Abstract
| 275 age was 61.6±11.9 years old, average duration of diabetes was 7.9±6.2 years. The patients in the usual educational group received the routine diabetic treatment and general diabetes education (4-5 hrs). The patients in the experimental group received individual intensive education on foot self-care(6-7.5 hrs), given by the diabetes nurse educator in the outpatient department on repeated occasions, in addition to usual diabetes education (4-5 hrs). In terms of participants’ baseline data on demographic characteristics (i.e., age, sex, education, employment) and diabetes characteristics (i.e., type of diabetes, duration of diabetes, presence of complications, the type of treatment), there were no significant differences between the experimental group and the comparison group (all P > 0.05). The two groups were comparable on all baseline data. The effects were evaluated before education and nine months after education. results: The results indicated improvement in patients’ recognition of signs of foot problems. Increased knowledge and skills of daily foot self-care strategies, selecting suitable shoes and socks, and cutting toenails were significantly improved in the experimental group after education(P<0.05). Foot problems such as dry and cracked skin, callus, fungal infection, and foot lesions were reduced significantly nine months after education in the experimental group(P<0.05-P<0.001). FBG, 2hrs PBG, HbA1c, BMI and blood pressure were controlled much better in the experimental group, compared with the comparison group, and the differences were significant (P<0.05). conclusions: The intensive foot self-care educational intervention was effective in enhancing patients’ foot self-care skills and in preventing foot problems. This intervention should be incorporated as an additional component in intensive and comprehensive educational programs to assist patients’ diabetes self-management. Diabetes education delivery No conflict of interest
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