Year 2016, Volume 1 , Issue 1, Pages 13 - 18 2016-03-05

Investigating the effects of education on diabetic foot: an interventional study from Turkey
Diyabetik ayakta eğitimin etkisinin araştırılması: Türkiye’den bir müdahale çalışması

Yusuf Güçlü [1] , İsmail Çıbık [2] , Mehmet Görgün [3] , Mehmet Helvacı [4] , Hüseyin Can [5]


ABSTRACT

Introduction: Diabetic foot wounds are one of the most important causes of long duration hospitalizations regarding diabetic patients. Lower extremity amputation risk is 15 to 40 times higher in diabetics compared to normal population. Methods for preventing diabetic foot wounds are providing good blood glucose regulation, appropriate shoe wearing, foot care, toe-nail care, regular foot examinations and patient education. We aimed to investigate the effects of education level of the patients and the caregivers on the diabetic foot wound.

Methods: 67 patients having diabetic foot wound applying to General Surgery, Internal Medicine and Diabetes outpatient clinics of Izmir Tepecik Education and Research Hospital in 2009 and 57 caregiver caring for these patients were analyzed prospectively with a face to face questionnaire for a correlation between education levels of patients and caregivers and Wagner staging of patients’ diabetic foot wounds and foot examination findings.

Results: It was found that education levels of patients and caregivers did not affect Wagner staging of the wounds (p=0.167), but patients with regular follow-up and previously educated for diabetic foot wounds had a lower stage of wound (p=0.021).

Conclusion: Education level of patients and caregivers was not found to be effective on the stage of the wound, but regular clinical follow-up and patient education had an decreasing  effect on the stage of wound. Whatever the patients’ education levels are, educations on diabetic foot care and providing regular follow up of patients at risk for diabetic foot will decrease the rates of extremity amputations.


Giriş: Alt ekstremite amputasyonu yapılan hastaların yaklaşık %40-60’ını diyabetik hastalar oluşturmaktadır. Diyabetik ayak yaraları, diyabetik hastaların hastanede uzun süre yatışlarının en önemli nedenlerindendir. Diyabet hastası olanlarda, normal popülasyona nazaran alt ekstremite amputasyon riski 15-40 kat daha fazladır.Yara oluşmadan yapılacak profilaksi ve oluşmuş olan diyabetik ayak yaralarının tedavisi, amputasyonları ve morbiditeyi %50 azaltmakta ve maliyeti düşürmektedir. Diyabetik ayak yaralarını önlemeye yönelik yöntemler; kan şekeri regülasyonu sağlanması, uygun ayakkabılar giyilmesi, ayak bakımı, ayak tırnağı bakımı, düzenli ayak muayenesi ve hasta eğitimidir. Diyabetik ayak yarası üzerinde, diyabetik ayak hastası ve bakıcısının öğrenim düzeylerinin etkisini araştırmayı amaçladık.

Yöntem: 2009 yılında İzmir Tepecik Eğitim ve Araştırma Hastanesi Genel Cerrahi, Dahiliye ve diyabet polikliniklerine başvuran, diyabetik ayak yarası olan toplam 67 hastanın ve bu hastalara evde bakım yapan 57 bakıcının öğrenim düzeyi ile, Wagner sınıflamasına göre hastalardaki diyabetik ayak yara evresinin ilişkisi ve ayak muayenesi prospektif olarak yüz yüze anket metodu ile araştırıldı.

Bulgular: Hastaların ve bakıcılarının öğrenim durumlarının, Wagner sınıflamasına göre diyabetik ayak yarası Wagner evrelerini etkilemediği (p=0.167) fakat diyabet izlemlerini düzenli yaptıran ve daha önce diyabetik ayak yarası hakkında bilgilendirilen hastaların yara evrelerinin daha düşük olduğu saptandı (p=0.021).

Sonuç: Hastanın ve bakıcısının öğrenim seviyesinin, yara evresi üzerine etkisi olmadığı fakat düzenli klinik takip ve hastanın eğitiminin yara evresini iyi yönde etkilediği ortaya çıkmıştır. Diyabetik ayak için risk altındaki hasta grubuna, öğrenim düzeyi ne olursa olsun diyabetik ayak hastalığı hakkında bir eğitim programı uygulamak ve düzenli izlemlerinin yapılmasını sağlamak ekstremite amputasyonlarının oranlarını azaltacaktır.

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Primary Language en
Subjects Health Care Sciences and Services
Published Date Apr 2016
Journal Section Original Research
Authors

Author: Yusuf Güçlü
Institution: Department of Family Medicine, Tepecik Training and Research Hospital, Izmir
Country: Turkey


Author: İsmail Çıbık
Institution: Fatih Family Medicine Centre, Usak
Country: Turkey


Author: Mehmet Görgün
Institution: Department of General Surgery, Tepecik Training and Research Hospital, Izmir
Country: Turkey


Author: Mehmet Helvacı
Institution: Department of Pediatrics, Tepecik Training and Research Hospital, Izmir
Country: Turkey


Author: Hüseyin Can
Institution: Department of Family Medicine, School of Medicine, Katip Celebi University, Izmir
Country: Turkey


Dates

Application Date : March 5, 2016
Acceptance Date : April 20, 2016
Publication Date : March 5, 2016

Bibtex @research article { fppc182940, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2016}, volume = {1}, pages = {13 - 18}, doi = {10.22391/920.182940}, title = {Investigating the effects of education on diabetic foot: an interventional study from Turkey}, key = {cite}, author = {Güçlü, Yusuf and Çıbık, İsmail and Görgün, Mehmet and Helvacı, Mehmet and Can, Hüseyin} }
APA Güçlü, Y , Çıbık, İ , Görgün, M , Helvacı, M , Can, H . (2016). Investigating the effects of education on diabetic foot: an interventional study from Turkey. Family Practice and Palliative Care , 1 (1) , 13-18 . DOI: 10.22391/920.182940
MLA Güçlü, Y , Çıbık, İ , Görgün, M , Helvacı, M , Can, H . "Investigating the effects of education on diabetic foot: an interventional study from Turkey". Family Practice and Palliative Care 1 (2016 ): 13-18 <http://www.fppc.com.tr/en/issue/17470/182940>
Chicago Güçlü, Y , Çıbık, İ , Görgün, M , Helvacı, M , Can, H . "Investigating the effects of education on diabetic foot: an interventional study from Turkey". Family Practice and Palliative Care 1 (2016 ): 13-18
RIS TY - JOUR T1 - Investigating the effects of education on diabetic foot: an interventional study from Turkey AU - Yusuf Güçlü , İsmail Çıbık , Mehmet Görgün , Mehmet Helvacı , Hüseyin Can Y1 - 2016 PY - 2016 N1 - doi: 10.22391/920.182940 DO - 10.22391/920.182940 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 13 EP - 18 VL - 1 IS - 1 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/920.182940 UR - https://doi.org/10.22391/920.182940 Y2 - 2016 ER -
EndNote %0 Family Practice and Palliative Care Investigating the effects of education on diabetic foot: an interventional study from Turkey %A Yusuf Güçlü , İsmail Çıbık , Mehmet Görgün , Mehmet Helvacı , Hüseyin Can %T Investigating the effects of education on diabetic foot: an interventional study from Turkey %D 2016 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 1 %N 1 %R doi: 10.22391/920.182940 %U 10.22391/920.182940
ISNAD Güçlü, Yusuf , Çıbık, İsmail , Görgün, Mehmet , Helvacı, Mehmet , Can, Hüseyin . "Investigating the effects of education on diabetic foot: an interventional study from Turkey". Family Practice and Palliative Care 1 / 1 (March 2016): 13-18 . https://doi.org/10.22391/920.182940
AMA Güçlü Y , Çıbık İ , Görgün M , Helvacı M , Can H . Investigating the effects of education on diabetic foot: an interventional study from Turkey. Fam Pract Palliat Care. 2016; 1(1): 13-18.
Vancouver Güçlü Y , Çıbık İ , Görgün M , Helvacı M , Can H . Investigating the effects of education on diabetic foot: an interventional study from Turkey. Family Practice and Palliative Care. 2016; 1(1): 18-13.