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糖尿病足并发症患者记不起他们接受过的足部护理教育:一项队列研究。

People with diabetes foot complications do not recall their foot education: a cohort study.

作者信息

Yuncken Julia, Williams Cylie M, Stolwyk Rene, Haines Terry P

机构信息

1Peninsula Health, Community Health, PO Box 52, Frankston, VIC 3199 Australia.

2Department of Physiotherapy, Monash University, McMahon's Rd, Frankston, VIC 3199 Australia.

出版信息

J Foot Ankle Res. 2018 Apr 6;11:12. doi: 10.1186/s13047-018-0255-4. eCollection 2018.

Abstract

BACKGROUND

The purpose of this study is to document what and how diabetes specific foot health information was provided during a podiatry consultation, and what information was retained at 1 month post consultation.

METHODS

This project was embedded within a prospective cohort study with two groups, podiatrists and people with diabetes. Data collection included the Problem Areas in Diabetes Questionnaire (PAID), Montreal Cognitive Assessment (MoCA), information covered during the consultation, method of delivery and perceived key educational message from both participant perspectives at the time of the appointment and 1 month post appointment.

RESULTS

There were three podiatrists and 24 people with diabetes who provided information at the two time points. Diabetes education provided by the podiatrists was mostly verbal. The key educational message recalled by both groups differed at the time of the appointment (14 out of 24 of responses) and at 1 month post the appointment time (11 out of 24 of responses).

CONCLUSIONS

Education is a vital component to the treatment regime of people with diabetes. It appears current approaches are ineffective in enhancing understanding of diabetes impact on foot health. This study highlights the need for research investigating better ways to deliver key pieces of information to this population.

摘要

背景

本研究的目的是记录在足病诊疗过程中提供了哪些糖尿病特定足部健康信息以及如何提供这些信息,以及在诊疗后1个月时保留了哪些信息。

方法

本项目纳入了一项前瞻性队列研究,分为两组,即足病医生和糖尿病患者。数据收集包括糖尿病问题领域问卷(PAID)、蒙特利尔认知评估(MoCA)、诊疗过程中涵盖的信息、传递方式以及在预约时和预约后1个月时从参与者双方角度感知到的关键教育信息。

结果

有三名足病医生和24名糖尿病患者在两个时间点提供了信息。足病医生提供的糖尿病教育大多是口头的。两组在预约时(24份回复中有14份)和预约后1个月时(24份回复中有11份)回忆的关键教育信息有所不同。

结论

教育是糖尿病患者治疗方案的重要组成部分。目前的方法似乎在增强对糖尿病对足部健康影响的理解方面效果不佳。本研究强调需要开展研究,探索向该人群传递关键信息的更好方法。

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本文引用的文献

1
Family Model of Diabetes Education With a Pacific Islander Community.针对太平洋岛民社区的糖尿病教育家庭模式。
Diabetes Educ. 2015 Dec;41(6):706-15. doi: 10.1177/0145721715606806. Epub 2015 Sep 11.
8
Improving foot self-care behaviors with Pies Sanos.通过“健康足部”改善足部自我护理行为。
West J Nurs Res. 2008 Apr;30(3):325-41; discussion 342-9. doi: 10.1177/0193945907303104. Epub 2007 Jul 2.

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