Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Fujii, Kashiko; Komoda, Takuyuki; Maekawa, Atsuko; Nishikawa, Mariko

doi:10.1186/s12912-020-00467-1

Cited by 8 publications

(5 citation statements)

References 46 publications

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“…On a standard basis, nurses who work in hospital settings are working 12-hour shifts, and from those interviewed, 80-90% of those 12 hours are spent on their feet. Addressing foot pain among nurses and other professions such as nursing, is needed considering their current working situations 33 .…”

Section: Discussionmentioning

confidence: 99%

Chronic Foot Pain and Foot Solutions in Adults from Different Professions: the I-Corps-National Science Foundation Foot Health Survey.

Mbue¹,

Wang²,

Rosario³

2021

Preprint

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Background Chronic foot pain (CFP) is a major contributor to sick leave and early retirement among individuals in all professions, especially those whose jobs require prolonged standing, lifting and walking. Current treatment modalities are inadequate in managing CFP. Hence, there is a significant need for new treatment options to manage chronic foot pain. The objectives of this study are i) explore the current state of chronic foot pain; ii) investigate current solutions and treatment options; and iii) explore opportunities for future inventions to address chronic foot pain. Methods Between April 2019 and September 2020, our team embarked on an I-Corps-National Science Foundation (NSF) programs in the United States to obtain information from stakeholders. Individualized, open-ended, mostly face-to-face interviews from nurses, athletes, construction and restaurant workers, among others were conducted. Results Preliminary data (N = 119) showed that current solutions and treatments for CFP were insufficient in managing moderate to acute pain (mostly pain scale 5 on a scale of 0–10). Those with ≥ 5 pain, changed shoes (63.3%), used shoe inserts, nursing clogs and painkillers (53.3%), and compression stockings (40%), with none reporting effectiveness. Fisher's exact tests were used to examine the relationships between regions (foot, heel and leg) and pain solutions. Regions (foot and heel) and shoe change were significantly related (p = 0.006) with participants using 5–7 pairs of shoes interchangeably, spending approximately $500-$700/year on new shoes. Female nurses 30–40 years experienced the highest foot pain than those younger. No significant differences in nursing and other professions with regards to CFP and solutions. Conclusions The majority expressed interest in trying new products to relieve their chronic foot and heel pain. Risk factors for foot pain included prolonged standing, walking, and lifting heavy objects. Current solutions are inadequate for managing moderate to acute foot pain in those who stand for prolonged periods of time on their feet. Innovations are urgently needed to address CFP.

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Section: Discussionmentioning

confidence: 99%

Chronic Foot Pain and Foot Solutions in Adults from Different Professions: the I-Corps-National Science Foundation Foot Health Survey.

Mbue¹,

Wang²,

Rosario³

2021

Preprint

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“…Applicants in a care level need some kind of assistance to do certain activities in daily life because they are not able to do them by themselves. The services covered by long-term care insurance are divided into home-based, community-based, and facility-based services [ 32 ]. In home-based services, day service and daycare centers provide daily care, such as hygiene, meals, recreation, and physical rehabilitation, depending on the participant’s plan.…”

Section: Methodsmentioning

confidence: 99%

Foot Problems and Their Associations with Toe Grip Strength and Walking Speed in Community-Dwelling Older Individuals Using Day Services: A Cross-Sectional Study

et al. 2023

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Foot disorders in older individuals compromise balance and contribute to postural and gait instabilities, causing a decrease in the activities of daily living and quality of life. In this cross-sectional study, we analyzed the foot-related data of 160 frail older participants who attended day service centers in A prefecture in Japan to determine the prevalence of foot problems and their associations with toe grip strength and walking speed in frail older people. Multiple regression analysis was used to identify foot-related variables that correlated with toe grip strength and walking speed. The prevalence rates of skin dryness (Support level 88.2%, Care level 85.2% for men; Support level 84.9%, Care level 93% for women) and suspected and existing fungal infections in nails (Support level 94.1%, Care level 92.6% for men; Support level 98.1%, Care level 95.2% for women) were high in both sexes regardless of the level of care required. Furthermore, in both sexes, the prevalence rates of toe and arch deformities were significantly increased in the people who required care. Regression analysis revealed that some right-sided foot-related problems were significantly associated with right toe grip strength and walking speed. The decrease in toe grip strength was significantly associated with walking speed. Our study provides evidence that some specific conditions were associated with toe grip force and walking speed. This finding can contribute to future strategies to protect foot health in community-dwelling older individuals.

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“…Eligible study participants were individuals in the five cities who were classified at care levels 1 through 5, as defined in previous reports. 6 , 25 Briefly, the LTCI system’s medical and social welfare public insurance program is available to individuals aged 40–64 years who have certain diseases and those age 65 and over. These individuals are divided into 7 categories: assistance levels 1 and 2, and care levels 1 through 5.…”

Section: Methodsmentioning

confidence: 99%

Convergent Validity of Three Pressure Injury Risk Assessment Scales: Comparing the PPRA-Home (Pressure Injury Primary Risk Assessment Scale for Home Care) to Two Traditional Scales

Kohta¹,

Ohura²,

Okada

et al. 2021

JMDH

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Purpose The Pressure Injury Primary Risk Assessment Scale for Home Care (PPRA-Home) was developed to predict pressure injury risk in geriatric individuals requiring long-term care in home settings. This study aimed to compare the convergent validity of the PPRA-Home to that of the two other standardized pressure injury prevention scales: the Braden and Ohura-Hotta (OH) scales. Methods A multicenter, cross-sectional study was conducted with 34 home-based geriatric support service providers located in five Japanese districts. The study included 69 participants (30 had a pressure injury and 39 did not) who were at classified at care levels of 1 through 5 under Japan’s long-term care insurance system. Care managers served as assessors for the PPRA-Home, while physicians or certified expert nurses served as assessors for the Braden and OH scales. Convergent validity was investigated by examining correlation coefficients between total scores on the PPRA-Home and the other two scales. Receiver operating curve analysis was used to quantify each scale’s accuracy for the two groups: those with and without a pressure injury. Results The PPRA-Home was found to be negatively correlated with the Braden scale (r=−0.79, p<0.05), and positively correlated with the OH scale (r=0.58, p<0.05). The area under the curve (AUC) for the PPRA-Home, Braden scale, and OH scale were 0.737, 0.814, and 0.794, respectively. A PPRA-Home cutoff score of 4 had a sensitivity of 63.3% and specificity of 81.6%. Conclusion The AUC for the PPRA-Home as scored by care managers was similar to those of the Braden and OH scales as scored by physicians or expert nurses. More research on the PPRA-Home’s content and predictive validity is required.

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Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Cited by 8 publications

References 46 publications

Chronic Foot Pain and Foot Solutions in Adults from Different Professions: the I-Corps-National Science Foundation Foot Health Survey.

Chronic Foot Pain and Foot Solutions in Adults from Different Professions: the I-Corps-National Science Foundation Foot Health Survey.

Foot Problems and Their Associations with Toe Grip Strength and Walking Speed in Community-Dwelling Older Individuals Using Day Services: A Cross-Sectional Study

Convergent Validity of Three Pressure Injury Risk Assessment Scales: Comparing the PPRA-Home (Pressure Injury Primary Risk Assessment Scale for Home Care) to Two Traditional Scales

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