Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

  • Antonio Dean Barbosa Marques University of Fortaleza
  • Anne Kayline Soares Texeira State University of Ceará
  • Thereza Maria Magalhães Moreira State University of Ceará
  • Rhanna Emanuela Fontenele Lima de Carvalho State University of Ceará
  • Ana Virgínia de Melo Fialho State University of Ceará
  • Edna Maria Camelo Chaves State University of Ceará

Abstract

Objective:  to verify the available evidence on nurses’ interventions to prevent ulcers in patients with diabetic foot.


Method: integrative review held in the databases BDENF, LILACS, IBECS, CINAHL, PubMed and in the virtual library SCIELO without time restriction.


Results: the authors identified 15 articles that met the study criteria. Nursing interventions for the prevention of diabetic foot were performed both individually and on collective basis, or in combination. The vast majority of interventions were within institutional programs aimed at health promotion.


Conclusion: the evidence points to health education as a tool in the prevention of diabetic foot and consequent amputation of the lower extremities, promoting awareness for development and adoption of skills for self-care and improved lifestyle.

Author Biographies

Antonio Dean Barbosa Marques, University of Fortaleza

PhD Student of the Graduate Program in Clinical Care in Nursing and Health of the State University of Ceará. Scholarship from the Coordination for the Improvement of Higher Education Personnel. Fortaleza, Ceará, Brazil.

Anne Kayline Soares Texeira, State University of Ceará

PhD student of the Graduate Program in Clinical Care in Nursing and Health of the State University of Ceará. Nurse at the Waldemar de Alcântara Hospital. Fortaleza, Ceará, Brazil.

Thereza Maria Magalhães Moreira, State University of Ceará

 PhD in Nursing. Professor at the State University of Ceará. Fortaleza, Ceará, Brazil.

Rhanna Emanuela Fontenele Lima de Carvalho, State University of Ceará

PhD in Nursing. Professor at the State University of Ceará. Fortaleza, Ceará, Brazil.

Ana Virgínia de Melo Fialho, State University of Ceará

PhD in Nursing. Professor at the State University of Ceará. Fortaleza, Ceará, Brazil.

Edna Maria Camelo Chaves, State University of Ceará

PhD in Pharmacology. Professor at the State University of Ceará. Fortaleza, Ceará, Brazil

References

1. Machado UF, Carpinelli AR, Prada P, Saad MJA. Pâncreas endócrino. In: Aires MM, Fisiologia. Rio de Janeiro: Guanabara Koogan; 2013. p. 1098-1114.
2. International Diabetes Federation. IDF Diabetes. 7ª ed. Belgium; 2015.
3. Donaghue KC, Wadwa RP, Dimeglio LA, Wong TY, Chiarelli F, Marcovecchio ML, et al. Microvascular and macrovascular complications in children and adolescents. Pediatr Diabetes. 2014; 15 (suppl 20): 257–269. DOI:10.1111/pedi.12180.
4. Begg L, McLaughlin P, Vicaretti M, Fletcher J, Burns J. Total contact cast wall load in patients with a plantar forefoot ulcer and diabetes. J Foot Ankle Res. 2016; (9): 1-9. DOI: 10.1186/s13047-015-0119-0.
5. Lazzarini PA, Hurn SE, Fernando ME, Jen SD, Kuys SS, Kamp MC, et al. Prevalence of foot disease and risk factors in general inpatient populations: a systematic review and metaanalysis. BMJ Open 2015;(5):1-15. DOI:10.1136/bmjopen-2015-008544.
6. Begun A, Morbach S, Rümenapf G, Icks A. Study of disease progression and relevant risk factors in diabetic foot patients using a multistate continuous-time markov chain model. Brock G, ed. PLoS ONE. 2016;11(1):e0147533. DOI:10.1371/journal.pone.0147533.
7. Fernando ME, Crowther RG, Cunningham M, Lazzarini PA, Sangla KS, Golledge J. Lower limb biomechanical characteristics of patients with neuropathic diabetic foot ulcers: the diabetes foot ulcer study protocol. BMC Endocrine Disorders. 2015;15(59):1-11. DOI: 10.1186/s12902-015-0057-7.
8. American diabetes association. Standards of medical care in diabetes. Diabetes care. 2013; 36(1):11-66. DOI: 10.2337/dc13-S011.
9. Brasil. Ministério da Saúde; Secretaria de Atenção à Saúde; Departamento de Atenção Básica. Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica. Brasília; 2016.
10. Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein 2010 Jan-Mar;8(1):102-106.
11. Pereira MG, Galvão TF. Revisões sistemáticas da literatura: passos para sua elaboração. Epidemiol Serv Saude. 2014 Jan-Mar;23(1):183-184.
12. Silva CG, Crossetti MGO. Curativos para tratamento de feridas operatórias abdominais: uma revisão sistemática. Rev Gaúcha Enferm. 2012 Sep;33(3):182-189.
13. Moher, D, Liberati, A, Tetzlaff, J, Altman, DG, and PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 8(3)336-341. http://dx.doi.org/10.1016/j.ijsu.2010.02.007.
14. Ursi ES, Galvão CM. Perioperative prevention of skin injury: an integrative literature review. Rev Latino Am Enfermagem. 2006;14(1):124-31.
15. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott, Williams & Wilkins; 2011.
16. Fujiwara Y, Kishida K, Terao M, Takahara M , Matsuhisa M, Funahashi T, et al. Beneficial effects of foot care nursing for people with diabetes mellitus: an uncontrolled before and after intervention study. J Adv Nurs 2011 Sep;67(9):1952-1962. DOI: 10.1111/j.1365-2648.2011.05640.x.
17. Neil JA, Knuckey CJ, Tanenberg RJ. Prevention of foot ulcers in patients with diabetes and end stage renal disease. Nephrology nursing journal. Nephrol Nurs J. 2003 Feb;30(1):39-43.
18. Lavery LA, Wunderlich RP, Tredwell JL. Disease management for the diabetic foot: Effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations. Diabetes Res Clin Pract. 2005 Oct;70(1):31-37.
19. Martin TV, Rodrigues CDS, Cesarino CB. Conhecimento do paciente com diabetes mellitus sobre o cuidado com os pés. Rev. Enferm; UERJ. 2011, 19(4):621-625.
20. Andrade NHS, Mendes KDS, Faria HTG, Martins TA, Santos MA, Teixeira CRS, et al. Pacientes com diabetes mellitus: cuidados e prevenção do pé diabético em atenção primária à saúde. Rev. Enferm. UERJ, 2010, 18(4):616-621.
21. Chang CF, Chang CC, Hwang SL, Chen MY. Effects of buerger exercise combined health-promoting program on peripheral neurovasculopathy among community residents at high risk for diabetic foot ulceration. Worldviews Evid Based Nurs. 2015 Jun;12(3):145-153. DOI: 10.1111/wvn.12091.
22. Ren M, Yang C, Lin DZ, Xiao HS, Mai LF, Guo YC, et al. Effect of intensive nursing education on the prevention of diabetic foot ulceration among patients with high-risk diabetic foot: a follow-up analysis. Diabetes Technol Ther. 2014 Sep;16(9):576-581. DOI: 10.1089/dia.2014.0004.
23. MakkiAwouda FO, Elmukashfi TA, Hag Al-Tom SA. Effects of health education of diabetic patient's knowledge at diabetic health centers, Khartoum State, Sudan: 2007-2010. Glob J Health Sci. 2014 Feb 14;6(2):221-226. DOI: 10.5539/gjhs.v6n2p221.
24. Fan L, Sidani S, Cooper-Brathwaite A, Metcalfe K. Feasibility, Acceptability and Effects of a foot self-care educational intervention on minor foot problems in adult patients with diabetes at low risk for foot ulceration: a pilot study. Can J Diabetes. 2013 Jun; 37(3):195-201. DOI: 10.1016/j.jcjd.2013.03.020.
25. Reda A, Hurton S, Embil JM, Smallwood S, Thomson L, Zacharias J, et al. Effect of a preventive foot care program on lower extremity complications in diabetic patients with end-stage renal disease. Foot Ankle Surg. 2012 Dec;18(4):283-286. DOI: 10.1016/j.fas.2012.05.002.
26. Grady JL, Entin EB, Entin EE, Brunyé TT. Using message framing to achieve long-term behavioral changes in persons with diabetes. Applied Nursing Research. 2011 Feb; 24(1): 22–28.
27. Schmidt S, Mayer H, Panfil E.M. Diabetes foot self-care practices in the German population. J Clin Nurs. 2008 Nov;17(21):2920–2926. DOI: 10.1111/j.1365-2702.2008.02352.x.
28. Scollan-Koliopoulos M. Theory-guided intervention for preventing diabetes-related amputations in African Americans. J Vasc Nurs 2004 Dec;22(4):126 –133.
29. Corbett CF. A randomized pilot study of impriving foot care in home health patientes with diabetes. Diabetes educ. 2003 Mar-Apr; 29(2):273-282.
30. Couto TA, Santana VSS, Santos AR, Santos RMM. Educação em saúde, prevenção e cuidado ao pé diabético: um relato de experiência. Revista Baiana de Saúde Pública. 2014, 38(3):760-768.
Published
2017-05-12
How to Cite
MARQUES, Antonio Dean Barbosa et al. Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review. International Archives of Medicine, [S.l.], v. 10, may 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2362>. Date accessed: 25 sep. 2017. doi: https://doi.org/10.3823/2433.
Section
Nursing