Abstract
ABSTRACT Objective: to develop and validate a distance learning course aimed at the pillars of care management of diabetes mellitus people’s feet. Method: a technological production research using Moodle Virtual Learning Environment, based on Andragogy, Constructionism and Instructional Design. Content is based on consensus guidelines on diabetic foot. Validation was carried out by distance education, diabetes and/or diabetic foot experts. Results: the course’s content is based on diabetic foot guidelines, and is structured in units with didactic material, videos, forums and questionnaires to assess the participants’ learning. The judges considered it appropriate to meet nurses’ needs in clinical practice. Conclusion: the virtual learning course has been validated, being a promising strategy for training nurses on care management of diabetes mellitus people’s feet.
Highlights
Diabetes mellitus (DM) affects about 415 million people worldwide
25% develop foot ulcers and 70% of all lower limb amputations are in people with DM, and 85% of surgical procedures are preceded by a foot ulcer[1,2]
This study was approved by the Research Ethics Committee (REC) of Universidade Federal de São Paulo (UNIFESP), with a grant from the Brazilian National Council for Scientific and Technological Development (CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico)
Summary
Diabetes mellitus (DM) affects about 415 million people worldwide. Estimates show that this number is expected to exceed 640 million people by 2040(1). In Brazil, as observed in the world population, the main risk factors for developing DF ulcerations and amputations are the presence of comorbidities Such factors are peripheral vascular disease (PVD) and diabetic neuropathy, which causes gradual loss of tactile and painful sensitivity and makes the feet vulnerable to trauma[1,10], characterized by a reduction or loss of protective sensitivity, strongly present when physical examination of the feet and education for people and caregivers are absent[11]. A pioneering study, aiming at estimating the general economic burden of DF in Brazil, estimated the annual direct medical costs to treat DF in outpatient clinics and hospitals at US$361 million This fact indicated that approximately 0.31% of the Unified Health System (SUS - Sistema Único de Saúde) resources were destined to people with DM with severe foot complications.
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