J Korean Biol Nurs Sci.  2016 May;18(2):78-86. 10.7586/jkbns.2016.18.2.78.

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers

Affiliations
  • 1Nursing Department, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 2Department of Nursing, Suwon Women's University, Suwon, Korea. astra20@swc.ac.kr

Abstract

PURPOSE
Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain.
METHODS
This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test.
RESULTS
There were significant differences in self-care behavior and wound related pain.
CONCLUSION
A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

Keyword

Self care; Diabetic foot; Pain; Self efficacy

MeSH Terms

Amputation
Counseling
Diabetes Mellitus
Diabetic Foot*
Humans
Lower Extremity
Non-Randomized Controlled Trials as Topic
Self Care*
Self Efficacy
Ulcer*
Wounds and Injuries
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