paciente, sus familiares y los sistemas de salud. Son la principal causa de amputación no traumática de las extremidades inferiores. El pie diabético es considerado un síndrome clínico de origen multifactorial que incluye factores neuropáticos, angiopáticos e infecciosos que producen daño tisular y determinan el pronóstico de la extremidad. En la evaluación del pie diabético resulta clave el reconocimiento de la úlcera, presencia de infección, así como el estado vascular de la extremidad, de allí la importancia del uso de clasificaciones que estandaricen las diversas definiciones, permitan evaluar el curso clínico y los resultados de distintas terapias. El tratamiento del pie diabético debe enfocarse principalmente en los mecanismos patogénicos desencadenantes, ameritando atención multidisciplinaria para lograr el mejor pronóstico para el paciente.
En conclusión hay muchas maneras de prevenir el trastorno vasculoperifericos ya que juega un rol importante prevenir para así evitar en un futuro consecuencias como el pie diabético posteriormente a la amputación.
Psychosocial''Efectos as a factor in diabetic foot vasculoperifericos disorders in patients treated at the hospital heifer lion over a period of six months''. Yajayra LILIBETH Pizarro PRAISE INTERNAL medical career. Guayaquil State University School of Medicine. More than half of all lower extremity amputations related to diabetes. Indeed, foot ulceration is a growing problem worldwide and there is little evidence of a reduction in the number of foot ulcers and amputations in people with diabetes. We must improve our understanding of the psychosocial factors involved in the development of diabetic foot ulcers and how diabetic foot lesions in fluence on daily functioning and quality of life of the person. According to the International Consensus on the Diabetic Foot is an infection, ulceration or deep tissue destruction associated with neurological and different degrees of peripheral vascular disease in the lower limbs that affects patients with diabetes mellitus alterations. The tools used such as observation and surveys were very important in this research because it helped discover main reasons that impair the patient's life, diabetic patient's foot is very sensitive to all forms of trauma: the heel and prominences bone are particularly vulnerable, damage to the peripheral nerves of the feet cause sensory disorders, ulcers of the foot, skin atrophy. The objective of this research is to define the problem and recommend preventive measures to avoid future consequences how are you, and if for that reason and suffers serious goal as heal a diabetic foot and avoid consequences such as amputations. IX Foot ulcers in diabetic patients are a major public health problem that generates a high cost to the patient, family and health systems. Are the leading cause of non-traumatic amputation of the lower extremities. The diabetic foot is considered a multifactorial clinical syndrome that includes neuropathic angiopáticos and infectious factors that cause tissue damage and determine the prognosis of the limb. The evaluation is key diabetic foot ulcer recognition, presence of infection and the vascular status of the limb, hence the importance of using classifications that standardize the various definitions, to evaluate the clinical course and outcome of different therapies. Treatment of diabetic foot should focus primarily on the trigger pathogenic mechanisms, meriting multidisciplinary care to achieve the best outcome for the patient. In conclusion there are many ways to prevent vasculoperifericos disorder because it plays an important role in prevention to avoid future consequences as subsequently diabetic foot amputation.
Psychosocial''Efectos as a factor in diabetic foot vasculoperifericos disorders in patients treated at the hospital heifer lion over a period of six months''. Yajayra LILIBETH Pizarro PRAISE INTERNAL medical career. Guayaquil State University School of Medicine. More than half of all lower extremity amputations related to diabetes. Indeed, foot ulceration is a growing problem worldwide and there is little evidence of a reduction in the number of foot ulcers and amputations in people with diabetes. We must improve our understanding of the psychosocial factors involved in the development of diabetic foot ulcers and how diabetic foot lesions in fluence on daily functioning and quality of life of the person. According to the International Consensus on the Diabetic Foot is an infection, ulceration or deep tissue destruction associated with neurological and different degrees of peripheral vascular disease in the lower limbs that affects patients with diabetes mellitus alterations. The tools used such as observation and surveys were very important in this research because it helped discover main reasons that impair the patient's life, diabetic patient's foot is very sensitive to all forms of trauma: the heel and prominences bone are particularly vulnerable, damage to the peripheral nerves of the feet cause sensory disorders, ulcers of the foot, skin atrophy. The objective of this research is to define the problem and recommend preventive measures to avoid future consequences how are you, and if for that reason and suffers serious goal as heal a diabetic foot and avoid consequences such as amputations. IX Foot ulcers in diabetic patients are a major public health problem that generates a high cost to the patient, family and health systems. Are the leading cause of non-traumatic amputation of the lower extremities. The diabetic foot is considered a multifactorial clinical syndrome that includes neuropathic angiopáticos and infectious factors that cause tissue damage and determine the prognosis of the limb. The evaluation is key diabetic foot ulcer recognition, presence of infection and the vascular status of the limb, hence the importance of using classifications that standardize the various definitions, to evaluate the clinical course and outcome of different therapies. Treatment of diabetic foot should focus primarily on the trigger pathogenic mechanisms, meriting multidisciplinary care to achieve the best outcome for the patient. In conclusion there are many ways to prevent vasculoperifericos disorder because it plays an important role in prevention to avoid future consequences as subsequently diabetic foot amputation.
Descripción
Palabras clave
Pie diabético, Enfermedades vasculares, Hospital General Dr. León Becerra Camacho, Cantón Milagro, Ecuador, Factores sociales, Factores psicológicos