266001 Foot care, hygiene and patient education in prevention of injury-related complications of diabetic foot

Tuesday, October 30, 2012 : 3:45 PM - 4:00 PM

Anel Okic Sr., MD, MA , Surgery department, Canton Hospital Zenica, Zenica, Bosnia
Sukrija Zvizdic, Prof dr , Department of Mikrobiology, Medical Faculty University of Sarajevo, Sarajevo, Bosnia
Nina Jovanovic, MD , Ophtalmology Department, Canton Hospital Zenica, Zenica, Bosnia
Faruk Hodzic, MD , Trauma department, Canton Hospital Zenica, Zenica, Bosnia
Amela Dervisevic , Physiology Department, Medical Faculty Sarajevo, Sarajevo, Bosnia
Anhel Koluh , Surgery department, Canton Hospital Zenica, Zenica, Bosnia
Diabetes mellitus (DM) is a complex metabolic disorder resulting from tissue resistance to insulin or failure of the pancreas to produce insulin. Complications of DM include, amongst all, foot ulcerations, foot infections. These foot diseases are commonly referred to as a “diabetic foot” and are the leading causes of hospital admissions of patients with DM. Risk factors for foot ulcers include peripheral sensory neuropathy with a subsequent loss of protective sensory function as well as inadequate foot hygiene, minor cuts and injuries. 162 patients with a diagnosis of diabetic foot were admitted to the surgery department of the Canton Hospital in Zenica, Bosnia and Herzegovina between January 2010 and January 2012. All patients were treated surgically and received extensive education on foot hygiene, foot inspection and foot care. Using of appropriate footwear and basic principles of foot wound dressing were presented as well. Type, severity and rate of complications were monitored on 7th, 14th and 30th day following discharge from the hospital. The rate of complications in patients enrolled in our program (mean age 51, range 39-73, Male-56.2%. 16.6 % discharged with limb amputation) was reduced by 80 % compared to the group of newly admitted patients (patient who weren't included in our program. Over 70% of patients, who were included in our program, did not return with new complications after the follow-up was over). During the last year of research 87% of hospitalized patient weren't part of our program. These results suggest opportunities for prevention of diabetic foot

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs
Public health or related education
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Define the most vulnerable groups patients with diabetes melitus Differentiate patients with diabetic foot syndrome Describe the learning methods and demonstrate the visual way of patient educations Explain to patient on most understandable way how to care their foot Compare the effects between educated and non educated patients Analyse the results on the most objective way

Keywords: Diabetes, Health Education Strategies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This paper is part of my Master research work. I have approvals of my work place and medical faculty of Sarajevo to use all data and information from my research work. As resident of Vascular surgery, diabetic foot syndrome is one of main field of interest in my work. I am also member of board for treatment patients with diabetes melitus in my hospital.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.