Diabetic foot syndrome: an analysis of the causes, health and social background of patients

Jitka Pokorná¹, Eva Goldová²
¹ University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Nursing, Midwifery and Emergency Care, České Budějovice, Czech Republic ² České Budějovice Hospital, J.S.C, Department of Surgery, České Budějovice, Czech Republic

Korespondenční autor: Jitka Pokorná (pokjitka@seznam.cz)

ISSN 1804-7181 (On-line)

Full verze:

Submitted:11. 9. 2017
Accepted: 26. 10. 2017
Published online: 31. 12. 2017

Summary

Diabetic foot syndrome is defined as ulceration or foot tissue deterioration in diabetics. It is a serious problem, especially regarding the length and costs of treatment, the high risk of amputation and social and economic liability. The goal of the study was to find the cause of diabetic foot syndrome in inpatients of the Department of Surgery in České Budějovice hospital and to assess the health and social background of patients. The results were acquired using a secondary data analysis of medical records as well as by a qualitative research using the open question method, which contained a question on the cause of the diabetic foot wound. The patients were hospitalized at the Department of Surgery in České Budějovice hospital in 2012, 2013, 2014 and 2015 with a diabetic foot diagnosis. The sample group contained of 277 patients (201 men – 73% and 76 women – 27%). Patients with the highest risk of diabetic foot syndrome are men between 61 and 70 years, men living in the countryside, married men or pensioners. Most patients caused the injury by wearing the wrong type of shoes, walking barefoot, wrong nail treatment, having hard skin, and not treating mycosis and cracks. 34% of patients do not know the cause of the ulceration. Most patients have lived with diabetes for less than 10 years (15 years on average). It is possible to prevent a number of ulcerations by following recommended procedures.

Keywords: diabetic foot syndrome; health and social background; diabetic foot cause; limb amputation

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