Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
West J Nurs Res. 2021 Aug;43(8):751-761. doi: 10.1177/0193945920962712. Epub 2020 Oct 5.
Self-management can mitigate common foot problems; however, community-dwelling older adults without diabetes rarely receive foot care self-management training. This two-group pilot study examined feasibility and preliminary efficacy of the novel, nurse-led 2 Feet 4 Life intervention. Twenty-nine adults ( age 76 years ± 6.6 years) from two senior centers completed the study (90.6% retention rate). Intervention dosage was one hour/week for four consecutive weeks. Study procedures were safe and feasible. Intervention group participants found the intervention acceptable and valuable. Observed between-group effect sizes were the following: knowledge (4.339), self-efficacy (3.652), behaviors (3.403), pain (0.375) and foot health (0.376). Large effect sizes were observed within-groups and within their interaction for knowledge (1.316), behaviors (8.430), pain (9.796), and foot health (3.778). Effect sizes suggest the intervention impacted foot care outcomes between groups and within individuals over seven months' time. Fully powered studies are indicated to test the intervention in diverse samples with more complex foot problems.
自我管理可以减轻常见的足部问题；然而，社区居住的非糖尿病老年成年人很少接受足部护理自我管理培训。这项两组成员的试点研究检验了新型、由护士主导的 2 英尺 4 生活干预的可行性和初步疗效。来自两个老年人中心的 29 名成年人（年龄 76 岁±6.6 岁）完成了研究（保留率为 90.6%）。干预剂量为每周一小时，连续四周。研究程序是安全可行的。干预组的参与者认为该干预是可接受和有价值的。观察到的组间效应大小如下：知识（4.339）、自我效能（3.652）、行为（3.403）、疼痛（0.375）和足部健康（0.376）。在知识（1.316）、行为（8.430）、疼痛（9.796）和足部健康（3.778）方面，观察到了组内和组内交互的大效应大小。结果表明，该干预在七个月的时间内对组间和个体的足部护理结果产生了影响。需要进行充分的研究，以在具有更复杂足部问题的不同样本中测试该干预。
