Therapeutic Adherence and Podiatric Care Related to the Development of Diabetic Foot in Patients Enrolled in the Chronic Disease Care Program, Perla Maria Norori Health Center, León, III Quarter, 2023

¹Teaching Nurse. Graduate in Nursing Sciences, Professor of the Nursing Department. Coordinator of the Vice-Rector's Commission for Innovation in Nursing, member of the Nursing Research and Development Committee, CIDE – UNAN León, Nicaragua

²Undergraduate students of the Bachelor of Nursing Sciences, Nursing Department of the Faculty of Medical Sciences, UNAN-León, Nicaragua

*Corresponding author: Espinoza Palma Pablo Gerson, Teaching Nurse. Graduate in Nursing Sciences, Professor of the Nursing Department. Coordinator of the Vice-Rector's Commission for Innovation in Nursing, member of the Nursing Research and Development Committee, CIDE–UNAN León, Nicaragua, Phone: 84625312, Email: [email protected].

Received Date: November 17, 2023

Published Date: December 11, 2023

Citation: Gerson EPP, et al. (2023). Therapeutic Adherence and Podiatric Care Related to the Development of Diabetic Foot in Patients Enrolled in the Chronic Disease Care Program, Perla Maria Norori Health Center, León, III Quarter, 2023. Mathews J Nurs. 5(6):30.

Copyrights: Gerson EPP, et al. © (2023).

ABSTRACT

According to the World Health Organization, chronic diseases such as diabetes mellitus are long-term conditions that tend to progress slowly like diabetic foot. These diseases occupy the first places in terms of impact, representing a priority problem for Public Health. The objective of the study was to analyze therapeutic adherence and podiatric care related to the development of diabetic foot in patients enrolled in the chronic disease care program, Perla María Norori Health Center, León, III quarter, 2023. This is an epidemiological study, Analytical nested cases and controls, consists of a universe of 183 participants. The information collection process was carried out through an online survey. Wagner's classification was used for identification and classification of cases, the statistical analysis was carried out using the SPSS version 24 statistical package. The average age was 48 years, with 54% of male participants, the majority lived in urban areas (79%), 40% had only completed primary school and 53% were single. Regarding therapeutic adherence, it was found that 39 patients with diabetic foot were unaware of Diabetes Mellitus (P-value 0.000, OR 7.239; 95% CI: 3.641–14.393); 53 patients did not comply with therapeutic adherence (P-value 0.000, OR 38.278; 95% CI: 15.623–93.783). In podiatric care, it is highlighted that: 47 participants had inadequate drying of their feet (sudden drying), (P-value 0.000, OR 17.121; 95% CI: 7.964–36.809), and 58 participants had inadequate nail cutting (oval cut), (P-value 0.000, OR 56.753; 95% CI: 16,589–194,160).

Keywords: Diabetes Mellitus, Diabetic Foot, Sociodemographic Data, Therapeutic Adherence, Podiatric Care.