Percepção sensorial tátil alterada em pacientes com diabetes mellitus: uma revisão integrativa

Abstract

Objectives:To describe the etiologic factors, and signs and symptoms of altered tactical sensory perception phenomenon in people with Diabetes Mellitus. Methods:This is an integrative review of the literature performed from August to September 2016. The search was conducted in PUBMED, CINAHL, SCOPUS, LILACS, IBECS, MEDCARIB and BDENF databases, using the following descriptors: diabetic neuropathies, touch, tactile perception, perception disorders, somatosensory disorders and nursing. There were 1371 publications, obtaining a sample of 23 studies, classified according to the level of evidence. Results:The publications date from 1992 to 2015, with greater production in the United States. The studies were of the cross-sectional type, prevailing level of evidence IV. Pain was the most prevalent symptom, followed by sensory loss, numbness and tingling. Regarding the etiological factors, living time with the problem, altered glycosylated hemoglobin, advanced age and arterial hypertension stood out. Conclusion:The phenomenon has been understood as a neurological alteration. Early identification of etiologic agents and clinical manifestations are important for patients’ follow-up as well as their evolution monitoring and glycemic control.