BASNEF Model Based Educational Guidelines regarding Foot Care among Type II Diabetic Patients

Abstract

Background: Patients with diabetes need to take special care of their feet because poor foot health can lead to major foot complications including ulcers and amputation, which can be avoided through adequate guidance. Aim: This study aimed to appraise the effect of BASNEF model based educational guidelines regarding foot care among type II diabetic patients. Research design: A quasi-experimental research design was utilized. Setting: The study was carried out at two Outpatient Clinics (Internal Medicine and Surgery) at Benha University Hospital. Sample: Purposive sample of 110 patients separated into study and control groups, each group included 55 patients. Tools: Three tools were used; Tool I: An interviewing questionnaire comprised three parts as patients' demographic characteristics, patients' medical history and patients' knowledge. Tool II: Reported foot care practices. Tool III: BASNEF model to assess patients' belief, attitude, subjective norms and enabling factors regarding foot care. Results: The present study revealed that there was a significant enhancement in mean scores of study group total knowledge, reported foot care practices and BASNEF model scores, post and after three months of educational guidelines implementation compared with control group. Additionally; there was a statistically significant correlation between the total BASNEF scores and total knowledge and total reported practices of study group post and follow up the educational guidelines. Conclusion: Implementing BASNEF model based educational guidelines enhanced the study group patients' knowledge, reported foot care practices, beliefs, attitudes, subjective norms and enabling factors regarding foot care. Recommendations: Distribution of an educational booklet to the Internal Medicine and Surgery Outpatient clinics at Benha City Hospitals to be available to all diabetic patients.