Fujii Kashiko, Stolt Minna, Komoda Takuyuki, Nishikawa Mariko
Department of Nursing, Tokyo University of Information Sciences, Chiba City, Chiba Prefecture, Japan.
Department of Nursing Science, University of Turku, Turku, Finland.
SAGE Open Nurs. 2021 Nov 29;7:23779608211058492. doi: 10.1177/23779608211058492. eCollection 2021 Jan-Dec.
An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many older people have foot problems with need foot care by nurses and care workers (NCWs) at geriatric day care centers.
This study explored the effects of NCWs' foot-care programs on the foot conditions of older people attending daytime services.
A before-after intervention study was conducted at geriatric day care centers for older people, where the foot-care program was presented by NCWs for two months. The foot conditions of 23 clients (8 men, 15 women, mean age = 78.6 years, standard deviation = 9.2) were assessed before and after the program. Changes in foot condition and clients' perceptions after the study were analyzed through descriptive statistics, McNemar, and paired -tests.
Although dramatic changes in foot conditions were not observed, some conditions were improved or maintained. Changes were observed in mean dry skin scores ( < .01; right foot: 1.6→1.1, left foot: 1.6→1.1), skin lesions and long nails (skin lesions R: 0.2→0.1; long nail R: 1.4→1.0, L: 1.1→0.8), and edema (R: 43.5%→39.1%, L: 52.2%→47.8%). Further, clients started perceiving that foot health is important and discussed their feet with staff more often.
The NCWs' foot-care program was effective in maintaining and improving foot health in older people and positively affected their perception of foot care.
在日本，越来越多身体虚弱的老年人使用老年日间护理中心。已被认证需要长期护理的老年人白天到中心接受护理，包括洗澡、排泄、用餐方面的护理帮助以及功能训练服务。许多老年人存在足部问题，需要老年日间护理中心的护士和护理人员（NCWs）提供足部护理。
本研究探讨了NCWs的足部护理项目对参加日间服务的老年人足部状况的影响。
在老年日间护理中心对老年人开展了一项干预前后对照研究，由NCWs进行为期两个月的足部护理项目。在项目前后对23名客户（8名男性，15名女性，平均年龄 = 78.6岁，标准差 = 9.2）的足部状况进行评估。通过描述性统计、McNemar检验和配对检验分析研究后足部状况的变化以及客户的看法。
虽然未观察到足部状况有显著变化，但部分状况得到改善或维持。观察到平均干性皮肤评分有变化（<0.01；右脚：1.6→1.1，左脚：1.6→1.1）、皮肤损伤和长指甲情况（皮肤损伤R：0.2→0.1；长指甲R：1.4→1.0，L：1.1→0.8）以及水肿情况（R：43.5%→39.1%，L：52.2%→47.8%）。此外，客户开始意识到足部健康很重要，并更频繁地与工作人员讨论他们的足部问题。
NCWs的足部护理项目在维持和改善老年人足部健康方面是有效的，并对他们对足部护理的认知产生了积极影响。
