Abstract
Today, Syndrome of Diabetic foot (SDF) is one of the most socially significant complication of diabetes mellitus over the world. This extremely dangerous complication develops in 15-50% patient with diabetes mellitus. Care for such patients is complex and requires a multifactor approach, both from the side of specialists, and training of patients and their family members. Objective of study. Our goal was to estimate the impact of social status among patients with diabetes complicated by SDF, who are living with family, partially under supervision or single, for their prescription fulfilment, duration of recovery period, relapse of the disease. Materials and methods. There were 198 patients with diabetes mellitus (DM with type 2 diabetes mellitus). The age of patients ranged from 39 to 76 years. The patients were divided into three groups: those who lived with the family, those who were partially under the supervision of relatives and lonely patients. The family role in the treatment of patients with DFS has been studied within 12 months. Results. After 12 months, patients living with their family the number of relapses is much less, those who were partially under the supervision of relatives, and by lonely patients. Consequently, the number of DFS relapses among the patients who lived with the family the number of relapses of DFS is significantly lower than patients who are partially under supervision or living alone. Conclusions. Living with family leads to the best and most influential affects the outcome of the treatment of SDF and reduce the risk of recurrence, because of control by the relatives the using of drugs, examination of lower extremities and for the first symptoms are being asked for help. Even the partial help of relatives reduces the number of complications, but not as effectively as in the group where patients are under constant control of relatives. There are more complications in single patients, and a higher percentage of lower limb amputations at different levels.
References
2. American Diabetes Association Standards of medical care in diabetes — 2014 // Diabetes Care. — 2014. — Vol. 37, Suppl. 1. — P. 14-80.
3. Zulman D.M., Rosland A.M., Choi H. et al. The influence of diabetes psychosocial attributes and self-management practices on change in diabetes status // Patient Educ. Cons. — 2012. — Vol. 87. — P. 74-80.
4. Wild S.H., Hanley J., Lewis S.C. et al. Supported telemonitoring and glycemic control in people with type 2 diabetes: The Telescot Diabetes Pragmatic Multicenter Randomized Controlled Trial // PLoS Med. — 2016. — Vol. 13. — A1002098.
5. Gershater M.A., Londahl M., Nyberg P. et al. Complexity of factors related to outcome of neuropathic and neuroischaemic/ischaemic diabetic foot ulcers: a cohort study // Diabetologia. — 2009. — Vol. 52, N3. — P. 398-407.
6. Yazdanpanah L., Nasiri M., Adarvishi S. Literature review on the management of diabetic foot ulcer // Wld J. Diabetes. 2015. — Vol. 6, N1. — P. 37-53.
7. McEwen L.N., Ylitalo K.R., Herman W.H., Wrobel J.S. Prevalence and risk factors for diabetes-related foot complications in Translating Research Into Action for Diabetes (TRIAD) // J. Diabetes and its Complications. 2013. — Vol. 27, N6. — P. 588-592.
8. Yotsu R.R., Pham N.M., Oe M. et al. Comparison of characteristics and healing course of diabetic foot ulcers by etiological classification: neuropathic, ischemic, and neuro-ischemic type // J. Diabetes and its Complications. — 2014. — Vol. 28, N4. — P. 528-535.
9. Miller T.A., Dimatteo M.R. Importance of family/social support and impact on adherence to diabetic therapy // Diabetes Metab. Syndr. Obes. Targets Ther. — 2013. — Vol. 6. — P. 421-426.
10. Wong-Rieger D., Rieger F.P. Health coaching in diabetes: Empowering patients to self-manage // Can. J. Diabetes. 2013. — Vol. 37. — P. 41-44.
11. IDF Clinical Practice Recommendations on the Diabetic Foot — 2017 // Diabetes Res. Clin. Pract. — 2017. — Vol. 127. — P. 285-287.

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