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利用信息和通信技术促进糖尿病足溃疡的自我管理[使用信息和通信技术促进糖尿病足溃疡的自我管理]

[Use of information and communication technologies to promote self-management of diabetic foot ulcersUso de tecnologías de informado e comunicado para promover o autogerenciamento das úlceras do pé diabético].

作者信息

Murillo Salamanca Ana Maria, Alvarado-García Alejandra María

机构信息

Universidad pedagógica y tecnológica de Colombia UPTC. Tunja Colombia. Email:

Universidad Antonio Nariño, Universidad de Antioquia. Medellín, Colombia. Email:

出版信息

Rev Cuid. 2022 Oct 17;13(2):e11. doi: 10.15649/cuidarte.2254. eCollection 2022 May-Aug.

DOI:10.15649/cuidarte.2254
PMID:40115798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11559312/
Abstract

INTRODUCTION

Using information and communication technologies in nursing educational interventions facilitates self-management processes to adapt to chronic health conditions.

OBJECTIVE

To evaluate the effect of a nursing educational intervention to promote self-management and prevent diabetic foot ulcers in Colombian adults with type 2 diabetes mellitus through information and communication technologies.

MATERIALS AND METHODS

A quasi-experimental, pre- and post-intervention study was conducted with 82 adults attending the chronic patient consultation of a second-level hospital in the department of Boyacá, Colombia. Participants were randomly allocated to the experimental and comparison groups.

RESULTS

There were no significant differences between the experimental and the comparison groups in terms of preintervention self-management scores. However, the experimental group's mean self-management score was significantly higher than the control group's six weeks after the intervention (p<0.005); the primary outcome was self-management behaviors from foot care. Nonparametric Wilcoxon and Mann Whitney tests were used.

DISCUSSION

nursing interventions should be supported by theoretical approaches specific to the discipline, which allow visualizing specific results, in this case self-management, which requires strategies such as knowledge, skills and social support that will support adaptation to situations of chronic illness.

CONCLUSIONS

The educational intervention based on the use of information and communication technologies improved self-management for preventing diabetic foot injuries, achieving a change in people's behavior.

摘要

引言

在护理教育干预中使用信息通信技术有助于自我管理过程,以适应慢性健康状况。

目的

通过信息通信技术评估一项护理教育干预措施对促进哥伦比亚2型糖尿病成年患者自我管理和预防糖尿病足溃疡的效果。

材料与方法

对哥伦比亚博亚卡省一家二级医院慢性病门诊的82名成年人进行了一项干预前后的准实验研究。参与者被随机分配到实验组和对照组。

结果

干预前,实验组和对照组的自我管理得分无显著差异。然而,干预六周后,实验组的自我管理平均得分显著高于对照组(p<0.005);主要结果是足部护理的自我管理行为。使用了非参数威尔科克森检验和曼-惠特尼检验。

讨论

护理干预应得到该学科特定理论方法的支持,这些方法能使具体结果可视化,在这种情况下是自我管理,这需要知识、技能和社会支持等策略来支持对慢性病状况的适应。

结论

基于信息通信技术使用的教育干预改善了预防糖尿病足损伤的自我管理,实现了人们行为的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/fe34d2d10e81/2346-3414-cuid-13-02-e11-gf5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/fe34d2d10e81/2346-3414-cuid-13-02-e11-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/7b9069f9b230/2346-3414-cuid-13-02-e11-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/4d684690aa5a/2346-3414-cuid-13-02-e11-gch1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/19fc41c5e93a/2346-3414-cuid-13-02-e11-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceaf/11559312/ed82de45a2db/2346-3414-cuid-13-02-e11-gf3.jpg
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Empowerment of type 2 diabetic patients visiting Fuladshahr diabetes clinics for prevention of diabetic foot.增强前往富拉德沙赫尔糖尿病诊所就诊的2型糖尿病患者预防糖尿病足的能力。
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