Analysis of patients' rehabilitation results after surgical treatment of diabetes complications. 2021

Myroslav Kritsak, and Iryna Stechyshyn, and Bohdana Pavliuk, and Sergii Konovalenko
I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine: Department of Operative Surgery and Clinical Anatomy.

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%. OBJECTIVE 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. 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.

UI MeSH Term Description Entries
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003920 Diabetes Mellitus A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000671 Amputation, Surgical The surgical removal of part of, or all of, a limb or other appendage or outgrowth of the body. Amputation,Amputation, Multiple, Surgical,Multiple Amputation, Surgical,Surgical Amputation Procedures,Amputation Procedure, Surgical,Amputation Procedures, Surgical,Amputation, Surgical Multiple,Amputations,Amputations, Surgical,Amputations, Surgical Multiple,Multiple Amputations, Surgical,Procedure, Surgical Amputation,Procedures, Surgical Amputation,Surgical Amputation,Surgical Amputation Procedure,Surgical Amputations,Surgical Multiple Amputation,Surgical Multiple Amputations
D017719 Diabetic Foot Common foot problems in persons with DIABETES MELLITUS, caused by any combination of factors such as DIABETIC NEUROPATHIES; PERIPHERAL VASCULAR DISEASES; and INFECTION. With the loss of sensation and poor circulation, injuries and infections often lead to severe foot ulceration, GANGRENE and AMPUTATION, SURGICAL. Foot Ulcer, Diabetic,Diabetic Feet,Feet, Diabetic,Foot, Diabetic

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