Beneficial effects of foot care nursing for people with diabetes mellitus: an uncontrolled before and after intervention study

Fujiwara, Yuko; Kishida, Ken; Terao, Mineko; Takahara, Mitsuyoshi; Matsuhisa, Munehide; Funahashi, Tohru; Shimomura, Iichiro; Shimizu, Yasuko

doi:10.1111/j.1365-2648.2011.05640.x

Cited by 49 publications

(78 citation statements)

References 44 publications

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“…During the healthcare, the health professional must carry out the risk classification for foot ulceration and identify the factors that may predispose to injury. This information will provide planning for the steps that will be taken in order to avoid complications and prevent amputations (1)(2)(3) . It has been verified an association between the low socioeconomic level and the greater risk of foot ulceration.…”

Section: Discussionmentioning

confidence: 99%

“…The follow-up of the therapeutic plan combined with the educational intervention for self-care is one of the most indicated strategies, including the achievement of normal blood glucose levels in some cases. Studies demonstrate the effectiveness of strategies and programs developed in primary health care by nursing professionals, which involve assistance and education for self-care in improving DM control, reducing the prevalence of foot ulcers, and lower limb amputations (2)(3)(4) . However, it is a fact that the implementation of strategies for monitoring people with DM residing in rural areas cannot be performed as a reproduction of the urban model.…”

Section: Introductionmentioning

confidence: 99%

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Fatores associados à ulceração nos pés de pessoas com diabetes mellitus residentes em área rural

Silva

Haddad

Rossaneis

et al. 2018

Rev. Gaúcha Enferm.

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RESUMO Objetivo Analisar os fatores associados ao risco de ulceração nos pés de pessoas com diabetes mellitus residentes em área rural. Métodos Estudo transversal realizado com 293 pessoas com diabetes mellitus, com 40 anos ou mais, residentes em município do sul do Brasil, em 2014. Analisou-se variáveis socioeconômicas, clínicas e o autocuidado com os pés. Utilizou-se o modelo de regressão múltipla de Poisson e como medida de associação a Razão de Prevalência (RP) e p-valor<0,05. Resultados 43,7% da amostra apresentou risco de ulceração nos pés. A maior prevalência desse risco foi associada a pessoas com menor poder aquisitivo (RPajustada=1,62/IC95%:1,52-2,22), retinopatia (RPajustada=1,30/IC95%:1,12-1,68) e alteração na umidade dos pés (RPajustada=1,57/IC95%:1,22-2,01). Identificou-se baixa escolaridade (64,2%), alta prevalência de hipertensão arterial (86,3%) e onicomicose nos pés (72%). Conclusões Pessoas com diabetes necessitam de avaliação do risco de ulceração nos pés, principalmente, os com maior tempo de diagnóstico, complicações crônicas e baixo nível socioeducacional.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Fatores associados à ulceração nos pés de pessoas com diabetes mellitus residentes em área rural

Silva

Haddad

Rossaneis

et al. 2018

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

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“…Nursing interventions for the prevention of diabetic foot were performed both individually [16,21,23,25,[28][29] and in a collective basis [19,20,22,24,26,30], or both [17][18]27]. The vast majority of interventions were from institutional health promotion programs [16, 18, 20-21, 24, 26, 27, 29, 30].…”

Section: Discussionmentioning

confidence: 99%

“…These foot care promotion programs aim to empower patients for self-care, reducing the occurrence of diabetic foot ulcers, both at community and/or hospital level. It is emphasized that programs with nurses in the management process have better results [16,21]. Educational programs are necessary to a proper self-care performance, especially in patients at higher risk [28].…”

Section: Discussionmentioning

confidence: 99%

“…For the promotion of behavioral changes, several resources and strategies have been used in the interventions, such as educational sessions [16-17, 20, 23, 25, 30], printed materials (letters, pamphlets, fliers) [18,[20][21], reinforcement phone calls [21,25], educational videos [26], plays [30], professional update seminars [16][17], home and/or outpatient visits [20,23,28]. It is recommended that health services have, use, and promote resources and strategies to facilitate interventions for the prevention of foot injuries in diabetic patients, such as audio tapes, video tapes, pamphlets, fliers, magazines and books; reinforcement of social interventions (patient and family association); and further research on the evaluation of the impact of health education on diabetic patients [24].…”

Section: Discussionmentioning

confidence: 99%

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Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

et al. 2017

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Objective: This study aims to perform a literature review of nursing interventions for ulcer prevention in patients with diabetic foot.Method: This is an integrative review which included studies from BDENF, LILACS, IBECS, CINAHL and PubMed databases, as well as the virtual library SCIELO without time restriction. Results:The authors identified fifteen articles that met the study criteria. Nursing interventions for ulcer prevention in diabetic foot were performed both individually and on a collective basis, or as combination. The huge majority of interventions were done in institutional programs for health promotion. Conclusion:The current evidence demonstrates the importance of health education as a tool in diabetic foot and lower extremities amputation prevention. This type of education increases patient's awareness of their own disease and help them to develop skills for self-care and better lifestyle.

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Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review

Netten

Raspovic

Lavery

et al. 2020

Diabetes Metabolism Res

167

330

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Prevention of foot ulcers in patients with diabetes is important to help reduce the substantial burden on both patient and health resources. A comprehensive analysis of reported interventions is needed to better inform healthcare professionals about effective prevention. The aim of this systematic review is to investigate the effectiveness of interventions to help prevent both first and recurrent foot ulcers in persons with diabetes who are at risk for this complication. We searched the available medical scientific literature in PubMed, EMBASE, CINAHL, and the Cochrane databases for original research studies on preventative interventions. We screened trial registries for additional studies not found in our search and unpublished trials. Two independent reviewers assessed data from controlled studies for methodological quality, and extracted and presented this in evidence and risk of bias tables. From the 13,490 records screened, 35 controlled studies and 46 non‐controlled studies were included. Few controlled studies, which were of generally low to moderate quality, were identified on the prevention of a first foot ulcer. For the prevention of recurrent plantar foot ulcers, there is benefit for the use of daily foot skin temperature measurements, and for therapeutic footwear with demonstrated plantar pressure relief, provided it is consistently worn by the patient. For prevention of ulcer recurrence, there is some evidence for providing integrated foot care, and no evidence for a single session of education.Surgical interventions have been shown effective in selected patients, but the evidence base is small. Foot‐related exercises do not appear to prevent a first foot ulcer. A small increase in the level of weight‐bearing daily activities does not seem to increase the risk for foot ulceration. The evidence base to support the use of specific self‐management and footwear interventions for the prevention of recurrent plantar foot ulcers is quite strong. The evidence is weak for the use of other, sometimes widely applied, interventions, and is practically non‐existent for the prevention of a first foot ulcer and non‐plantar foot ulcer.

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Beneficial effects of foot care nursing for people with diabetes mellitus: an uncontrolled before and after intervention study

Abstract: A nurse-based foot care programme is effective in preventing diabetic foot in diabetic patients.

Cited by 49 publications

References 44 publications

Fatores associados à ulceração nos pés de pessoas com diabetes mellitus residentes em área rural

Fatores associados à ulceração nos pés de pessoas com diabetes mellitus residentes em área rural

Nursing Interventions For The Prevention Of Foot Ulcers In Patients With Diabetes: An Integrative Review

Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review

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