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

Marques, Antônio Dean Barbosa; Texeira, Anne Kayline Soares; Moreira, Thereza Maria Magalhães; Carvalho, Rhanna Emanuela Fontenele Lima de; Fialho, Ana Virginía de Melo; Chaves, Edna Maria Camelo

doi:10.3823/2433

Cited by 4 publications

(6 citation statements)

References 19 publications

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“…The content of educational resources should consider the characteristics of the target population, besides socioeconomic and environmental conditions to ensure positive behavior change (6) .…”

Section: Discussionmentioning

confidence: 99%

“…The identification and framing of foot-at-risk in the appropriate stratification (2) , together with multidisciplinary care through health education to the patient, is shown as a suitable instrument in the prevention of diabetic foot and consequent amputations of the lower extremities, promoting people's sensitization for the development and adoption of skills for self-care and lifestyle enhancement (2,4,(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

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Validation of a booklet on self-care with the diabetic foot

et al. 2019

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Objective: to describe the validation of the booklet on self-care with the feet of people with diabetes. Method: methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus. Results: the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%. Conclusion: the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of a booklet on self-care with the diabetic foot

et al. 2019

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“…Proper management of DFU focuses on reducing, delaying and preventing complications such as gangrene, infection, LEA and obtaining ulcer closure as expeditiously as possible. Several attributes have been well identified in relation to DFU intervention as follows: wound cleansing ; offloading, infection management, debridement procedure, wound moisture balance, biological agents and self‐care ; using the appropriate wound dressing ; incorporating foot care education ; sleep management ; integrating rehabilitation care and engaging individuals’ families in interventions ; performing continuity of care ; applying advanced and novel technologies ; empowering an interprofessional team ; and implementing the appropriate nursing documentation .…”

Section: Resultsmentioning

confidence: 99%

“…Another nursing study described the management of DFU as assessment, treatment of comorbidities, dressing selection, applying biomechanical offloading, treatment of infection, routine debridement and blood glucose control . Recent nursing study has merely demonstrated health promotion as a primary approach to DFU and LEA prevention . Although these interventions have been explored, awareness and implementation remain low as proven by the incidence of LEA increasing; and besides, there are robust epidemiological reports regarding excess mortality amid diabetic foot syndrome .…”

Section: Introductionmentioning

confidence: 99%

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Subrata

Phuphaibul

2019

Scandinavian Caring Sciences

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Background Diabetic foot ulcer care demonstrates a beneficial approach to overcoming problems in patients with diabetes. This approach is frequently given but is not always successfully implemented due to its fragmentation amid healthcare providers. What's more, there are a number of different understandings, interchangeable languages and an absence of uniformity overlapping terminologies of meaning for diabetic foot ulcer care. Therefore, analysing the concept of diabetic foot ulcer care is important to provide a wider nursing knowledge, synthesise a greater theoretical model and drive more effective care of diabetic foot ulcer. Objective This article aimed to analyse how the concept of diabetic foot ulcer care is clearly defined in the relevant evidence as it has several implications in nursing practice. Method Walker and Avant's (1995) method of concept analysis was systematically used in this study. Findings Three critical attributes of diabetic foot ulcer care were determined consisting of assessment, intervention and evaluation. Constructed cases are also presented to differentiate the concept of diabetic foot ulcer care from other concepts. This concept analysis results in the critical attributes of diabetic foot ulcer care, defines an operational definition and describes common goals that improve clarity, consistency and understanding of the concept amid healthcare professionals along with researchers. Conclusion Effective implementation of the concept of DFU care into clinical nursing practice may undoubtedly improve patient outcomes and prevent the complexities of DFU in the years to come. Future research needs to be developed for evaluating the current use of this concept.

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“…Aging is an important driver of diabetes prevalence because of increased life expectancy and progressively urban lifestyles, making type 2 diabetes a disease associated with old age[ 4 - 6 ]. Diabetes has no known cure and is considered one of this century’s most serious health challenges[ 7 ]. Diabetes can cause short- and long-term complications, such as diabetic ketoacidosis, hypoglycemia, cardiovascular diseases, retinopathy, nephropathy, vascular nephropathy, foot complications, and diabetes-related complications of pregnancy[ 1 ], placing a heavy burden on social and health services and economies[ 8 ].…”

Section: Introductionmentioning

confidence: 99%

What are the self-management experiences of the elderly with diabetes? A systematic review of qualitative research

Li¹,

Jie²,

Ma³

et al. 2022

WJCC

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BACKGROUND The number of elderly individuals with diabetes is dramatically increasing. Diabetes is a long-term condition and a noncommunicable disease and requires intensive daily self-management. Understanding of self-management from the patients’ perspectives is important to nurses, healthcare providers, and researchers and benefits people by improving their self-management skills. AIM To examine and synthesize qualitative studies that explore the experiences of elderly people in self-managing diabetes. METHODS Electronic databases were searched, including MEDLINE, CINAH, PsycINFO, PubMed, CNKI, and WANFADATA. Relevant research was identified by manually searching reference lists and gray literature. Only English and Chinese publications were included. The Critical Appraisal Skills Program was used to assess the quality of the research. The Confidence in the Evidence from Reviews of Qualitative research approach was used to assess the confidence of the findings. RESULTS A total of 10 qualitative studies were included, and content analysis was performed. Five themes were identified: The need for knowledge about diabetes care, support systems, functional decline, attitudes toward diabetes, and healthy lifestyle challenges. CONCLUSION This present review provides a deep and broad understanding of the experiences in the self-management of diabetes and can be valuable to nursing practice and provide recommendations for future research.

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

Cited by 4 publications

References 19 publications

Validation of a booklet on self-care with the diabetic foot

Validation of a booklet on self-care with the diabetic foot

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

What are the self-management experiences of the elderly with diabetes? A systematic review of qualitative research

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