Effect of Intensive Nursing Education on the Prevention of Diabetic Foot Ulceration Among Patients with High-Risk Diabetic Foot: A Follow-Up Analysis

Abstract

The aim of the study was to discuss the effect of intensive nursing education on the prevention of diabetic foot ulceration among patients at high risk for diabetic foot. One hundred eighty-five diabetes patients at high risk for foot diseases were enrolled in this study and provided with intensive nursing education, including individualized education about diabetes mellitus and diabetic foot diseases, instruction in podiatric care (the right way of washing the foot, the care of foot skin, appropriate choice of shoes and socks, intense examinations and records of feet by patients themselves every day, and the assistant management of calluses). Study subjects were followed up for 2 years. Once the foot ulceration developed, the inducing factors of foot ulceration were inquired about, the ulcers were evaluated, and the incidence of foot ulceration was analyzed before and after the intensive nursing education according to self-paired data. Results showed there were highly statistically significant improvements in the intensive treatment group compared with the control group in plasma glucose, blood pressure, and high-density lipoprotein cholesterol levels. More important is that intensive nursing education helps to prevent diabetic foot ulceration and to decrease the rate of amputation among patients at high risk for diabetic foot.

Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

“…The educational intervention based on this method allowed identifying and modifying habits and attitudes based on the dialogue, an emancipator educational practice. The intensity of the educational intervention is another corroborating factor for the reduction of foot ulcers incidence in diabetic patients [22]. Thus, patients who participate actively and regularly in educational programs had better performance and engaged more in the practice of self-care, reducing the number of complications [28].…”

“…Nursing interventions for the prevention of diabetic foot were performed both individually [16,21,23,25,[28][29] and in a collective basis [19,20,22,24,26,30], or both [17][18]27]. The vast majority of interventions were from institutional health promotion programs [16, 18, 20-21, 24, 26, 27, 29, 30].…”

Atuação Do Enfermeiro No Referenciamento E Contrarreferenciamento De Pessoas Com Amputação

“…Os profissionais de enfermagem envolvidos com este fluxo relataram pouco envolvimento e conhecimento quanto ao processo de reabilitação e aos encaminhamentos. Estudos comprovam que intervenções precoces e intensivas por um enfermeiro qualificado para dar instruções, apoiar e auxiliar a pessoa com amputação, ajuda a diminuir significativamente a taxa de complicações e amputação entre os pacientes em alto risco, bem como otimiza os resultados nos processos de reabilitação (17)(18) .…”

A perifériás verőérbetegséggel és a cukorbetegséggel összefüggő alsó végtagi amputációk. Epidemiológiai adatok bemutatása és a megelőző stratégia lehetőségeinek elemzése

“…A megfelelő konzervatív kezelés hiánya több mint négyszeres kockázatot jelentett az alsó végtagi major amputáció vonatkozásában [48]. További olyan tényezők, amelyek nem az alsó végtagi revascularisatióval közvetlenül függnek össze és a klinikai tanulmányok alapján az alsó végtagi amputációk megelő-zésében jótékonynak bizonyultak: hemoglobin-A-1c-csökkentés [49], statinterápia [50], optimális gyógysze-res kezelés [48], dohányzás felfüggesztése [51], rendszeres alsó végtagi ellenőrzés [52], dialízisminőség [53], a beteg, illetve az ellátószemélyzet edukációja [54,55], betegút-optimalizálás [56], multidiszciplináris kezelés [57], egészségtudatosság szintjének növelése [55].…”