Prevention and Management of the Diabetic Foot in the Diabetic Patients at the Health Promoting Hospital by the Family Medicine Physicians

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Lerkroj Prayurasiddhi, MD

Abstract

Objective: To develop the prevention and the management of the diabetic foot in the diabetic patients at the 13-heath promoting hospitals in Banglamung disctrict, Chonburi province by assessing the activities about the diabetic foot,s patient examination by all the public health personnel in the health promoting hospitals. Then, brought the information obtained to analyze according to the standard health practical guideline and presented in the proper service organization to all of the health workers in the health promoting hospitals.


Methods: The study evaluated the activities about the diabetic foot, s patient examination (2,302 patients) by all the health workers of the 13 - health promoting hospitals in Banglamung istrict, Chonburi province in 2018. The data were analyzed and compared with the standard health practical guideline and adjusted the new guidelines according to the contexts of the health promoting hospitals.


Results: There are guidelines for the healthcare personnel to evaluate diabetes patients at the 13-health promoting hospitals for both prevention protocol and management guidelines of the diabetes foot,s patients. The report showed that these hospitals had an examination of all foot state 43.01 %, had the referral of the abnormal feet and wounds on the feet in order to get the right treatment, 2.12 % which originally did not find these informations at the 13 health promoting hospitals in the past.


Conclusion: This study is the initiation of the development of the prevention and the management of the diabetic foot in the diabetic patients for the public health personnels in order to comply with the contexts of the health promoting hospital.


                       Health risk assessment for preventing and managing in the diabetic foot, s patient, the family medicine physicians have a role of knowledge, skills and positive attitude toward them. As well as providing treatment, advice and organize a patient care system at the health promoting hospitals.

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References

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