A Cross-sectional Study of Depression and Self-Care in Patients With Type 2 Diabetes With and Without Foot Ulcers

dc.creatorCoelho, CR
dc.creatorZantut-Wittmann, DE
dc.creatorParisi, MCR
dc.date2014
dc.dateFEB
dc.date2014-07-30T13:39:32Z
dc.date2015-11-26T16:36:12Z
dc.date2014-07-30T13:39:32Z
dc.date2015-11-26T16:36:12Z
dc.date.accessioned2018-03-28T23:18:50Z
dc.date.available2018-03-28T23:18:50Z
dc.identifierOstomy Wound Management. H M P Communications, v. 60, n. 2, n. 46, n. 51, 2014.
dc.identifier0889-5899
dc.identifierWOS:000332262600007
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/53078
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/53078
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1271731
dc.descriptionDepression has been recognized as a risk factor for foot ulceration in persons with diabetes mellitus. Using convenience sampling methods, a cross-sectional study was conducted among persons with type 2 diabetes treated in a diabetic foot clinic in Sao Paulo, Brazil between February 2010 and December 2011. One hundred (100) patients (average age 62 years, range 38 to 83 years), 50 with a foot ulcer and 50 at risk for developing a foot ulcer, participated. Symptoms of depression were assessed using the Beck Depression Inventory (BDI), Where scores increase with severity; and patients were interviewed about foot self-care behaviors. Average BDI scores among patients with an ulcer were higher (mean 20.37; range 1 to 42) than those of patients that had not developed a foot ulcer (mean 15.70; range 2 to 49) (P = 0.030). Self-care behavior was not significantly different between the two groups. Severe depression (P = 0.049, OR= 6.56 95% CI 1.01-42.58) and male gender (P <0.001, OR=14.87 95% Cl 3.83-57.82) were associated with the presence of a foot ulcer. Despite reported adequate self-care behaviors, patients with an ulcer had more symptoms of depression than patients who were at risk for developing a foot ulcer. Studies examining cause-and-effect relationships between these observations and the potential role of depression interventions are needed. The results of this and other studies suggest depression screening is important in patients with diabetes mellitus and foot ulcers.
dc.description60
dc.description2
dc.description46
dc.description51
dc.languageen
dc.publisherH M P Communications
dc.publisherMalvern
dc.publisherEUA
dc.relationOstomy Wound Management
dc.relationOstomy Wound Manag.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectdepression
dc.subjectself-care
dc.subjectdiabetic foot ulcer
dc.subjecttype 2 diabetes mellitus
dc.subjectAmputation
dc.subjectSymptoms
dc.subjectCohort
dc.subjectRisk
dc.subjectNeuropathy
dc.subjectPeople
dc.subject1st
dc.titleA Cross-sectional Study of Depression and Self-Care in Patients With Type 2 Diabetes With and Without Foot Ulcers
dc.typeArtículos de revistas


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