Assignment On Strategies For Enhancing Foot Care Management

Poster title
Author/Authors
University of the Sunshine Coast
INTRODUCTION
• Foot ulcers are a major cause of limp
loss and a major problem among
diabetes patients.
• There is limited evidence on the
strategies for enhancing foot care
management among diabetes patients
and consequently reducing recurrence
and amputation.
• Patient education has been mentioned
as a strategy for preventing recurrence
and amputation.
• There is limited evidence to ascertain
its effectiveness.
• The study sought to address the
following research question:
In patients with type 2 diabetes (P),
does patient education on medical
adherence and foot care (I)
compared to usual care
characterised by medication, diet
and physical exercise (C) prevents
occurrence of diabetic foot ulcer
(O)?
METHOD
• 3 articles acknoledge that patient edcation is effective in
addressing the development and recurence of foot ulcers
(Adiewere ,2018; Rahaman, 2018; Sekhar, 2018; Zheng,
2019).
• 2 articles demonstrate insufficiency of evidence to support
patient education in foot ulcer management Van Netten ,
RESULTS
DISCUSSION
CONCLUSION
REFERENCES
•There is evidence indicating the importance of
patient education in the prevention of diabetic foot
ulcers
•Patient education is a short-term solution to
improving foot care, but may not be sustainable in
the long-term.
•Patient education can be complemented by other
interventions including use of therapeutic footwear,
and foot treatment.
•Nurses need to be trained about the incorporation
of patient education in primary foot management
•The articles included in the study were
obtained from various databases including
CINAHL, PubMed, EbscoHost, and Google
Scholar.
•The articles included were published in the
last five years
•The PICO table was used as a search strategy
for identifying the articles.
.
Reference for image
1. Adiewere, P., Gillis, R. B., Imran Jiwani, S., Meal, A., Shaw, I., &
Adams, G. G., 2018, ‘A systematic review and meta-analysis of
patient education in preventing and reducing the incidence or
recurrence of adult diabetes foot ulcers (DFU)’,
Heliyon, vol.4,
no.5. doi:10.1016/j.heliyon.2018.e00614
2. Dorresteijn, J. A., Kriegsman, D. M., Assendelft, W. J., & Valk, G.
D., 2014, ‘Patient education for preventing diabetic foot
ulceration’,
Cochrane Database of Systematic Reviews, vol.1,
pp.1-55. doi:10.1002/14651858.cd001488.pub5
3. Gathu, C. W., Shabani, J., Kunyiha, N., & Ratansi, R., 2018,
‘Effect of diabetes self-management education on glycaemic
control among type 2 diabetic patients at a family medicine
clinic in Kenya: A randomised controlled trial’,
African Journal of
Primary Health Care & Family Medicine, vol. 10, pp. e1–e9.
doi:10.4102/phcfm.v10i1.1762
4. Kaya, Z., & Karaca, A., 2018, ‘Evaluation of Nurses' Knowledge
Levels of Diabetic Foot Care Management’,
Nursing research
and practice, vol. 2018, doi:10.1155/2018/8549567
5. Lazo-Porras, M., Bernabe-Ortiz, A., Sacksteder, K. A., Gilman, R.
H., Malaga, G., Armstrong, D. G., & Miranda, J. J., 2016,
‘Implementation of foot thermometry plus mHealth to prevent
diabetic foot ulcers: study protocol for a randomized controlled
trial’,
Trials, vol. 1, no. 1, pp. 206. doi:10.1186/s13063-016-
1333-1
6. Rahaman, H. S., Jyotsna, V. P., Sreenivas, V., Krishnan, A., &
Tandon, N., 2018, ‘Effectiveness of a patient education module
on diabetic foot care in outpatient setting: An open-label
randomized controlled study’
, Indian Journal of Endocrinology
and Metabolism, vol. 22 no. 1, pp. 74–78.
doi:10.4103/ijem.IJEM_148_17
7. Rasmussen, B. S. B., Froekjaer, J., Bjerregaard, M. R., Lauritsen,
J., Hangaard, J., Henriksen, C. W., Yderstraede, K. B., 2015, ‘A
Randomized Controlled Trial Comparing Telemedical and
Standard Outpatient Monitoring of Diabetic Foot Ulcers’,
Diabetes Care, vol. 38, no. 9, pp. 1723–1729. doi:10.2337/dc15-
0332
8. Sekhar, M. S., Unnikrishnan, M. K., Vijayanarayana, K., &
Rodrigues, G. S.,2018, ‘Impact of patient-education on health
related quality of life of diabetic foot ulcer patients: A
randomized study’,
Clinical Epidemiology and Global Health, Vol.
The table below shows a summary of the identified articles.
Study
No
1st
author
(year)
Article
design
Evidence level
1 Adiewer
e (2018)
system
atic
reviews
patient education prevent s the
development and recurrence of
diabetes foot ulcers, and amputation
2 Van
Netten
(2016)
system
atic
reviews
No evidence demonstrates the
effectiveness of a single patient
education session
3 Dorreste
ijn
(2014);
RCT insufficient knowledge to indicate the
patient education alone can effectively
clinically reduce incidences of ulcers
and amputations
4 Gathu
(2018)
RCT education programs may have short-
term benefits, but limit the long-term
benefits that may be reaped from a
comprehensive approach
5 Lazo-
Porras
(2016)
RCT •Reminders improve adherence of the
patient to daily home-based foot care
measures
•messages to enhance self-
management of diabetes foot care
6 Rahama
n
(2018);
RCT patient education helps to prevent the
development and recurrence of
diabetes foot ulcers, and the sequent
amputation
7 Rasmus
sen
(2015);
RCT There was no difference in associated
with amputation and foot ulcers
among patients using telemedicine
and those using the standard
outpatient monitoring.
8 Zheng
(2019)
RCT patient education prevent s the
development and recurrence of
diabetes foot ulcers
9 Sekhar
(2018)
RCT Patient education helps to reduce
incidence of foot ulcers, and the
sequent amputation
10 Kaya
(2018)
cross-
section
al study
Nurses demonstrated adequate
knowledge of diabetic foot
management, but do not use it during
patient care