Evaluation of nursing intervention on foot care behavior in the patients with diabetes mellitus Masuko Daitoku 1 , Takako Egawa 1 1Graduate School of Medicine, Osaka University Keyword: 糖尿病 , フットケア , セルフケア行動 , Diabetes mellitus , Foot care , Self-care behavior pp.13-24
Published Date 2004/3/15
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 The purpose of the present study was to evaluate the effect of foot care nursing intervention performed every 4-6 weeks during 6 months on the foot care behavior of 11 out-clinic patients with diabetes mellitus without foot ulcer. The intervention includes; 1) hand on teaching diabetes mellitus and diabetic foot, and 2) demonstration of foot cares such as cutting of toenails and debridement of callus. It takes 30-45 min for each intervention. Recently, Self-care behavior was evaluated by structured interviews and examinations at baseline and at 3 and 6 months using SDSCA (the summary of diabetes self-care activities measure) developed by Toobert, which can score the self-care activities on foot care, diet, exercise, medicine, blood-glucose testing, and smoking. We have translated the original SDSCA and developed the Japanese version SDSCA for the present study. The score on foot care increased significantly at 3 months and kept high score at 6 months. Moreover, the score on diet self care behavior increased significantly at 6 months as the secondary effect of improving foot care behavior. In conclusion, repeated foot care nursing intervention was effective to improve not only the foot care behavior but also the diet self-care behavior in the patients with diabetes mellitus.

Copyright © 2004, Japan Academy of Diabetes Education and Nursing. All rights reserved.


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