• 성인간호학회지
• /
• 제18권1호
• /
• pp.81-91
• /
• 2006

Purpose: The purpose of this study was to investigate foot ulcer risk factors, foot care knowledge, and foot care practice in patients with type 2 diabetes. Method: One hundred fifty type 2 diabetic patients were in and out-patients in a large urban hospital. The data were collected using a self-report questionnaire, chart review and foot examination. The questionnaires were developed by the researchers through the experts consultation and literature review. High risk for foot ulcer was evaluated by peripheral neuropathy(PN), peripheral vascular disease(PVD), and prior foot ulcer. Foot risk scores(FRS) means numbers of present risk factors. Results: 31.3% of subjects show 1 FRS, and 13.3% showed 2 FRS. Mean foot care frequency was 3.5 times per week. There were significant differences in foot care knowledge according to DM education (t=2.96, p=.004) and foot care education (t=3.65, p=.001). There were significant differences in the foot care practice activities according to duration of DM (t=3.48, p=.010) and educational levels. Conclusion: There were high proportion of foot ulcer risk among the patients. It is necessary to screen high risk foot ulcer patients and provide practical education for foot care practice of diabetic patients.

• 기본간호학회지
• /
• 제21권1호
• /
• pp.7-17
• /
• 2014

Purpose: The purpose of this study was to evaluate effects of foot care education on foot pain, foot care compliance, and disability of daily living for people with rheumatoid arthritis involving the feet. Methods: This study was conducted as a randomized controlled trial. The participants were 49 patients, including 24 in the experimental group and 25 in the control group. The experimental treatment was the provision of foot care education leaflets and 20-minute 1:1 explanations of the content of the leaflet. After 2 weeks, foot care compliance was confirmed by phone call. The experimental effects were assessed by measuring changes in foot pain, foot care compliance, and disability of daily living using a pre test before the foot care education and a post test, 1 month after the foot care education. Results: Foot pain and disability of daily living in the experimental group decreased more than that of the control group. Foot care compliance in experimental group increased more than that of the control group. Conclusion: Results indicate that this foot care education program is an effective intervention to decrease foot pain and the disability of daily living, and increase the foot care compliance in patients with rheumatoid arthritis involving the feet.

• 성인간호학회지
• /
• 제16권2호
• /
• pp.222-232
• /
• 2004

Purpose: The purpose of this study was to identify the change in foot care knowledge, self care behavior, and physiologic indexes after foot reflexomassage education program, and the related factors. Method: Data were collected from 20 patients who were visited out patients clinic. The change and difference were analyzed with non-parametric statistics. Result: There were significant differences in foot care knowledge(P=.001), self care behavior(P=.000), dosalis pedis blood flow volume (P=.011), skin temperature of foot(P=.001), dorsalis pedis pulse(P=.000), capillary filling time of foot (P=.000) between pre and post. The level of changes of foot care knowledge was significant differences according to admission experience (P=.049), and negative related to systolic blood pressure(P=.028). The level of changes of self care behavior was related to age(P=.049), that of dosalis pedis blood flow was significant difference according to smoking(P=.042), that of skin temperatureof foot(P=.002) and dosalis pedis pulse(P=.038) were significant difference according to weight. The level of changes of capillary filling time of foot was related to diagnosis period(P=.014). Conclusion: Foot-Reflexo-Massage education program is an effective nursing intervention to promote foot care in diabetic patients. And the related factors can be recommended for the management of diabetic patients.

• 대한간호학회지
• /
• 제33권5호
• /
• pp.633-642
• /
• 2003

Purpose: This study was conducted to evaluate the effects of foot care education program using foot-reflexo-massage in diabetic patients. Method: A convenience sample of non-equivalent control group time series design was used. It provided foot care education to diabetic patients through small book for both group. For the experimental group, foot-reflexo-massage was taught by a researcher and research assistants. Analysis was done by Repeated Measured ANOVA. Result: There was significant increase in foot care knowledge, self care behavior, between the experimental group and the control group over three different times. There was significant in skin temperature and pulse of foot over three different times and interaction by groups or over time, but there was no significant difference between groups. There was no significant difference in blood flow volume and capillary filling time over three different times, between groups, but there was interaction by groups or over time. But there was significant difference in discrimination in change of dosalis pedis artery blood flow. Conclusion: Findings indicate that this study may contribute to develop nursing intervention for foot care of diabetic patients.

• 지역사회간호학회지
• /
• 제30권4호
• /
• pp.560-570
• /
• 2019

Purpose: The purpose of this study was to examine the effects of diabetic foot care education for the older adults with low health literacy. Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The participants who were diagnosed with diabetes, were adults over 65 years old at the welfare center of Y and B city. They were divided into the experimental group (n=32) and the control group (n=31). Inclusion criteria were a score of 5 or under on the Short form of Korean Functional Health Literacy Test and 24 or more on the Korean version of Mini-Mental State Examination. Foot care education was conducted in a small group for 40 minutes, once a week, for three weeks. The education materials are composed of an easy term, picture and photographs to understand easily. Results: The scores of diabetic foot care knowledge (t=4.57, p<.001), foot care self-efficacy (t=6.07, p<.001), and foot self-care behavior (t=4.18, p<.001) were significantly increased in the experimental group compared to the control group. Foot health status was not significantly improved. Conclusion: The findings indicate that this education program can be used as a nursing intervention improving foot care knowledge, foot care self-efficacy, and foot self-care behavior in order to prevent the diabetic foot problems of elderly diabetic persons with low health literacy.

• 근관절건강학회지
• /
• 제27권2호
• /
• pp.160-168
• /
• 2020

Purpose: This study aimed to provide basic data for the development of an education program on diabetic foot prevention care for care helpers in long term care facilities. Additionally, it sought to determine care helpers' knowledge and practice regarding diabetic foot prevention care, and to identify the correlation between such knowledge and practice. Methods: This cross-sectional study employed a structured questionnaire. Participants consisted of 90 care helpers who were working in three long term care facilities in Jeju city. Data collection was conducted from September to November 2016. Results: The mean knowledge and practice scores were 8.77±1.28 (range 0~10) and 28.17±2.44 (range 10~30), respectively. Practice regarding diabetic foot prevention care was significantly different by care helpers' gender (t=-2.28, p=.024), period of career in the long term care facility (F=3.29, p=.025), and received education on diabetic foot prevention care (t=3.08, p=.005). A positive correlation was observed between knowledge and practice (r=.35, p<.001). Conclusion: To improve the practice of diabetic foot prevention care, specialized education programs that consider gender and period of career in the long term care facility as well as the improvement of the level of knowledge of care helpers on diabetic foot prevention care are needed.

• 가정∙방문간호학회지
• /
• 제18권1호
• /
• pp.32-39
• /
• 2011

Purpose: The purpose of this study was to investigate treatment types and the status of referral to home care services for patients with diabetic foot. Methods: A retrospective survey was conducted by reviewing medical records from January to December in 2008 at a university hospital. The subjects were 76 patients at the age of 20 years or older who were admitted, had home care services, or received outpatient care for diabetic foot. The data were analyzed using descriptive statistics. Results: Among the total of 9,317 patients diagnosed with diabetes, 5.03% (n=469) had diabetic foot. Admission (81.6%) was the most frequently used treatment type followed by outpatient care only (7.9%) and hemodialysis only (10.5%). Of the 76 admission cases, 44.9% received post-discharge care at outpatient clinics, 20.5% had both outpatient and home care services, and 16.7% were transferred to other hospitals. Readmission rate after discharge was 15.6% for one year. Conclusion: This study suggests referral to home care services should be encouraged to provide effective follow-up care to patients with diabetic foot after discharge from a hospital.

• Journal of Korean Biological Nursing Science
• /
• 제18권2호
• /
• pp.78-86
• /
• 2016

Purpose: Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain. Methods: This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test. Results: There were significant differences in self-care behavior and wound related pain. Conclusion: A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

• 한국패션뷰티학회지
• /
• 제2권2호
• /
• pp.12-22
• /
• 2004

The purpose of this study is to present various ways for women to prevent and remedy the climacteric symptoms and to increase the health and quality of life of the women. The reason of this study focuses on this matter is that the conditions of climacteric era is connecter into the health of golden age. After examining the symptoms of the period, the researcher went over the foot heal care even recognized to the public. When the study considered the foot care as a medical service for the climacteric women, the method was expected as a way to improve the symptoms related to the climacteric diseases. This effect is also supported by the results of the clinical experiment and book media materials concerned. The main symptoms of climacteric period such as insomnia, irregular menstruation, stomach chill, stress were able to be decreased by feet bathing, and massage therapy on feet could also decrease pain of arms and legs, menstruation, headache and insomnia. The foot reflexology therapy made strengthen the periphery nerve, capillary vessels, and immune system, and increased the elasticity of blood vessels and the speed of the blood corpuscle, so they could enable to the blood circulation. The study expects the foot care to be positively method for climacteric symptoms with regular breathing, muscle relaxing exercise, acupuncture, exercise and alimentotherapy. The foot care doesn't have any side effects and could ives up to the modern people who want to keep their health and live long.

• 한국산학기술학회논문지
• /
• 제14권3호
• /
• pp.1350-1358
• /
• 2013

본 연구는 발 반사마사지를 받는 이용자들의 발 반사요법에 대한 인식수준을 알아보고 그에 관련된 요인을 규명하고자 2011년 09월 01일부터 10월 30일까지의 기간 동안에 대전지역에 소재하고 있는 전문 발 관리실 3곳의 이용자 181명을 대상으로 구조화된 자기기입식 설문지를 이용한 설문조사를 실시하였다. 연구결과, 전체 조사대상자의 발 반사마사지요법 인식수준에 대한 평균점수는 $32.19{\pm}5.32$점(11개 항목의 점수범위; 0-44점)으로 나타났으며, 일반적 특성별 발 반사마사지요법 인식수준은 학력이 높을수록 유의하게 높았다(p=0.020). 조사대상자의 발 반사마사지 요법에 대한 태도 및 실천도에 따른 발 반사마사지요법 인식수준은 "질병치유를 위해서 한다"는 군에서(p=0.034), 발 반사마사지 시작 시 "질병이 있었다"는 군에서(p=0.030). 발 마사지 이용기간이 길수록(p=0.000), 발 반사마사지를 타인에게 "권유 하겠다"는 군에서 유의하게 높았다(p=0.004). 다중회귀분석 결과 발 반사마사지요법 인식수준에 영향을 미치는 관련요인으로는 발 반사마사지 이용 이유, 발 반사마사지 시작 시 건강상태, 발 반사마사지 이용기간 및 발 반사마사지의 타인에의 권유여부가 유의한 변수로 선정되었으며 이들 변수에 대한 설명력은 26.1%이었다. 위와 같은 결과를 볼 때, 전문 발 관리실 이용자들의 발 반사마사지요법 인식수준은 일반적 특성 변수들보다는 발 반사마사지에 대한 태도 및 실천도를 설명하는 변수들과 관련성이 높은 것을 알 수 있었다.