Li J, Gu L, Guo Y, et al.
Journal of clinical nursing. Date of publication 2019 Jul 1;volume 28(13-14):2506-2516.
1. J Clin Nurs. 2019 Jul;28(13-14):2506-2516. doi: 10.1111/jocn.14810. Epub 2019 Mar
20.
An educational intervention on foot self-care behaviour among diabetic
retinopathy patients with visual disability and their primary caregivers.
Li J(1), Gu L(1), Guo Y(1).
Author information:
(1)School of Nursing, Nantong University, Nantong, China.
AIMS AND OBJECTIVES: To assess the effectiveness of a 12-week educational
intervention on foot self-care behaviour among diabetic retinopathy patients with
visual disability and their primary caregivers in China.
BACKGROUND: Diabetes with the coexistence of diabetic retinopathy and foot
problems complicating diabetes not only represents a personal disaster, but also
becomes a serious burden to public health in China. A foot self-care educational
intervention is both cost-effective and feasible even in a health
resource-limited setting, which should be developed and evaluated.
DESIGN: Quasi-experimental.
METHODS: From July-September 2017, we enrolled 80 eligible hospitalised diabetic
retinopathy patients and their primary caregivers by convenient sampling method
in a first-class comprehensive hospital in Nantong, in China. Before and after
the educational intervention that is in accordance with the TREND statement (for
details, see the "Supplementary File 1"), researchers and subjects filled out the
self-designed questionnaire on foot problems complicating diabetes and the
Diabetic Foot Self-care Behavior Scale, respectively.
RESULTS: Scores of foot self-care behaviour among the subjects significantly
improved from 54.19 ± 8.01-75.85 ± 5.04. The number of patients with fasting
blood glucoses <7.0 mmol/L improved from 43 (53.75%)-80 (100%). The results of
incidence of foot problems complicating diabetes were not statistically
significant. The complete execution of each item in Diabetic Foot Self-care
Behavior Scale of subjects was apparently higher.
CONCLUSIONS: This educational intervention can facilitate positive foot self-care
behaviours among the diabetic retinopathy patients with visual disability and
their primary caregivers in China.
RELEVANCE TO CLINICAL PRACTICE: This study adds to the evidence of the
effectiveness of an educational intervention to foster positive foot self-care
behaviours. This educational intervention appears to be prospective in promoting
diabetic home-based self-management in China, and the delivery method of the
intervention may be applied to other chronic diseases.
© 2019 John Wiley & Sons Ltd.
DOI: 10.1111/jocn.14810
PMID: 30697849 [Indexed for MEDLINE]
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