Risk practices for foot complications in people with type 2 Diabetes Mellitus.

Q3 Nursing

Revista gaucha de enfermagem / EENFUFRGS Pub Date : 2025-03-28 eCollection Date: 2025-01-01 DOI:10.1590/1983-1447.2025.20240078.en

Bruna Rykelly Ramos Dos Santos, Luzia Karoline Teixeira Leite, Sóstenes Ericson Vicente da Silva, Thayse Gomes de Almeida, Josineide Soares da Silva

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引用次数: 0

Abstract

Objective: To learn about the risk practices for foot complications among patients with type 2 Diabetes Mellitus and the role of nursing in promoting self-care, in light of Dorothea Orem.

Method: Qualitative study, anchored in the methodological framework of Thematic Oral History. It was conducted through semi-structured interviews with 39 patients with type 2 Diabetes Mellitus in Arapiraca/AL, from August to September 2023. The interviews were transcribed, textualized and transcreated, based on the methodological framework.

Results: Participants presented risk practices for foot complications due to inadequate footwear, foot warmers, use of instruments on the feet, inadequate nail trimming and walking barefoot. Nursing, from Dorothea Orem's perspective, is essential for user self-care because it provides guidance that prevents or mitigates risk practices for foot complications.

Conclusion: Lack of adherence to self-care practices has a multifactorial etiology and results in a risk of foot injuries. It was demonstrated that Orem's theory serves as a guide for nursing actions, aiming at care and educational practices to mitigate these risks.

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2型糖尿病患者足部并发症的风险措施

目的：以Dorothea Orem为例，了解2型糖尿病患者足部并发症的高危行为及护理在促进患者自我护理中的作用。方法：定性研究，以主题口述历史的方法论框架为基础。研究于2023年8月至9月对Arapiraca/AL地区39例2型糖尿病患者进行半结构化访谈。根据方法论框架，对访谈进行了转录、文本化和转换。结果：参与者提出了足部并发症的风险实践，由于不适当的鞋子，暖脚器，在脚上使用仪器，不适当的指甲修剪和赤脚行走。从Dorothea Orem的角度来看，护理对用户自我护理至关重要，因为它提供了预防或减轻足部并发症风险的指导。结论：缺乏对自我保健实践的坚持具有多因素的病因，并导致足部损伤的风险。研究表明，Orem的理论可以作为护理行动的指南，旨在减轻这些风险的护理和教育实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista gaucha de enfermagem / EENFUFRGS Medicine-Medicine (all)

CiteScore

1.70

自引率

0.00%

发文量

118

审稿时长

16 weeks

期刊介绍： A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.