Volume 25, Number 4 (12-2015)                   J Holist Nurs Midwifery 2015, 25(4): 29-36 | Back to browse issues page


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Piran P, Joukar F, Mousavi S, Mehrdad S M. The Evaluation of Effective Risk Factors for Foot skin in Diabetic Patients. J Holist Nurs Midwifery. 2015; 25 (4) :29-36
URL: http://hnmj.gums.ac.ir/article-1-575-en.html

, Farajov@gmail.com
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Effective Risk Factors for Foot skin in Diabetic Patients
 

By: Piran P1, Joukar F2*, Mousavi S3, Atrkar- Roushan Z4,

Mehrdad S.M5

1- Department of Nursing (Medical-Surgical), Instructor, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2- Department of Nursing (Medical-Surgical), Instructor, Social determinants of health research center (SDHRC), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

3- Department of Nursing (Medical-Surgical), Instructor,School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

4- Bio-Statistics, Assistant professor, Social Determinants of Health Research Center (SDHRC), School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

5- Department of Endocrinology, Assistant Professor,  School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Received: 2014/01/28

Accepted: 2014/05/03

Abstract

Introduction: Foot ulceration is one of the most serious and disabling complications of Diabetes Mellitus and identification of risk factors affecting foot ulcer can prevent it from causing irreparable consequences.

Objective: Therefore the aim of this study was to comparing the situation of the foot skin in diabetic patients with and without foot ulcers.

Methods: In this cross - sectional study of 355 diabetic patients referred to Razi Hospital in 2013 were randomly selected based on a questionnaire consisted of four parts: demographic profiles, clinical characteristics, skin situations and diabetic foot, by a trained nurse were studied. History of the disease based on Charlson Co morbidity Index and foot ulcers by Wagner ulcer classification system were evaluated. Patients were divided into two groups of foot ulcer and non-ulcer and each of the variables were compared between these two groups. We used Chi square test and logistic regression analysis to compare some variables. P-value less than 0.05 was considered significant.

Results: Based on these findings, 16.1% had foot ulcers. Dry skin with no sweating, pallor, fisher, edema, impaired growing toe nails in the group with ulcer was (89.47%, 42.1%, 26.31%, 21.05%, and 64.91%) and in the group without ulcer was (73.48%, 35.9%, 11.74%, 12.08%, and 48.65%). There is significant correlation between foot ulcers and dry skin (p=0.01), fissure (p=0.004) and impaired growth toenail (p=0.02).Risk of foot ulcers in people with dry skin 3.07 times, the people of Fisher 2.68 times in people with impaired growth and toenails 1.95 times higher.

Conclusion: Since skin problems affecting the foot ulcer, nurses by identifying risk factors played a role in the prevention and treatment of foot ulcers.

Keywords: Foot Ulcer, Diabetic Foot, Diabetes Mellitus

*Corresponding Author: Farahnaz Joukar, Rasht, School of Nursing and Midwifery

 Email: Farajov@gmail.com                                              

Type of Study: Research | Subject: Special
Received: 2015/12/1 | Accepted: 2015/12/1 | Published: 2015/12/1

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