Aspectos médicos de la importancia de la desbridación del tejido del pie diabético para su recuperación
Fecha
2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes. El pie diabético es la infección y destrucción de tejidos profundos asociado con alteraciones neurológicas y varios grados de enfermedad vascular periférica en la extremidad inferior; de los diabéticos. Objetivo. Analizar los aspectos médicos de calidad en la desbridación del tejido del pie diabético para su recuperación en los pacientes atendidos en el hospital del día Ochoa del cantón “El Empalme”, periodo de julio a octubre del 2016. Metodología. Enfoque cuantitativo, diseño no experimental, descriptivo de corte transversal. Resultados. El masculino fue mayor con 52% al femenino del 48%; grupo etario mayormente afectado fue de 40 a 50 años (43%), 51 a 60 años (31%). La escolaridad fueron de primaria 65%; fumadores 29%, hipertensos 57%, sedentarismo y diabetes de más de 10 años el 76% respectivamente; antecedente de neuropatía diabética del 29%. Conocimiento de la desbridación en el tratamiento del pie diabético y sigue un protocolo, que si conocían el 82% respectivamente. El tratamiento con apósito lo realizaban con solución salina el 52% y aplicación de iruxol 30%, mientras que 18% no se aplicó ningún tratamiento. Referente al coste del tratamiento del pie diabético era elevado expresó el 62%. Conclusiones: El nivel de conocimientos sobre diabetes mellitus y del manejo de preventivo y curativo sobre el pie diabético es relativamente bajo, por lo que se necesitan implementar nuevas estrategias para que la población obtenga más información acerca del tema y concientizar más a la población para implementar estrategias de detección y prevención oportuna.
Background. Diabetic foot is the infection and destruction of deep tissue associated with neurological alterations and several degrees of peripheral vascular disease in the lower extremity; of diabetics. Objective. To analyze the medical aspects of quality in the debridement of the diabetic foot tissue for its recovery in the patients treated at the Ochoa hospital in the "El Empalme" district, from July to October, 2016. Methodology. Quantitative approach, non-experimental, descriptive, cross-sectional design. Results. The male was higher with 52% to the female of 48%; the most affected age group was 40 to 50 years (43%), 51 to 60 years (31%). Primary schooling was 65%; Smoking 29%, hypertensive 57%, sedentarism and diabetes of more than 10 years 76% respectively; Antecedent of diabetic neuropathy of 29%. Knowledge of the debridement in the treatment of the diabetic foot and follows a protocol, that if they knew 82% respectively. The treatment with dressing was performed with saline solution 52% and application of 30% iruxol, while 18% did not apply any treatment. Concerning the cost of treatment of diabetic foot was high expressed 62%. Conclusions: The level of knowledge about diabetes mellitus and the management of preventive and curative treatment of diabetic foot is relatively low. Therefore, new strategies need to be implemented so that the population can obtain more information about the subject and raise the awareness of the population to implement Timely detection and prevention strategies.
Background. Diabetic foot is the infection and destruction of deep tissue associated with neurological alterations and several degrees of peripheral vascular disease in the lower extremity; of diabetics. Objective. To analyze the medical aspects of quality in the debridement of the diabetic foot tissue for its recovery in the patients treated at the Ochoa hospital in the "El Empalme" district, from July to October, 2016. Methodology. Quantitative approach, non-experimental, descriptive, cross-sectional design. Results. The male was higher with 52% to the female of 48%; the most affected age group was 40 to 50 years (43%), 51 to 60 years (31%). Primary schooling was 65%; Smoking 29%, hypertensive 57%, sedentarism and diabetes of more than 10 years 76% respectively; Antecedent of diabetic neuropathy of 29%. Knowledge of the debridement in the treatment of the diabetic foot and follows a protocol, that if they knew 82% respectively. The treatment with dressing was performed with saline solution 52% and application of 30% iruxol, while 18% did not apply any treatment. Concerning the cost of treatment of diabetic foot was high expressed 62%. Conclusions: The level of knowledge about diabetes mellitus and the management of preventive and curative treatment of diabetic foot is relatively low. Therefore, new strategies need to be implemented so that the population can obtain more information about the subject and raise the awareness of the population to implement Timely detection and prevention strategies.
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PIE DIABÉTICO, DESBRIDAMIENTO, EPIDEMIOLOGÍA DESCRIPTIVA, HOSPITAL DEL DIA OCHOA, CANTÓN EL EMPALME, ECUADOR