PMID- 34079228
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220423
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 15
DP  - 2021
TI  - Self-Care in Type 2 Diabetes Patients with Urgency Lower Limb Amputation: The 
      Influence of Sex, Marital Status and Previous Amputations.
PG  - 1083-1090
LID - 10.2147/PPA.S298537 [doi]
AB  - AIM: Lower limb amputation (LLA) is a severe consequence of type 2 diabetes 
      mellitus (T2DM), and can affect up to 1% of T2DM patients, leading to an 
      increased risk of premature mortality. Among the factors to predict LLA, it has 
      been highlighted sex, marital status, and previous amputation. However, there is 
      a lack of information about the association between these predictive factors, 
      self-care, and urgency LLA in T2DM patients. PURPOSE: To verify the behavior of 
      self-care and to relate it with the predictive factors (sex, marital status, and 
      previous amputation) in urgency LLA T2DM patients. PATIENTS AND METHODS: 
      Non-interventional study, with 106 T2DM patients who were in the postoperative 
      period of urgency LLA caused by complications resulting from T2DM. A structured 
      questionnaire was used for sociodemographic and clinical characterization of the 
      sample as well as the Summary of Diabetes Self-Care Activities (SDSCA) tool. It 
      was used the Wilcoxon, Friedman, and Mann-Whitney tests (median, nonparametric 
      populations) to assess the significance of the differences between groups (sex, 
      marital status, and previous amputation), also Spearman correlation coefficient 
      to assess the association between the data (comparison between diagnostic time, 
      sex, previous amputation, ethnicity and systolic arterial hypertension) and a 
      logistic regression analysis considering the item SDSCA related to sex, age and 
      marital status (with partner). RESULTS: Significant differences (p<0.05) in the 
      questions "Specific Food" and "Foot care" were found when the participants were 
      grouped by sex. In the relation to marital status, significant differences 
      (p<0.05) were observed for the question "Specific Food". No differences were 
      found between groups with or without previous amputation. CONCLUSION: By SDSCA 
      tool, we were able to report that T2DM patients submitted to urgency LLA 
      presented differences in self-care, particularly for sex and marital status.
CI  - (c) 2021 Domingos et al.
FAU - Domingos, Simone Aparecida
AU  - Domingos SA
AD  - Program in Health Sciences, Santo Amaro University, Sao Paulo, Brazil.
FAU - Franca, Carolina Nunes
AU  - Franca CN
AD  - Program in Health Sciences, Santo Amaro University, Sao Paulo, Brazil.
FAU - Tuleta, Izabela
AU  - Tuleta I
AD  - Department of Cardiology I, University Hospital Muenster, Muenster, Germany.
FAU - Rezende Barbosa, Marianne Penachini da Costa
AU  - Rezende Barbosa MPDC
AD  - Educational Foundation of the Municipality of Assis (FEMA) and Universidade, 
      Estadual Paulista (UNIP), Assis, Brazil.
FAU - Bachi, Andre Luis Lacerda
AU  - Bachi ALL
AUID- ORCID: 0000-0001-8266-1416
AD  - Program in Health Sciences, Santo Amaro University, Sao Paulo, Brazil.
FAU - Neves, Lucas Melo
AU  - Neves LM
AUID- ORCID: 0000-0003-2426-9736
AD  - Program in Health Sciences, Santo Amaro University, Sao Paulo, Brazil.
AD  - Bipolar Disorder Program (PROMAN), Department of Psychiatry, University of Sao 
      Paulo Medical School, Sao Paulo, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20210524
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC8163731
OTO - NOTNLM
OT  - diabetes mellitus
OT  - food
OT  - foot care
OT  - self-care activities
OT  - surgery
COIS- The authors received support from Fapesp: Andre Luis Lacerda Bachi - FAPESP 
      19/14115-0; Carolina Nunes Franca - FAPESP 17/01368-2 and 19/01020-1; and Lucas 
      Melo Neves - FAPESP 20/08869-0. The authors report no other conflicts of interest 
      in this work.
EDAT- 2021/06/04 06:00
MHDA- 2021/06/04 06:01
PMCR- 2021/05/24
CRDT- 2021/06/03 06:37
PHST- 2020/12/23 00:00 [received]
PHST- 2021/02/04 00:00 [accepted]
PHST- 2021/06/03 06:37 [entrez]
PHST- 2021/06/04 06:00 [pubmed]
PHST- 2021/06/04 06:01 [medline]
PHST- 2021/05/24 00:00 [pmc-release]
AID - 298537 [pii]
AID - 10.2147/PPA.S298537 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2021 May 24;15:1083-1090. doi: 10.2147/PPA.S298537. 
      eCollection 2021.