The effect of an educational program using a group-based workshop to improve long-term care adherence in diabetic patients at risk of foot lesions

Abstract

The aim of this study was to evaluate the effect of a nurse-led educational intervention using group-based workshops in terms of changes in diabetic patient knowledge and skills to prevent foot lesions in 59 diabetic patients at risk of foot ulcers. The program focused on preventive care issues: shoes, foot inspection, nail cutting, hygiene, and general care of foot ulcers. After the educational intervention, mean care score increased significantly (40 ± 7 out of 50 points) compared with pre-workshop scores (25 ± 11; P < .001). No clinically relevant lesions were detected during follow up, and the incidence of foot lesions was lower compared with pre-workshop [20/59 (33.9%) vs. 11/59 (18.6%); P = .03]. In conclusion, group-based workshop education on the diabetic foot improves care skills and decreases the long-term incidence of foot lesions.