Document Type : Original articles
Authors
1
Assistant Lecturer in Medical Surgical Nursing Department (Gerontological Nursing), Faculty of Nursing, Minia University, Egypt
2
Prof. Department of Medical Surgical Nursing, Faculty of Nursing, Minia University, Lotus University, 61768, Minia, Egypt
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Assistant Prof. in Medical Surgical Nursing Department (Gerontological Nursing), Faculty of Nursing, Minia University, Lotus University, 61768, Minia, Egypt
4
Lecturer of Internal Medicine and Endocrinology, Faculty of Medicine, Minia University, Egypt
5
Assistant Prof. in Medical Surgical Nursing Department (Gerontological Nursing), Faculty of Nursing, Minia University, Egypt
Abstract
Background: Foot ulceration is a major complication of diabetes among older adults. Regular foot self-care is vital for reducing the risk of diabetes-related foot problems. Aim of the study: To evaluate the effect of an educational nursing protocol on foot self-care practices among diabetic elderly patients. Research design: A Quasi-experimental research design (study / control) was utilized to fulfill the aim of this study. Subjects: A purposive sample of (120) diabetic elderly patients, divided into two equal groups (study and control), (60) patients for each group. Setting: This study was carried out in the medical outpatient clinic at Minia University Hospital, Egypt. Tools: Four tools were utilized. Tool I: Patient assessment sheet. Tool II: Patient’s knowledge questionnaire about foot self-care Tool III: Nottingham assessment of functional foot care scale (NAFFC) Tool IV: Peripheral circulation assessment tool. Results: The means of age were (66.2 ± 3.74 & 65.9 ± 4.59) for the study and control groups respectively, and more than half of the both groups were females. There was a significant improvement in mean score of foot self-care practices to be (43.4±3.71) at posttest compared to (22.3±3.87) before the intervention. Added to the study group exhibited sufficient (good) peripheral perfusion with percentages of (65%) and (61.7%) for right and left leg respectively after 8 weeks of applying the Buerger Allen Exercise as compared to (43.3% & 41.7%) before, with a highly statistical significance difference (P ≤ 0.01) was detected between the two groups. Conclusion: The implementation an educational nursing protocol had positive effects on increasing foot self-care practices and consequently improving lower extremities perfusion at follow up phases. Recommendations: Continuous teaching sessions about foot self-care practices is recommended for diabetic elderly in all health care settings to prevent occurrence of foot problems.
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