医学
脚(韵律)
物理疗法
随机对照试验
干预(咨询)
足部护理
糖尿病足
入射(几何)
考试(生物学)
糖尿病
护理部
外科
古生物学
哲学
语言学
物理
内分泌学
光学
生物
作者
Thi Phuong Lan Nguyen,Helen Edwards,Thi Ngoc Diep,Kathleen Finlayson
标识
DOI:10.1016/j.diabres.2019.05.003
摘要
To evaluate the effectiveness of a theory-based foot care education intervention program (3STEPFUN) for people with type 2 diabetes at low risk of developing a foot ulcer.A controlled, pre-test/ post-test quasi-experimental design was used. From 119 participants, 60 participants in the control group received usual care and a foot care brochure. Those in the intervention group received (1) a small group intensive education and hands-on skills session; (2) a foot care kit and documents; and (3) three regular booster follow-up phone calls over 6 months. Generalised Estimating Equations models were undertaken to examine the impact of the intervention on outcomes over time.The intervention group had significantly improved outcomes compared to the control group over 6 months in the following aspects: improved preventive foot care behaviour (p = 0.001); and decreased prevalence of foot risk factors for ulceration (i.e. dry skin, corns/ callus) (OR: 0.04, 95% CI 0.01 - 0.13, p < 0.001).The study's findings provide evidence of 3STEPFUN on improving foot self-care behaviour and preventing minor foot problems. Further study with formal RCT design and longer follow-up time to examine the effects on decreasing foot ulcer incidence is recommended.
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