An educational intervention on foot self‐care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers

Abstract

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.

A fact‐finding survey on self‐efficacy of foot care behaviour in patients with diabetes: Analysis using the Diabetes Study from the Center of Tokyo Women’s Medical University 2017 (DIACET 2017)

“…Since this was a cross‐sectional observational study, the causal relationship between self‐efficacy of foot care behaviour and diabetic microangiopathy was not clarified. However, studies have found that many patients with diabetes with retinopathy and neuropathy did not engage in foot self‐care behaviour 19,20 . From the present study, the reason may be associated with the lack of confidence in engaging in foot care behaviour due to visual impairment and sensory impairment of the skin.…”

Evidence for person-centred care in chronic wound care: A systematic review and recommendations for practice

“…These seventeen studies included a total of 3149 patients and 36 healthcare professionals. Seven randomised controlled trials (RCTs), [51][52][53][54][55][56][57] four pre-test post-test design, [58][59][60][61] and others that included quasi-experimental studies, [62][63][64][65] studies within an RCT, 66 retrospective studies 67 and outcomes monitoring 46 were reported on.…”

Intervenciones educativas para la prevención del pie diabético

“…Los resultados anteriores ratifican la importancia de brindar información desde los primeros niveles de atención en salud y por personal preparado que identifique a los pacientes con DM, así como la intervención que se necesita para mejorar este tipo de autocuidado de forma rutinaria (26,28,30,(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59). En definitiva, se necesita un mayor desarrollo de programas en este sentido, que además involucren la familia (60), a fin de que estas intervenciones educativas fomenten comportamientos positivos y efectivos de autocuidado (61).…”