enFOOT: Aplicativo móvel para Enfermeiros na avaliação dos pés dos indivíduos com Diabetes Mellitus

Abstract

Diabetes mellitus (DM) is considered a chronic, non-communicable, endocrine-metabolic disease, with a high rate of morbidity and mortality and hospitalizations in the Unified Health System, with the "Diabetic Foot" being one of the most impacting complications. Classified as Ischemic, Infectious and Neuropathic, the latter, the most frequent, affects the sensory, motor and autonomic peripheral nerves, leading to absence or loss of sensation, deformities, calluses, xerosis and altered gait and increases the risk of ulceration. As well as affecting the individual's quality of life, it results in disability and surgery for lower limb amputations, among other things. The consensus shows that it is possible to avoid most cases of lower limb amputations in people with DM through early diagnosis and metabolic control, educational guidance on self-care, as well as regular assessment of the feet during regular medical and nursing appointments, planned according to risk stratification. With a view to preventing this condition, a multi-professional approach is important, involving joint planning and targets, guaranteeing access and longitudinal care for people at all points of health care. With this in mind, the search is on for tools to qualify this care, through technologies that enable and facilitate rapid, shared consultation and evidence for clinical practice. The aim of this study is to develop a prototype mobile application to help nurses assess and classify the degree of risk to the feet of people with diabetes mellitus. Method: Methodological, descriptive and analytical study. As a result, the prototype was developed for the Android operating system with a simple interface. It is hoped that the application will provide nurses with guidance that can qualify them during the assessment of diabetic patients' feet in their Primary Health Care routine.