The effect of a diabetic foot care training program on elderly adults outcome / Amal Hashem Mohamed ; Supervised Nawal A. Fouad , Enas Helmy Elshair , Sanaa Mohamed Aref

Thesis (Ph.D.) - Cairo University - Faculty of Nursing - Department of Community Health Nursing

Diabetic foot problems are the leading cause of diabetes related hospital admissions and are responsible for approximately 50% of all lower limb amputations worldwide (Desalu et al., 2011 and Alwahbi, 2010). This study aims to assess the effect of diabetic foot care training program on elderly adults' outcome. The study was carried out using quasi experimental design with pre post test at the diabetic out-patient clinic, Minia university hospital (teaching and training hospital). A non-probability sample of 53 diabetic elderly adults was selected. Data were collected using three tools; the first tool included questions related to demographic characteristics, health profile, medical history and knowledge about diabetes in general and diabetic foot in particular. The second tool is an attitude sheet regarding diabetes control measures in general and foot problems and care in particular, and the third tool is an observational check list regarding foot care. Results: the mean age of elderly adults who participated in the study sample was 65±7.8 years, 62.3% of them had disease duration less than 5 years. All elderly adults of the study sample had inadequate knowledge about diabetes in general and 94.3% had inadequate knowledge regarding diabetic foot care before implementation of the program. There was improvement of knowledge immediately after implementation of the program (67.9%) and there was a statistically significant difference among knowledge, attitude and practices of pre-post test one (immediate) after program implementation and those of post test two - three months after

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