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Portada Volumen 27, número 3, julio-septiembre 2024
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July 24, 2024
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September 30, 2024
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Abstract

Introduction: Diabetes mellitus remains one of the most prevalent causes of chronic kidney disease, which, in its last stage becomes subsidiary to renal replacement therapy, such as haemodialysis. The vascular problems derived from diabetes, together with the complications of haemodialysis, can create new health problems in these patients, among which the diabetic foot stands out.


Objective: To understand and synthesise the existing scientific evidence on risk factors and nursing care of diabetic foot in haemodialysis patients.
Methodology: Following the recommendations of the PRISMA statement, an integrative review was carried out in the databases WOS, Pubmed, and SCOPUS, using the descriptors DESC/MESH: ‘’Diabetic Foot’’, ‘’Foot ulcer’’, ‘’Hemodialysis’’, and ‘’Amputation’’. Articles less than ten years old, in English and Spanish, were included.


Results: Ten articles (2 systematic reviews, 1 clinical practice guideline, and 7 observational studies) were included. The main variables that emerged were the incidence, morbidity, and mortality of diabetic foot, associated risk factors, and diabetic foot prevention and nursing care.


Conclusions: In haemodialysis patients, diabetic foot significantly increases morbidity and mortality, negatively impacting their quality of life. Factors such as peripheral arterial disease, poor foot health, and limited knowledge of the subject contribute to foot problems in these patients. Therefore, it is urgent to encourage prevention and promote self-care by patients, as these measures can potentially improve their health outcomes.

Keywords

chronic kidney disease haemodialysis diabetes diabetic foot care

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Copyright (c) 2024 Carmen Morales Cuenca, Raquel Espejo Rodríguez, Antonio José Martín Hurtado, Rodolfo Crespo Montero

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Morales Cuenca C, Espejo Rodríguez R, Martín Hurtado AJ, Crespo Montero R. The diabetic foot in people on haemodialysis. An integrative review. Enferm Nefrol [Internet]. 2024 [cited 2025 Apr 30];27(3):[about 10 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/4783
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