Intervention “Teaching foot care” for people with diabetes: a randomized clinical trial
DOI:
https://doi.org/10.5585/20.2021.19889Keywords:
Diabetic foot, Diabetes mellitus, Health education, NursingAbstract
Introduction: people with diabetes are at increased risk for developing lower limbs morbidities, which are related to amputations.
Objective: analyzing the effect of the intervention “Teaching Foot Care”, carried out through home visits, on tissue integrity, on knowledge about self-care activities and on the intention of foot care.
Method: parallel, single-blind, randomized clinical testing with an allocation rate of 1:1, developed with people with type 2 diabetes. The primary outcome is related to the evaluation of tissue integrity and the secondary is related to knowledge about self-care activities and the intention to perform foot care.
Results: 72 people participated in the study, divided into control and treated groups. Control group showed a significant difference (p=<0.05) in the indicators of skin and its attachments, circulation, sensitivity, knowledge and intention to take care of the feet.
Conclusion: “Teaching Foot Care” is a strategy that can influence indicators of foot impairment. Nº. 20376013.2.0000.5142
Downloads
References
Armstrong DG, Boulton AJM, Bus SA. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017;376(24):2367-75. https://doi.org/10.1056/NEJMra1615439
International Working Group on the Diabetic Foot (IWGDF). The 2015 Guidance on prevention and management of foot problems in diabetes: development of an evidence-based global consensus. Diabetes Metab Res Rev. 2016;32(suppl 1):S2-6. https://doi.org/10.1002/dmrr.2694
Walsh JW, Hoffstad OJ, Sullivan MO, Margolis DJ. Association of diabetic foot ulcer and death in a population-based cohort from the United Kingdom. Diabet Med. 2016;33(11):1493-98. https://doi.org/10.1111/dme.13054
Vieira CPB, Araújo TME. Prevalence and factors associated with chronic wounds in older adults in primary care. Rev da Escola de Enf. USP. 2018;52:1-8. https://doi.org/10.1590/S1980-220X2017051303415
Figueira ALG, Gomes-Villas Boas LC, Coelho ACM, Foss-Freitas MC, Pace AE. Educational interventions for knowledge on the disease, treatment adherence and control of diabetes mellitus. Rev Latino-Am Enf. 2017;25:1-8. https://doi.org/10.1590/1518-8345.1648.2863
Oliveira ARC, Araujo TL, Costa AGS, Morais HCC, Silva VM, Lopes MVO. Evaluation of patients with stroke monitored by home care programs. Rev Esc Enferm USP. 2013;47(5):1147-53. https://doi.org/10.1590/S0080-623420130000500019
Gomes LC, Coelho ACM, Gomides DS, Foss-Freitas MC, Foss MC, Pace AE. Contribution of family social support to the metabolic control of people with diabetes mellitus: A randomized controlled clinical trial. Applied Nurs Res. 2017;36:68–76. https://doi.org/10.1016/j.apnr.2017.05.009
Herdman TH, Kamitsuru S. Diagnósticos de enfermagem da NANDA-I: definições e classificação 2018-2020. Porto Alegre: Artmed; 2018.
Johnson M, Moorhead S, Maas ML, Swanson E. NOC - Classificação dos Resultados de Enfermagem. 5 th ed. Amsterdã: Elsevier; 2016.
Bulechek GM, Butcher HK, Dochterman J, Wagner CM. Nic - Classificação Das Intervenções de Enfermagem. 6 th ed. Amsterdã: Elsevier; 2016.
Park H. Identifying Core NANDA-I Nursing Diagnoses, NIC Interventions, NOC Outcomes, and NNN Linkages for Heart Failure. Int J Nurs Knowl. 2014;25(1):30-8. https://doi.org/10.1111/2047-3095.12010
UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes. Lancet. 1998;352(9131):854-65. https://doi.org/10.1016/S0140-6736(98)07037-8
Folstein MF, Folstein SE, Mchugh PR. Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
Medronho AR, Carvalho DM, Bloch KV, Luiz RR, Werneck GL. Epidemiologia. São Paulo: Atheneu; 2011.
Silva NCM, Chaves ECL, Carvalho EC, Iunes DH. Instrument for assessing tissue integrity of the feet of patients with diabetes mellitus. Acta Paul Enfer. 2013;26(6):535-41. https://doi.org/10.1590/S0103-21002013000600005
Monteiro LA, Souza VHS, Moreira JB, Pace AE, Iunes DH, Chaves ECL. Atividades para o “Ensino do autocuidado com os pés” de pessoas com Diabetes Mellitus. Rev Nursing. 2018: 1-17.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Manual do pé diabético. 1 st ed. Brasília: Ministério da saúde; 2016.
Monteiro LA, Chaves ECL, Souza VHS, Nogueira DA, Pereira MG, Iunes DH. Questionnaire of Planned Behavior in Diabetes - Foot Care: Validation. Online Braz J Nurs. 2015;14(3):255-62. https://doi.org/10.17665/1676-4285.20155159
Sharoni SKA, Rahman HA, Minhat HS, Ghazali SS, Azman MH. A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a Quasi-experimental Pilot Study. BMJ Open 2017;7:e014393. https://doi.org/10.1136/bmjopen-2016-014393
Bernardo AFB, Rossi RC, Souza NM, Pastre CM, Vanderlei LCM. Association between physical activity and cardiovascular risk factors in individuals undergoing cardiac rehabilitation program. Rev Bras Med Esporte. 2013;19(4):231-5. https://doi.org/10.1590/S1517-86922013000400001
Kalanuria AA, Nyquist P, Ling G. The prevention and regression of atherosclerotic plaques: emerging treatments. Vasc Health Risk Manag. 2012;8(1):549-61. https://doi.org/10.2147/VHRM.S27764
Foss-Freitas MC, Junior WM, Foss MC. Autonomic neuropathy: a high risk complication for type 1 diabetes mellitus. Arq Bras Endocrinol, Metab. 2008;52(2):398-406. https://doi.org/10.1590/S0004-27302008000200028
Valensi P, Paries J, Attali JR. French Group for research and Study of Diabetic neuropathy. Cardiac Autonomic Neuropathy in Diabetic Patients: influence of diabetes duration, obesity and microangiopathic complications – The French Multicenter Study. Metabolism. 2003;52:815-20. https://doi.org/10.1016/s0026-0495(03)00095-7
Boulton AJ. The pathogenesis of diabetic foot problems: an overview. Diabet Med. 1996; 13:S12-6.
Carlesso GP, Gonçalves MHB, Júnior DM. Evaluation of diabetic patients’ knowledge about preventive care of the diabetic foot, in Maringá, PR, Brazil. J Vasc Bras. 2017;16(2):113-118. https://doi.org/10.1590/1677-5449.006416
Contreras F, Sánchez M, Martínez MS, Chávez M, Mindiola A, Bermudez V, et al. Management and Education in Patients with Diabetes Mellitus. Medical & Clinical Rev. 2017;3(2):1-7. https://doi.org/10.21767/2471-299X.1000049
MakkiAwouda FO, Elmukashfi TA, Al-Tom SAH. Effects of Health Education of Diabetic Patient's Knowledge at Diabetic Health Centers, Khartoum State, Sudan: 2007-2010. Glob J of Health Sci. 2014;6(2):221-226. https://doi.org/10.5539/gjhs.v6n2p221
Martins ECB, Serralvo FA, João BN. Teoria do comportamento planejado: uma aplicação no mercado educacional superior. Gestão e Regional. 2014;30(88):107-22. https://doi.org/10.13037/gr.vol30n88.2292
Boulton AJM, Armstrong DG, Albert SF, Frykberg RG, Hellman R, Kirkman MS et al. Comprehensive Foot Examination and Risk Assessment. Diabetes Care. 2008;31(8):1679–85. https://dx.doi.org/10.2337%2Fdc08-9021
Oliveira AF, Marchi ACB, Leguisamo CP, Baldo GV, Wawginiak TA. Estimate cost on diabetic foot treatment, as prevent and save resources. Ciênc & Saúde Col. 2014;19(6):1663-71. https://doi.org/10.1590/1413-81232014196.09912013
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Conscientiae Saúde
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.