AI Summary & Key Takeaways
AI InsightResults: At the end of the study, diabetic (glucose monitoring, adaptation to treatment and nutrition), metabolic (diabetic neuropathy, hypertension, foot wound, hbA1c), skin (new ulcer formation, damask, crack-nascer), vascular (femoral-popliteal-dorsalispedis pulses, iskemia, edema), neurological (pain and paresthesia), signs of infection (dissequine, redness, erythema, bad odor, abscess, heat increase, osteomyelitis, drainage and fever), statistical difference was observed between wound stages and amputation development according to wagner classation system.Conclusion: As a result of the research, it was seen that the risk of recurrent amputation decreased with follow-up and treatment of patients with diabetic amputation history.
📌 3 Key Takeaways
Abstract
Objective: In patients with diabetic amputation, it is to evaluate the recurrent amputation relationship with nursing follow-up. With nursing follow-up, the effect of risk factors on amputation development and the need for amputation will be evaluated. Methods: The study included 72 diabetic patients who underwent amputations. Patients were followed up for six months in sociodemographic, diabetic, metabolic, skin, neurological, infection, vascular direction. Patients follow-ups were performed by the researchers with literature and form prepared with expert opinions and related factors between risk factors and recurrent amputation were examined. Results: At the end of the study, diabetic (glucose monitoring, adaptation to treatment and nutrition), metabolic (diabetic neuropathy, hypertension, foot wound, hbA1c), skin (new ulcer formation, damask, crack-nascer), vascular (femoral-popliteal-dorsalispedis pulses, iskemia, edema), neurological (pain and paresthesia), signs of infection (dissequine, redness, erythema, bad odor, abscess, heat increase, osteomyelitis, drainage and fever), statistical difference was observed between wound stages and amputation development according to wagner classation system.Conclusion: As a result of the research, it was seen that the risk of recurrent amputation decreased with follow-up and treatment of patients with diabetic amputation history.
Özet
Amaç: Diyabetik ampütasyonlu hastalarda, yapılan hemşirelik takibi ile tekrarlayan ampütasyon ilişkisini değerlendirmektir. Hastalara yapılan hemşirelik takibi ile risk faktörlerininin ampütasyon gelişimindeki etkisi ve ampütasyona olan ihtiyaç değerlendirilecektir. Yöntemler: Çalışmaya ampütasyon geçiren 72 diyabetik hasta alındı. Hastalar sosyo- demografik, diyabetik, metabolik, cilt, nörolojik, enfeksiyon, vasküler yönden altı ay takip edildi. Hasta takipleri araştırmacılar tarafından literatür ve uzman görüşleri ile hazırlanan formlar ile yapıldı ve risk faktörleri ile tekrarlayan ampütasyon arasındaki ilişkili faktörler incelendi. Bulgular: Çalışma sonunda diyabetik (glikoz takibi, tedaviye uyum ve beslenme), metabolik (diyabetik nöropati, hipertansiyon, ayak yarası, HbA1c), cilt (yeni ülser oluşumu, nem, çatlak/nasır), vasküler (femoral/ popliteal/ dorsalis pedis nabızları, iskemi, ödem), nörolojik (ağrı ve parestezi), enfeksiyon bulguları (renk değişikliği, kızarıklık, eritem, kötü koku, apse, ısı artışı, osteomyelit, drenaj ve ateş), Wagner sınıflama sistemine göre yara evreleri ile ampütasyon gelişimi arasında istatistiksel olarak anlamlı fark gözlendi. Sonuç: Araştırma sonucunda diyabetik ampütasyon öykülü hastaların takip ile tekrarlayan ampütasyon risklerinin azaldığı görüldü.