Muirhead Lisa, Roberson Anthony James, Secrest Janet
School of Nursing, University of Tennessee, Chattanooga, TN 37401, USA.
J Am Acad Nurse Pract. 2011 Apr;23(4):209-15. doi: 10.1111/j.1745-7599.2011.00598.x. Epub 2011 Mar 28.
To present the findings of a survey that examined the reason(s) for use of foot care services among homeless adults in a mid-size southeastern city.
Data were collected using an 18-item questionnaire. One hundred homeless adults (65 males, 30 females) were asked about their level of foot care use, including under what circumstances foot care services might be used.
Foot conditions are an important concern among homeless individuals. To add to the complexity of foot-related problems, many respondents (N= 56) from this survey reported a history of diabetes, hypertension, and peripheral vascular disease. The majority (N= 92) of those surveyed value healthy feet and education related to foot care. Condition of shoes, socks, and foot odor was identified by participants (n= 62) as a major deterrent to using foot care services.
To increase use of foot care programs among homeless adults, services must be offered during the day time when they are not competing to secure nightly shelter. Foot care programs should be innovative and tailored to their unique needs and address concern for sensitivity to feet, sock, and shoe condition; cost; specific services provided; competing needs; source of care; and how to access these services.
介绍一项调查的结果，该调查探究了美国东南部一个中等规模城市中无家可归成年人使用足部护理服务的原因。
使用一份包含18个条目的问卷收集数据。询问了100名无家可归的成年人（65名男性，30名女性）他们使用足部护理服务的情况，包括在何种情况下可能会使用足部护理服务。
足部状况是无家可归者关注的一个重要问题。本次调查的许多受访者（N = 56）报告有糖尿病、高血压和外周血管疾病史，这增加了与足部相关问题的复杂性。大多数受访者（N = 92）重视健康的足部以及与足部护理相关的教育。参与者（n = 62）认为鞋子、袜子的状况和脚臭是使用足部护理服务的主要阻碍。
为了增加无家可归成年人对足部护理项目的使用，必须在白天提供服务，因为此时他们无需争抢夜间住所。足部护理项目应该具有创新性，并根据他们的独特需求进行调整，解决对足部、袜子和鞋子状况的敏感性、成本、提供的具体服务、相互竞争的需求、护理来源以及如何获得这些服务等问题。
