Effect of knowledge, attitude, belief, and practice model on self-care skills among elder patients with diabetic foot

Abstract

Objective To explore the effect of knowledge , attitude, belief, and practice （ KABP ） model on self-care skills among elder patients with diabetic foot .Methods Seventy-seven elder patients were divided into the intervention group （ n=38 ） and control group （ n=39 ） .The KABP model was used in the intervention group , and the traditional teaching method was used in the control group .The patients were investigated with diabetic foot self-carequestionnaire and diabetic footself-efficacyscale （ DSES ） when they admitted into the hospital and after the intervention .Results The total score of self-care and DSES between the groups had no significant difference （ P 〉0.05 ）.After 3months intervention, the self-care score of the intervention group and the control group were （67.63 ±15.23） and （50.65 ±21.03）.The DSES score of the intervention group and the control group were （121.06 ±26.70） and （104.15 ±21.13）.There were significant differences between groups （t =18.298,18.016, respectively;P 〈0.01）.The self-care and DSES score compared before and after the intervention had significant differences （ P 〈0.01）.Conclusions Health education using the KAP model can efficiently enhance their self-care skills and diabetic foot self-efficacy. Key words: Elder patient Diabetic foot Health education Knowledge; attitude; belief; and practice model Self-care Self efficacy