Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego · 2021
Analysis of patients' rehabilitation results after surgical treatment of diabetes complications.
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Kritsak Myroslav, Stechyshyn Iryna, Pavliuk Bohdana, Konovalenko Sergii
Аннотация
UNLABELLED: The results of treatment of patients with diabetic foot syndrome (DFS) remain unsatisfactory, 34% of patients have another wound defect in the foot within 1 year, and the recurrence rate within 5 years is 70%.
AIM: The aim of the study was to determine the indicators of physical capabilities and self-care of patients after organ-sparing surgery due to DFS.
MATERIALS AND METHODS: 6-12 months after discharge from the surgical hospital, all patients were sent questionnaires of the functional scale of the lower extremities. The questionnaire consists of 20 questions related to physical difficulties associated with the function of the lower extremities. The answers were evaluated on a scale: inability to perform actions - 0 points, in the absence of difficulties, the score was 4 points.
RESULTS: 87.4% of responses to 176 letters were received, of which 84.6% contained answers to questionnaires, and 2.8% reported relatives' deaths. Despite self-monitoring of glycemia, 7 out of 10 patients did not reach its target level. When assessing physical activity in everyday life associated with the condition of the lower extremities after surgery, the indicator in the study group was 32.17 ± 17.88 points, and in the control group - 34.71 ± 16.13 points. The lowest mean score, 20.45 ± 11.53 was found in the group of patients after "high" amputations. The estimated score of self-care within the apartment was below 12 in 3 (27.2%) patients from the group after "high" amputations and was 13.27 ± 4.53, and in patients after operations within the foot - 15.71 ± 5 , 51 points. With limited physical activity, patients adjust satisfactorily to simple home activity within the home.
CONCLUSIONS: Indicators of physical capabilities and self-care of patients after organ-sparing operations for DFS do not differ significantly from those in patients without this syndrome. The ability to perform physical activities within the home is influenced by the duration of diabetes, the presence of circulatory failure, decreased vision, as well as overweight patients.
AIM: The aim of the study was to determine the indicators of physical capabilities and self-care of patients after organ-sparing surgery due to DFS.
MATERIALS AND METHODS: 6-12 months after discharge from the surgical hospital, all patients were sent questionnaires of the functional scale of the lower extremities. The questionnaire consists of 20 questions related to physical difficulties associated with the function of the lower extremities. The answers were evaluated on a scale: inability to perform actions - 0 points, in the absence of difficulties, the score was 4 points.
RESULTS: 87.4% of responses to 176 letters were received, of which 84.6% contained answers to questionnaires, and 2.8% reported relatives' deaths. Despite self-monitoring of glycemia, 7 out of 10 patients did not reach its target level. When assessing physical activity in everyday life associated with the condition of the lower extremities after surgery, the indicator in the study group was 32.17 ± 17.88 points, and in the control group - 34.71 ± 16.13 points. The lowest mean score, 20.45 ± 11.53 was found in the group of patients after "high" amputations. The estimated score of self-care within the apartment was below 12 in 3 (27.2%) patients from the group after "high" amputations and was 13.27 ± 4.53, and in patients after operations within the foot - 15.71 ± 5 , 51 points. With limited physical activity, patients adjust satisfactorily to simple home activity within the home.
CONCLUSIONS: Indicators of physical capabilities and self-care of patients after organ-sparing operations for DFS do not differ significantly from those in patients without this syndrome. The ability to perform physical activities within the home is influenced by the duration of diabetes, the presence of circulatory failure, decreased vision, as well as overweight patients.