Finnish Post-Graduate School in Nursing Science, Department of Nursing Science, University of Turku, Turku, Finland.
J Clin Nurs. 2012 Nov;21(21-22):3082-95. doi: 10.1111/j.1365-2702.2012.04223.x. Epub 2012 Jul 27.
To assess the foot health of older people and their self-care activities in home care. The ultimate goal is to prevent foot problems in older people and to develop the assessment skills of nurses working in home care.
Foot health problems are one reason why older people seek home care services. These problems are prevalent in older people, and they can impair performance of daily activities and threaten functional ability. However, studies in this field have concentrated on foot problems related to specific diseases. Non-disease-related research on foot health from the preventative perspective is lacking.
A descriptive explorative design was used.
The foot health of older people was assessed by visiting home nurses with the Foot Health Assessment Instrument, and older people's foot self-care activities were evaluated with the Foot Self-Care Activities Structured Interview in 2010. The data were analysed statistically.
Older people in home care have multiple foot health problems. The most prevalent problems were oedema, dry skin, thickened and discoloured toenails and hallux valgus. Caring for one's feet was a problem for many older people.
Older people's foot health needs to be assessed regularly to recognise foot health and self-care problems. Health care professionals have a vital role in preventing, recognising and caring for foot health in older people.
The foot health of older people needs to be improved by supporting older people in foot self-care and developing preventive nursing interventions. Regular foot health assessments and their documentation are crucial in preventing serious foot problems in older people. Moreover, multiprofessional collaboration is important to promote foot health in older people.
评估老年人的足部健康状况及其居家护理中的自我护理活动。最终目标是预防老年人足部问题，并提高居家护理护士的评估技能。
足部健康问题是老年人寻求居家护理服务的原因之一。这些问题在老年人中很普遍，会影响他们日常活动的完成能力，并威胁其功能能力。然而，该领域的研究集中在与特定疾病相关的足部问题上。缺乏从预防角度出发，针对非疾病相关足部健康的研究。
采用描述性探索性设计。
2010 年，通过家访护士使用足部健康评估工具评估老年人的足部健康状况，并使用足部自我护理活动结构化访谈评估老年人的足部自我护理活动。对数据进行了统计分析。
居家护理的老年人有多种足部健康问题。最常见的问题是水肿、皮肤干燥、增厚和变色的趾甲以及拇囊炎。许多老年人在照顾自己的脚方面存在问题。
需要定期评估老年人的足部健康状况，以识别足部健康和自我护理问题。医疗保健专业人员在预防、识别和护理老年人足部健康方面发挥着至关重要的作用。
需要通过支持老年人进行足部自我护理和开发预防性护理干预措施来改善老年人的足部健康。定期进行足部健康评估及其记录对于预防老年人严重足部问题至关重要。此外，多专业合作对于促进老年人的足部健康也很重要。
