Ooi G S, Rodrigo C, Cheong W K, Mehta R L, Bowen G, Shearman C P
Southampton University Hospital NHS Trust, Southampton, UK.
Int J Low Extrem Wounds. 2007 Mar;6(1):28-33. doi: 10.1177/1534734606297295.
Diabetic patients have a 12% to 25% lifetime risk of developing foot complications leading to significant morbidity and mortality. The objective of this study was to assess the effectiveness of group education in improving patient awareness of foot care. The authors evaluated the effect of group size and areas in which knowledge seemed to be most affected. Patients attending a 2-hour teaching session between November 2005 and March 2006 were recruited. Patients filled in an 18-part questionnaire before and after the teaching session to assess knowledge. Fifty-nine patients recently diagnosed with diabetes mellitus or foot complications were recruited for 7 sessions. Analysis of the data showed a statistically significant improvement in foot care knowledge after the teaching session compared with before (69% to 85%, P < .001). Patients in the smaller group (n < 10) had significantly higher scores compared with the bigger groups (n > 10; P < .025). These data show the benefit of group education about foot care for patients with diabetes. Smaller groups benefited more than larger ones did, which could be attributed to the sizes allowing for better interaction between the tutor and patient. As patient knowledge is variable from individual to individual, smaller teaching sessions may allow patients to address specific concerns.
糖尿病患者一生中发生足部并发症的风险为12%至25%，会导致严重的发病率和死亡率。本研究的目的是评估小组教育在提高患者足部护理意识方面的有效性。作者评估了小组规模以及知识似乎受影响最大的方面。招募了在2005年11月至2006年3月期间参加2小时教学课程的患者。患者在教学课程前后填写一份由18部分组成的问卷以评估知识水平。59名最近被诊断患有糖尿病或足部并发症的患者参加了7次课程。数据分析表明，与教学课程前相比，教学课程后患者的足部护理知识有统计学上的显著提高（从69%提高到85%，P < .001）。较小组（n < 10）的患者得分明显高于较大组（n > 10；P < .025）。这些数据表明了对糖尿病患者进行足部护理小组教育的益处。较小的组比较大的组受益更多，这可能归因于小组规模能使导师与患者之间有更好的互动。由于患者的知识因人而异，较小的教学课程可能使患者能够解决特定的问题。
