Abstract
Objective: To verify the effectiveness of a “self-foot-care educational program (SFCEP)” for prevention of type 2 diabetes foot disease. Methods: A single-center, randomized and controlled trial was conducted. Fifty-five patients with type 2 DM, 40 - 75 years of age who were asked to return for a follow-up hospital visit, were allocated to either an SFCEP group (n = 29) or a conventional education program (CEP) group (n = 26). Both of the groups were given foot-care education, monthly for four times in the SFCEP group and in the CEP group one time only by a printed leaflet. The two groups had no statistically significant differences in patient background of the type 2 diabetes history. We evaluated removal rate of skin debris, and the symptoms and conditions of the feet. Results: Between the SFCEP and CEP there were significant differences in removal rate of skin debris (p < 0.05), and the conditions of the feet, dryness (p < 0.001), horny tissue (p < 0.001) and peripheral coldness (p < 0.05). The SDCEP was significantly better than the CEP. Conclusion: This study strongly suggests the effectiveness of SFCEP in preventing the occurrence or worsening of diabetic foot diseases.
Highlights
This study strongly suggests the effectiveness of self-foot-care educational program (SFCEP) in preventing the occurrence or worsening of diabetic foot diseases
We hypothesized that the SFCEP that incorporates self-foot-care and a self-monitoring to encourage patients with type 2 diabetes mellitus (DM) to prevent the disease will improve in the removal rate of skin debris, and improve the symptoms and conditions of the feet, contributing to long-term prevention of diabetic foot disease
In the removal rate of skin debris, there was a significant difference in the removal rate after washing with soap, and the effectiveness of washing the feet was more significant in the SFCEP group
Summary
Cases with toe and lower limb amputation are frequent in patients at high risk of foot disease [1]. A previous intervention study of foot-care education reports that many of the educational programs are provided as one-to-one instruction, and cover foot risk assessment, instruction using foot-care models, DVD, and printed leaflets, instruction in how the patients check their own feet, practical instruction in foot-care, instruction incorporating suggestions for improvements in standing position, and walking ability, and follow-up by telephone and home [4]. The effects of the educational programs have been evaluated in terms of foot-care knowledge, self-care behavior, QOL, ulcer and foot amputation rates, and knowledge of foot-care [5] [6] [7]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
