Author Affiliation: Postgraduate Program in Clinical Care in Nursing and Health, Ceará State University, Fortaleza, Brazil.
Comput Inform Nurs. 2023 Nov 1;41(11):877-883. doi: 10.1097/CIN.0000000000001024.
This study aimed to analyze the effectiveness of a mobile application for adherence to foot self-care in people with type 2 diabetes at risk for diabetic foot ulcer. A double-blind randomized controlled clinical trial was conducted with people with type 2 diabetes in a secondary healthcare unit. A total of 42 patients were recruited, matched, and allocated into two groups: one (intervention group) undergoing standard nursing consultations and application use and the other (control group) receiving only standard nursing consultations. The outcome variable was the adherence to foot self-care, measured by completing questionnaires on diabetes self-care activities and adherence to foot self-care. Measures of central tendency and dispersion were calculated, in addition to bivariate associations, considering a significance level of P ≤ .05. The intragroup and intergroup analyses regarding diabetes self-care did not show statistical significance; however, the intervention group showed a considerable increase in the frequency of daily assessments ( P = .048) and adherence to foot self-care ( P = .046). The use of the app, combined with the nursing consultation, increased adherence to foot self-care of people with type 2 diabetes. Brazilian Registry of Clinical Trials: U1111-1202-6318.
本研究旨在分析一款针对 2 型糖尿病高危足溃疡患者足部自我护理依从性的移动应用的效果。在一家二级医疗机构中，进行了一项双盲随机对照临床试验，共招募了 42 名 2 型糖尿病患者，并将他们匹配分组，分为两组：一组（干预组）接受标准护理咨询和应用程序使用，另一组（对照组）仅接受标准护理咨询。足部自我护理的依从性是通过完成糖尿病自我护理活动和足部自我护理依从性的问卷来衡量的。计算了集中趋势和离散度的度量，以及考虑到 P ≤.05 的双变量关联。关于糖尿病自我护理的组内和组间分析没有显示出统计学意义；然而，干预组在每日评估的频率（P =.048）和足部自我护理的依从性（P =.046）方面有显著增加。应用程序的使用与护理咨询相结合，提高了 2 型糖尿病患者对足部自我护理的依从性。巴西临床试验注册处：U1111-1202-6318。
