Abstract

BERNAL PEDRENO, Eloísa; SALCES SAEZ, Esther  and  SAMBRUNO GIRALDEZ, Antonia. Examination of the foot of diabetic patients in a haemodialysis unit. Rev Soc Esp Enferm Nefrol [online]. 2009, vol.12, n.2, pp.35-40. ISSN 1139-1375.

The objectives of the Andalusian Health Plan and the Integral Diabetes Plan of Andalusia include a reduction in amputations and an improvement in care for patients with this disease. Adequate prevention and correct treatment can reduce amputations by up to 85%. Our goal was to evaluate the prevalence of the "Risk of injury related to sensorial dysfunction and tissue hypoxy" and carry out a risk-based classification, for better monitoring and prevention of ulcers and amputations. We carried out a descriptive, transversal study on diabetic patients undergoing haemodialysis to classify them according to the risk, following the evidence- based diabetes management guide of the Scottish Intercollegiate Guidelines Network. In 77.4% of patients, the risk of diabetic foot had never been assessed. Of the patients, 34.48 presented a high risk of injury, 34.48% moderate risk and 22.58 low risk. 6.45% presented diabetic foot. The absence of any prior examination in most patients shows inadequate monitoring. The high prevalence of risk of injury shows the need for protocolized monitoring.

Keywords : Haemodialysis; Diabetic foot; Prevention of amputationss.

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