Nurses’ Role In Health Education And In The Prevention Of Diabetic Foot In Primary Health Care In The Municipality Of Pimenta Bueno/RO: Experience Report

Abstract

Introduction: Diabetes Mellitus is one of the main chronic non-communicable diseases, associated with high morbidity and mortality rates and serious complications, among which diabetic foot stands out a condition that can lead to ulcerations, infections, and amputations. In Primary Health Care, the nurse’s role is fundamental in preventing these complications, especially through health education and systematic foot assessment. Objective: To report the experience of nursing practice in health education and in the prevention of diabetic foot in a Primary Health Care Unit. Methodology: This is a descriptive study, of the experience report type, carried out at the Madre Tereza Basic Health Unit during December 2025, with patients diagnosed with Diabetes Mellitus monitored by the Hiperdia program. Individual consultations were conducted, including foot assessment using the Semmes-Weinstein monofilament, combined with educational guidance on self-care and documentation of actions in the Electronic Citizen Medical Record. Results: It was observed that most patients had prior knowledge regarding foot care and maintained regular health follow-up; however, some presented reduced protective sensitivity, onychomycosis, and inadequate nail trimming, with no records of amputations. Educational actions were well received, with emphasis on adherence to drug treatment and preventive care. Reassessments were scheduled for six months for patients without protective sensitivity and twelve months for those with preserved sensitivity. Discussion: The experience demonstrated that nursing consultations are an effective strategy for the early identification of risk factors for diabetic foot and for strengthening self-care. Despite good user acceptance, challenges such as low demand for preventive actions and functional limitations among elderly patients remain. Conclusion: The nurse’s role in Primary Health Care proved to be essential for health education and diabetic foot prevention, contributing to the reduction of complications and to the promotion of quality of life for people with Diabetes Mellitus, reinforcing the need to institutionalize these actions within the routine of health services.