scholarly journals Effects of interactive education with conversation map on foot care behaviors in elderly diabetic patients with high-risk diabetic foot

2021 ◽  
Author(s):  
Zhang Yingli
Keyword(s):  
Blood Glucose ◽  
High Risk ◽  
Diabetic Foot ◽  
Postprandial Blood Glucose ◽  
Control Group ◽  
Diabetic Patients ◽  
Foot Care ◽  
Interactive Education ◽  
Conversation Map ◽  
Experimental Group

Background: Diabetic foot is one of the main reasons that seriously affect the quality of life and disability. Good foot care can prevent 85% amputation of diabetic foot patients. The purpose of this study is to explore the effects of interactive education with conversation map on foot care behaviors among elderly diabetic patients with high-risk diabetic foot.Methods: 96 elderly diabetic patients in Endocrinology Department of the Second Affiliated Hospital of Shandong First Medical University from January to December in 2020 were selected as the research objects. According to the parity of the last two digits of the hospitalization number, the odd number was divided into the control group and the even number was divided into the experimental group. The control group was given traditional health education and interactive education with conversation map for diabetic foot launched by the international diabetes federation was added to the experimental group. After 3 months of intervention, fasting blood glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin and foot care behaviors of the two groups were observed.Results: The fasting blood glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin and foot care behaviors of the experimental group were significantly better than those of the control group and the difference was statistically significant (p<0.05).Conclusions: The interactive education with conversation map can effectively improve the foot care behaviors of elderly diabetic patients with high-risk diabetic foot, and then prevent the occurrence of diabetic foot.

scholarly journals Application of interactive education in rural elderly diabetic patients with conversation map

2021 ◽  
Vol 8 (3) ◽  
pp. 348
Author(s):  
Zhang Yingli ◽  
Niu Mingyun ◽  
Zhang Cuiqin
Keyword(s):  
Blood Glucose ◽  
Rural Elderly ◽  
Postprandial Blood Glucose ◽  
Self Management ◽  
Control Group ◽  
Diabetic Patients ◽  
Interactive Education ◽  
Management Ability ◽  
Conversation Map ◽  
Experimental Group

Background: The purpose of this study is to explore the effect of health education with conversation map on self-management ability of rural elderly diabetic patients.Methods: 60 rural elderly diabetic patients in endocrinology department of a 3A hospital from January to December in 2019 were selected as the research objects. According to the parity of the last two digits of the hospitalization number, the odd number was divided into the control group and the even number was divided into the experimental group. The control group was given traditional health education and interactive education with conversation map was added to the experimental group. After 3 months of intervention, fasting blood glucose, 2 hours postprandial blood glucose, glycosylated hemoglobin and self-management behavior of the two groups were observed.Results: The fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin and self-management ability of the experimental group were significantly better than those of the control group and the difference was statistically significant (p<0.05).Conclusions: The interactive education with conversation map can effectively improve the self-management ability of rural elderly diabetic patients, and then prevent the occurrence of diabetic complications.

scholarly journals The effect of a foot care camp on diabetic foot care knowledge and the behaviours of individuals with diabetes mellitus

2018 ◽  
Vol 23 (5) ◽  
pp. 416-425 ◽  
Author(s):  
Angger Anugerah Hadi Sulistyo ◽  
Wipa Sae Sia ◽  
Khomapak Maneewat
Keyword(s):  
Diabetic Foot ◽  
Control Group ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Foot Care ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
Experimental Group ◽  
Better Than

Aim The aim of this study was to examine the effectiveness of a foot care (FC) camp to enhance diabetic foot care knowledge (DFCK) and diabetic foot care behaviours (DFCB) among diabetic participants in Indonesia. Methods A two-group pre- and post-test quasi-experimental design was used in this study. A total of 72 participants completed a 5-week programme. The participants’ DFCK and DFCB were examined in the fifth week using the Modified Diabetic Foot Care Knowledge (MDFCK) and the Modified Diabetic Foot Care Behaviours (MDFCB) questionnaires. Data were analysed by descriptive and independent t-tests. Results The mean score of DFCK (DFCK and DFCB in this study represent the score of knowledge and behaviors which gathered from MDFCK and MDFCB's questionnaires) in the experimental group after completing the FC camp was significantly better than that in the control group ( p < .001). Similarly, the mean score of DFCB in the experimental group after completing the FC camp was significantly better than that in the control group ( p < .001). Conclusions The FC camp was found to enhance DFCK and DFCB among diabetic patients. Therefore, this programme can be utilised for nursing practice in order to prevent diabetic foot ulcers and foot amputation.

scholarly journals Etiology, diagnosis, complications, and treatments of diabetic foot

2021 ◽  
Vol 64 (8) ◽  
pp. 523-528
Author(s):  
Dong-Kyo Seo
Keyword(s):  
Blood Glucose ◽  
Diabetic Foot ◽  
Life Quality ◽  
Term Treatment ◽  
Autonomic Nerves ◽  
Diabetic Patients ◽  
Foot Care ◽  
Glucose Levels ◽  
High Risk Factors ◽  
Long Term Treatment

Background: Diabetic foot is one of the complications of diabetes mellitus, accompanied by infection, ulcer, deformity, and neuropathic arthropathy. The prevalence of diabetic foot is approximately 10% to 20% in adult diabetic patients over 30 years. Patients with diabetic foot show decreased life quality due to long-term treatment and hospital admission for various complications. Therefore, it is important to understand the etiology of diabetic foot and to prevent the accompanying complications.Current Concepts: Multiple complications of diabetic foot such as ulcers, infections, and deformities are derived from neuropathy (sensory, motor, and autonomic nerves) and angiopathy. Careful physical and radiologic examinations and laboratory evaluations are necessary to diagnose diabetic foot. Dressings, surgical decompressions, antibiotics, and vascular interventions are helpful for the treatment of ulcers in diabetic foot. Maintaining proper blood glucose levels and medication help control the neuropathies. Furthermore, patients should be educated on careful foot care to prevent complications.Discussion and Conclusion: Diabetic foot and its accompanying complications are difficult to treat and decrease patients’ quality of life. To prevent complications of diabetic foot, management of blood glucose, patient education on self-foot care, screening of high-risk factors, and cooperation of various medical specialists are needed.

scholarly journals Clinicopathological study of diabetic foot in Bundelkhand area with special reference to fungal infection in asymptomatic feet of diabetic patients

2017 ◽  
Vol 4 (11) ◽  
pp. 3690
Author(s):  
Mayank Mishra ◽  
Dinesh Pratap
Keyword(s):  
Fungal Infection ◽  
Diabetic Patient ◽  
Diabetic Foot ◽  
Morbidity And Mortality ◽  
Control Group ◽  
Diabetic Patients ◽  
Foot Care ◽  
Clinicopathological Study ◽  
Foot Lesions ◽  
Foot Disease

Background: As with substantial increasing in incidence of diabetes mellitus in present century and with huge prevalence in population; the incidence of one of the dreadful complication of diabetes i.e. diabetic foot also increases, leading to increase morbidity and mortality. Fungal infection in foot is one of the underweighted cause of foot ulceration. These microulceration in conjunction with diabetes may leads to fulminant infection. The study comprised of 66 cases out of which 16 served as control. Aim and objectives of our study is to study the incidence of fungal infection in asymptomatic feet of diabetic patients, identification of the type of fungus, comparison with nondiabetics and clinicopathological study of the patients.Methods: The present study was carried at Department of Surgery, MLB. Medical College, Jhansi, the study group was classified into two groups. Control group; this group comprised of non-diabetic patients with foot lesions. Disease group; diabetic patients with foot lesions. Webs scrapings were inoculated in Sabouraud’s media slopes. Cultured media were examined after 3 days for the growth. Identification depends on colonial appearance and the morphology of the spores and by Gram, s and AFB Staining.Results: By this study we conclude that fungal infection in asymptomatic foot of diabetes patient are significantly more than non-diabetic patients which is accentuated by duration, type, glycaemic control and practice of bare foot walking which makes diabetic patient more prone for diabetic foot. So, the foot care of patients of diabetes should include the prophylactic steps to prevent fungal growth.Conclusions: By above study, we reasonably conclude that fungal infection in diabetic patients plays a pivotal role in formation of diabetic foot disease, so by eradication of fungal infection in asymptomatic foot of diabetic patient by general preventive methods and/or pharmacological methods may be beneficial in reducing morbidity and mortality in diabetic foot patients.

scholarly journals Effects of a Short Educational Program for the Prevention of Foot Ulcers in High-Risk Patients: A Randomized Controlled Trial

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Matteo Monami ◽  
Stefania Zannoni ◽  
Marianna Gaias ◽  
Besmir Nreu ◽  
Niccolò Marchionni ◽  
...  
Keyword(s):  
High Risk ◽  
Diabetic Foot ◽  
Educational Program ◽  
Foot Ulcers ◽  
Control Group ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
High Risk Patients ◽  
Significant Difference ◽  
Risk Patients

Background. Patient education is capable of reducing the risk for diabetic foot ulcers. However, specific education on foot ulcer prevention was either included in broader programs addressing different parts of diabetes care or provided with time- and resource-consuming curricula. The aim of the study is to assess the feasibility and efficacy of a brief educational program for the prevention of diabetic foot ulcers in high-risk patients.Methods. The study was performed on type 2 diabetic patients, randomized in a 1 : 1 ratio either to intervention or to control group. The principal endpoint was the incidence of foot ulcers. The intervention was a two-hour program provided to groups of 5–7 patients, including a 30-minute face-to-face lesson on risk factors for foot ulcers, and a 90-minute interactive session with practical exercises on behaviors for reducing risk.Results. The study was prematurely terminated due to a highly significant difference in outcome between the two treatment groups. The final sample was therefore composed of 121 patients. Six patients, all in the control group, developed ulcers during the 6-month follow-up (10% versus 0%,p=0.012).Conclusions. A brief, 2-hour, focused educational program is effective in preventing diabetic foot ulcers in high-risk patients.

The effect of a mobile application on the foot care of individuals with type 2 diabetes: A randomised controlled study

2020 ◽  
pp. 001789692098161
Author(s):  
Berna Dincer ◽  
Nefise Bahçecik
Keyword(s):  
Type 2 Diabetes ◽  
Diabetic Foot ◽  
Self Efficacy ◽  
Mobile Application ◽  
Control Group ◽  
Foot Care ◽  
Care Education ◽  
Randomised Controlled ◽  
Experimental Group

Objective: This study aimed to develop an animation-supported Mobile Diabetic Foot Care Education (M-DFCE) application for use by individuals with type 2 diabetes and identify its effects on knowledge, self-efficacy and foot care behaviour. Design: Randomised, controlled experimental study. Setting and Method: The study was carried out between October 2016 and September 2017. The sample consisted of 130 individuals with diabetes (65 in the experimental group and 65 in the control group). The experimental group received M-DFCE. Data were collected using the Patient Assessment Form, the Diabetes Foot Knowledge Questionnaire, the Diabetic Foot Care Self-Efficacy Scale and the Foot Self-Care Behaviour Scale. Differences between the groups were examined using Student’s t, Mann–Whitney U, Wilcoxon Signed Rank and Paired Sample tests. Results: Although there was no difference between the groups at initial evaluation, individuals in the experimental group who received animation-supported M-DFCE had significantly higher knowledge, self-efficacy and foot care behaviour levels than the control group. Conclusion: The animation-supported mobile application developed for foot care education was effective in increasing the individuals’ knowledge, self-efficacy and behaviour with respect to foot care.

Analysis of the Effect of Miglitol in the Treatment of Diabetes Mellitus Based on Ag+ Disinfectant Sampling Needle

2020 ◽  
Vol 12 (4) ◽  
pp. 550-555
Author(s):  
Ling Zhao ◽  
Liping Tan ◽  
Guoliang Cheng ◽  
Yuanyuan Miao ◽  
Xiangming Zhou ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Adverse Reactions ◽  
Fasting Blood Glucose ◽  
Density Lipoprotein ◽  
Insulin Level ◽  
Lipoprotein Cholesterol ◽  
Postprandial Blood Glucose ◽  
Control Group ◽  
Diabetic Patients ◽  
Study Group

The present work selected 120 patients, affected by diabetes, as control subjects in the Affiliated Hospital of Kunming Medical University. According to the principle of random distribution, two groups were established, miglitol study group (65 cases) and metformin control group (55 cases). The Ag + disinfectant sampling needle is a rapid detection tool to evaluate the efficacy of diabetes in both groups. The related biochemical indexes of the patients were measured before and after treatment at the 3rd, 6th, and 12th weeks. The test results showed that there were significant differences in fasting blood glucose value (FBG) and postprandial blood glucose value (2hFBG) among the two groups after 3-, 6-, and 12-month treatment. With the extension of treatment, the blood glucose level of diabetic patients gradually stabilized. Fasting insulin level (FINS) and postprandial two-hour insulin level (2hINS) increased gradually. At the 12th week, by measuring the HbA1c level of the patients, it was found decreasing significantly. In detail, the study group decreased more significantly than the control group, and the incidence of adverse reactions during treatment was 10.8% and 23.6%, respectively, with a significant statistical significance (P < 0 05). Meanwhile, we measured other biochemical indexes of patients from both groups after drug treatment. At the 6th week, the levels of glycosylated glycoprotein (HbA1c), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) in the study group decreased more than in the control group. Therefore, miglitol shows a better hypoglycemic effect on type 2 diabetes, and the gastrointestinal adverse reactions are lesser than metformin, which is more worthy in clinical application.

scholarly journals Analysis on the Current Situation of Information Construction of Blood Glucose Management for Diabetic Patients in Primary Hospitals

2020 ◽  
Vol 9 (7) ◽  
pp. 178
Author(s):  
Dan Xu ◽  
Yang Zhang
Keyword(s):  
Blood Glucose ◽  
Compliance Rate ◽  
Glucose Monitoring ◽  
Blood Glucose Monitoring ◽  
Control Group ◽  
Diabetic Patients ◽  
Feedback Information ◽  
Monitoring Instrument ◽  
Glucose Management ◽  
Experimental Group

To explore the effect of informatization construction of diabetes mellitus inpatients’ blood glucose management in basic hospital. Methods: 300 cases of diabetic patients in a primary hospital were randomly divided into experimental group and control group with 150 cases in each group. The control group used traditional blood glucose monitoring system and monitoring instrument; the experimental group used blood glucose management information system and intelligent blood glucose monitoring instrument. The blood glucose value, time, target rate and other monitoring indicators were recorded. Results: the accuracy rate of patients’ information recognition and feedback information was higher than that of the control group, the differences were statistically significant (P < 0.05); the blood glucose monitoring value of the experimental group was more accurate than that of the control group, the difference was statistically significant (P < 0.01); the detection time and standard time of blood glucose in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion: the informatization construction has a very important significance for the blood glucose management of diabetic patients, which can reduce the blood glucose value of patients, improve the blood glucose compliance rate of patients before discharge, self blood glucose monitoring ability, work efficiency and level of medical workers.

scholarly journals Clinical Analysis of Targeted Navel Drops in the Treatment of Diabetes Mellitus

2021 ◽  
Vol 5 (5) ◽  
pp. 194-198
Author(s):  
Yueping Zhu
Keyword(s):  
Blood Glucose ◽  
Research Group ◽  
Fasting Blood Glucose ◽  
Effective Rate ◽  
Postprandial Blood Glucose ◽  
Control Group ◽  
Diabetic Patients ◽  
Group 2 ◽  
And Control ◽  
Group 1

Objective: To analyze and evaluate the clinical efficacy of targeted navel drops in the treatment of diabetes mellitus. Methods: The time span of the study was from September 2020 to April 2021, and 288 diabetic patients were selected from our hospital. The patients were divided into research group (n = 96) group, control group 1 (n = 96) and control group 2 (n = 96) by random number table. Control group 1 was managed with diet and exercise alone, control group 2 was treated with metformin on the basis of control group 1, and based on the treatment plan of the two control groups, the research group was treated with targeted navel drops. The relevant indexes of the three groups were compared and analyzed. Results: There was no significant difference in the fasting blood glucose and 2-hour postprandial blood glucose among the three groups (p > 0.05) before the treatment. After treatment, the fasting blood glucose and 2-hour postprandial blood glucose of the research group were significantly lower than those of control group 1 and control group 2 (p < 0.05). The total effective rate of the research group was 95.8%, that of control group 1 was 85.4%, and that of control group 2 was 79.2%. The total effective rate of the research group was significantly higher than that of control group 1 and control group 2 (p < 0.05). Conclusion: There is a significant effect of targeted navel drops on diabetic patients in reducing their blood sugar levels, and its curative effect is better than using a single hypoglycemic therapy belonging to western medicine. It can be widely promoted at all levels in medical institutions.

scholarly journals The Effects of Silver-Releasing Foam Dressings on Diabetic Foot Ulcer Healing

2021 ◽  
Vol 10 (7) ◽  
pp. 1495
Author(s):  
Yu-Chi Wang ◽  
Hsiao-Chen Lee ◽  
Chien-Lin Chen ◽  
Ming-Chun Kuo ◽  
Savitha Ramachandran ◽  
...  
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Healing Rate ◽  
Early Period ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Wound Management ◽  
Control Group ◽  
Diabetic Patients ◽  
High Morbidity

Diabetic foot ulcers (DFUs) are a serious complication in diabetic patients and lead to high morbidity and mortality. Numerous dressings have been developed to facilitate wound healing of DFUs. This study investigated the wound healing efficacy of silver-releasing foam dressings versus silver-containing cream in managing outpatients with DFUs. Sixty patients with Wagner Grade 1 to 2 DFUs were recruited. The treatment group received silver-releasing foam dressing (Biatain® Ag Non-Adhesive Foam dressing; Coloplast, Humlebaek, Denmark). The control group received 1% silver sulfadiazine (SSD) cream. The ulcer area in the silver foam group was significantly reduced compared with that in the SSD group after four weeks of treatment (silver foam group: 76.43 ± 7.41%, SSD group: 27.00 ± 4.95%, p < 0.001). The weekly wound healing rate in the silver foam group was superior to the SSD group during the first three weeks of treatment (p < 0.05). The silver-releasing foam dressing is more effective than SSD in promoting wound healing of DFUs. The effect is more pronounced in the initial three weeks of the treatment. Thus, silver-releasing foam could be an effective wound dressing for DFUs, mainly in the early period of wound management.

Sign in / Sign up

Export Citation Format

Share Document