Percepção sensorial perturbada (tátil) nos pés de pessoas com diabetes tipo 2, em atendimento ambulatorial
Data
2010-03-31
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Universidade Federal de Goiás
Resumo
Attention to health in individuals with diabetes reaches better outcomes when carried out by multidisciplinary teams, in which nursing is inserted. Follow up may be favored by the
use of terminology specific to the area, namely, North America Nursing Diagnosis Association taxonomy, which presents nursing diagnosis (ND) disturbed sensory
perception , which seems to describe the human response of decreased sensibility in the feet of patients with diabetes. Diabetes complications may lead to decreased tactile
sensory perception in the extremities. It can lead to complications such as ulcerations and amputation of limbs, causing increased morbidity and mortality. Despite this fact,
Nursing studies under the perspective of identifying disturbed sensory (tactile) perception in the feet for care of individuals with diabetes are scarce. This study aimed at assessing the occurrence of ND disturbed sensory (tactile) perception in the feet in individuals with type 2 diabetes. This is a transversal observational clinic study, carried out in the endocrinology laboratory at a school hospital in the municipality of Goiânia-GO, from May to October in 2009. Data was collected through clinical assessment and reports
using standard questionnaire. The 55 individuals assessed consisted of 36 (65.5%) female and 19 (35.5%) male with average age of 59.4 (+/- 10.6 years, Diabetes diagnosis
time of 14 years on average, ranging from 1 to 32 years. We identified that 61.8% of the participants showed some kind of complication due to the disease, and 43.6% reported
having had previous ulcers in their feet. The median for glycosylated hemoglobin among participants was 8.4%, being 80.9% had values higher than the recommended ones. The
found median for capillary glycemia was 240.0 mg/dL, being 83.6% of all participants showed higher values than the recommended ones. Forty-seven individuals (85.5%)
showed disturbed sensory (tactile) perception in the feet . Concerning related factors, all have presented biochemical imbalance, 78.7% psychological stress, 21.8% altered
transmission and reception, and 21.3% electrolytic imbalance. Concerning defining characteristics, all presented changes in the usual response to stimuli and changes in sensorial acuity and 83.0% sensorial distortions. There was no statistically significant association between ND studied with social demographic and morbidity variables. The outcomes indicate that this phenomenon deserves special attention from nurses, due to its high prevalence and severity of complications. This study also evidences the usefulness of permanence and refining this diagnosis in the NANDA taxonomy.
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MILHOMEM, Alyne Coelho Moreira. Disturbed sensory (tactile) perception in the feet of outpatients with type 2 diabetes. 2010. 99 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2010.