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糖尿病足护理教育的功效。

The efficacy of diabetic foot care education.

作者信息

Nemcová Jana, Hlinková Edita

机构信息

Nursing Department, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.

出版信息

J Clin Nurs. 2014 Mar;23(5-6):877-82. doi: 10.1111/jocn.12290. Epub 2013 Jul 22.

Abstract

AIMS AND OBJECTIVES

To survey the efficacy of education about factors that influence the learning process and behaviour of diabetics following a nursing interventional project in diabetic foot care education.

BACKGROUND

Educating diabetics can change their behaviour, which may contribute to the prevention of diabetic foot ulcer and amputation. However, there is little information on the factors that contribute to effectiveness of foot care education.

DESIGN

Survey.

METHODS

The data before education were collected by using structured assessment based on a practical reasoning scheme. The interventional diabetic foot care education project immediately followed. We used verbal and written patient education material. After education (six months), we used a questionnaire by postadministration. The data were analysed using content analysis, descriptive statistics and inferential statistics.

RESULTS

We discovered a rise of knowledge, willingness and motivation to learn and to change the behaviour of diabetics after education. The clinical parameters (weight, Body Mass Index, blood pressure) demonstrated a statistically significant positive change six months after education.

CONCLUSION

The findings after education show a rise in knowledge, willingness and motivation, which are important factors that contribute to changing behaviour of diabetics in diabetic foot care. After education, we identified better results in terms of weight and blood pressure, both of which play a role in the prevention of diabetic ulcer.

RELEVANCE TO CLINICAL PRACTICE

The education valuable tool ensures knowledge, motivation and willingness to change behaviour in order to prevent diabetic foot complications of diabetics. By using structured assessment, nurses are able to modify their educational interventions.

摘要

目的与目标

在一项糖尿病足护理教育的护理干预项目之后,调查关于影响糖尿病患者学习过程和行为的因素的教育效果。

背景

对糖尿病患者进行教育可以改变他们的行为,这可能有助于预防糖尿病足溃疡和截肢。然而,关于有助于足部护理教育效果的因素的信息很少。

设计

调查。

方法

在教育前,通过基于实践推理方案的结构化评估收集数据。紧接着开展介入性糖尿病足护理教育项目。我们使用了口头和书面的患者教育材料。教育后(六个月),我们通过邮寄问卷调查。使用内容分析、描述性统计和推断性统计对数据进行分析。

结果

我们发现教育后糖尿病患者的知识、学习意愿和动力以及改变行为的意愿有所提高。临床参数(体重、身体质量指数、血压)在教育六个月后显示出具有统计学意义的积极变化。

结论

教育后的结果显示知识、意愿和动力有所提高,这些是有助于改变糖尿病患者在糖尿病足护理方面行为的重要因素。教育后,我们在体重和血压方面发现了更好的结果,这两者在预防糖尿病溃疡方面都发挥着作用。

与临床实践的相关性

这种有价值的教育工具可确保患者有知识、动力和意愿去改变行为,以预防糖尿病患者的足部并发症。通过使用结构化评估,护士能够调整他们的教育干预措施。

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