Diyabet Hastalarının Diyabetik Ayak Ülseri Hakkında Bilgi Düzeylerinin ve Ayak Bakımı Uygulamalarının Değerlendirilmesi

Amaç: Diyabetin komplikasyonlarından birisi olan diyabetik ayak yarası (DAY) uzuv kayıpları ve hatta ölümle sonuçlanan önlenebilirbir tablodur. Diyabetik hastalara verilen eğitimlerle DAY gelişme oranı %50 azaltılabilmektedir. Çalışmada diyabetik hastaların ayakbakımı hakkındaki bilgi düzeylerini ve bilgilendirilmiş hastaların doğru uygulama becerilerini ölçmeyi amaçladık. Ayrıca DAY gelişmişhastaları da çalışmaya dahil ederek diyabetik ayak yarası gelişmesinde eğitimin önemini araştırmayı amaçladık.Gereç ve Yöntemler: Aile hekimliği polikliniğinde diyabet eğitimi alan ve genel cerrahi kliniğinde DAY nedeniyle takip edilmişdiyabetik hastalar değerlendirildi. Hastalara DAY hakkındaki bilgi düzeylerini ve doğru uygulama düzeylerini ölçen soruları içerenanketler yapıldı. DAY gelişmiş ve gelişmemiş hastalar karşılaştırıldı.Bulgular: Eğitim düzeyi düşük, sigara kullanan, 10 yıldan daha uzun süredir diyabetik olan, düzenli kontrole gitmeyen, kan şekeriregülasyonu sağlanamamış, günlük diyete uymayan, diyabet eğitimi almamış hastalarda DAY gelişme oranının istatistiksel olarakanlamlı düzeyde yüksek olduğu tespit edildi. DAY gelişmiş hastaların bilgi düzeyleri ölçümü anketine verdikleri cevapların ve günlükuygulamalarının da diğer hastalara göre istatistiksel olarak anlamlı düzeyde yanlış olduğu tespit edildi.Sonuç: Hastalar, diyabetik ayak bakımı ile ilgili yeterli bilgi düzeyine sahip değiller. Diyabetik ayak eğitimi verilmiş kişilerde de bubilgilerin gündelik hayatta uygulama oranı çok düşüktür. Bu durum diyabetik hastalarda tek başına DAY oluşma riskini artırmaktadır

Anahtar Kelimeler:

diyabetik ayak, anket, DAY

Measurement of Diabetic Patients’ Knowledge About Diabetic Foot Wound and Evaluation of Foot Care Practices

Aim: Diabetic foot ulcer (DFU), a complication of diabetes, is a preventable condition that results in limb losses and even death. Withthe training given to diabetic patients, DFU occurrence rate is reduced by 50%. In this study, we aimed to measure the knowledge levelof diabetic patients about foot care and the correct application skills of informed patients. In addition, we aimed to investigate theimportance of education in the development of diabetic foot wound by including the patients with DFU in the study.Material and Methods: Diabetic patients who received diabetes education in the family medicine clinic and who were followed upfor DFU in the general surgery clinic were evaluated. Questionnaires about the level of knowledge about DFU and the level of correctapplication were applied to the patients about the level of knowledge about DAY and the level of correct application. The patients withDFU were compared with nonDFU patients.Results: The rate of DFU was found to be significantly higher in the patients who had low level of education, who had been smoking,who had been diabetic for more than 10 years, who did not go to regular control, who could not regulate blood sugar, who did not meetdaily diet, and who had not received diabetes education. It was found that the answers and daily practices of DFU-developed patients intheir knowledge-level questionnaire were statistically significantly incorrect compared to the other patients.Conclusion: Patients do not have enough knowledge about diabetic foot care. The rate of application of this information in daily life isvery low in people who have been given diabetic foot training. This situation increases the risk of DFU occurrence in diabetic patients

Keywords:

diabetic foot, survey,

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