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Advisor(s)
Abstract(s)
Objetivos – Compreender a relação entre as pressões plantares e a ocorrência de úlceras em indivíduos com pé diabético neuropático, utilizando este fator como um possível método de avaliação e identificação de risco. Averiguar a associação entre os dados epidemiológicos e a ocorrência de úlcera. Identificar o valor indicativo de úlcera. Métodos – Realizou-se um estudo epidemiológico quantitativo transversal e correlacional através da recolha de informação sociodemográfica e clínica dos participantes e realização de testes de sensibilidade para identificação de neuropatia. A amostra (N=60) foi dividida em dois grupos: pessoas com diabetes e neuropatia e sem neuropatia. Foram realizadas avaliações podológicas com recurso a uma plataforma baropodométrica e, posteriormente, análises estatísticas com os resultados obtidos. Resultados – Existe associação entre a idade, o género e o índice de massa corporal (IMC) elevado com a ocorrência de neuropatia. Mais de metade da população com diabetes em estudo tem neuropatia periférica associada. A presença de deformidades nos pés dos indivíduos da amostra revelou ter influência na ocorrência de úlcera, assim como os valores de pressão plantar pico (PPP) e integral pressão-tempo (IPT). Pode-se admitir que o valor de PPP de 88,06 kPa é um valor de referência para o desenvolvimento de úlcera. Conclusão – Existe uma relação entre as pressões plantares (PP) e a ocorrência de úlceras. A análise podológica numa plataforma baropodométrica permite perceber se o individuo está ou não em risco de desenvolver uma úlcera. Este estudo apresenta um possível valor de PPP que serve como indicador de desenvolvimento de úlcera no pé diabético.
ABSTRACT: Objectives – To understand the relationship between plantar pressures and the ulcers’ occurrence in individuals with neuropathic diabetic foot, using this factor as a possible method of risk assessment and identification. To investigate the association between the epidemiological data and the ulcer’s occurrence. To identify an indicative value for its occurrence. Methods – A quantitative cross-sectional, correlational, and epidemiological study was carried out by collecting sociodemographic and clinical information from the participants and conducting sensitivity tests to identify neuropathy. The sample (N = 60) was divided into two groups: neuropathic diabetics and non-neuropathic diabetics. Podological evaluations were performed using a baropodometric platform, and later statistical analyses were made with the results obtained. Results – There is an association between age, gender, and increased BMI with the occurrence of neuropathy. More than half of the diabetic population in the study has associated peripheral neuropathy. The presence of deformities in the feet of the individuals in the sample was shown to have an influence on the occurrence of ulcers, as well as PPP and IPT values. It can be assumed that the value 88.06 kPa is a reference value for the development of an ulcer. Conclusions – There is a relationship between PP and the occurrence of ulcers. Podological analysis on a baropodometric platform allows us to understand whether or not the patient is at risk of developing an ulcer. This study shows a possible PPP value that serves as an indicator of the development of an ulcer on a diabetic foot.
ABSTRACT: Objectives – To understand the relationship between plantar pressures and the ulcers’ occurrence in individuals with neuropathic diabetic foot, using this factor as a possible method of risk assessment and identification. To investigate the association between the epidemiological data and the ulcer’s occurrence. To identify an indicative value for its occurrence. Methods – A quantitative cross-sectional, correlational, and epidemiological study was carried out by collecting sociodemographic and clinical information from the participants and conducting sensitivity tests to identify neuropathy. The sample (N = 60) was divided into two groups: neuropathic diabetics and non-neuropathic diabetics. Podological evaluations were performed using a baropodometric platform, and later statistical analyses were made with the results obtained. Results – There is an association between age, gender, and increased BMI with the occurrence of neuropathy. More than half of the diabetic population in the study has associated peripheral neuropathy. The presence of deformities in the feet of the individuals in the sample was shown to have an influence on the occurrence of ulcers, as well as PPP and IPT values. It can be assumed that the value 88.06 kPa is a reference value for the development of an ulcer. Conclusions – There is a relationship between PP and the occurrence of ulcers. Podological analysis on a baropodometric platform allows us to understand whether or not the patient is at risk of developing an ulcer. This study shows a possible PPP value that serves as an indicator of the development of an ulcer on a diabetic foot.
Description
Keywords
Pé diabético Úlcera de pressão Pressão plantar Prevenção na saúde Plataforma baropodométrica Diabetic foot Plantar pressure Health prevention Ulcer Baropodometric platform Portugal
Citation
Leal C, Assis M, Lima M, Figueira M, Lima D, Matos JP. Relevância das pressões plantares como medida de prevenção de ulceração em pessoas com pé diabético em Portugal. Saúde & Tecnologia. 2019;(21):51-9.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa