Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2021; 9(14): 3265-3272
Published online May 16, 2021. doi: 10.12998/wjcc.v9.i14.3265
Observation of the effect of one-to-one education on high-risk cases of diabetic foot
Xia-Jun Fu, Shi-Di Hu, Yin-Fang Peng, Ling-Yan Zhou, Ting Shu, Dan-Dan Song
Xia-Jun Fu, Shi-Di Hu, Yin-Fang Peng, Ling-Yan Zhou, Ting Shu, Dan-Dan Song, Department of Endocrinology and Metabolism, The Third Affiliated Hospital, Southern Medical University, Guangzhou 510630, Guangdong Province, China
Author contributions: Fu XJ, Hu SD and Song DD designed this retrospective study; Fu XJ wrote this paper; Fu XJ, Hu SD, Peng YF, Zhou LY, and Shu T were responsible for sorting the data.
Supported by Medical Science and Technology Research Foundation of Guangdong Province, No. A2018461.
Institutional review board statement: The study was reviewed and approved by the [Clinical Trial Ethics Committee of the Third Affiliated Hospital of Southern Medical University] Institutional Review Board [(Approval No.2020-Ethics Review-012]).
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: All of the authors have no conflict of interest related to the manuscript.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Xia-Jun Fu, BSc, Chief Nurse, Department of Endocrinology and Metabolism, The Third Affiliated Hospital, Southern Medical University, No. 183 West Zhongshan Avenue, Tianhe District, Guangzhou 510630, Guangdong Province, China. fuxiajun@163.com
Received: December 15, 2020
Peer-review started: December 15, 2020
First decision: January 7, 2021
Revised: January 20, 2021
Accepted: March 13, 2021
Article in press: March 13, 2021
Published online: May 16, 2021
Processing time: 134 Days and 23.1 Hours
Abstract
BACKGROUND

Diabetes is a common chronic disease, and its global incidence is on the rise. The disease is directly attributed to insufficient insulin efficacy/secretion, and patients are often accompanied by multiple complications. Diabetic foot is one of the most common complications of diabetes. Diabetic feet have ulcers and infections, which can eventually lead to amputation. Basic nursing care, such as lowering blood pressure and preventing foot skin infections in clinical nursing work, has positive significance for the prevention and control of diabetic feet.

AIM

To explore the positive significance of one-to-one education in high-risk cases of diabetic foot.

METHODS

This observation included 98 high-risk cases of diabetic foot in our hospital during the period from August 2017 to October 2019, and these patients were randomly divided into the basic nursing group and the one-to-one education group with 49 patients per group. The basic nursing group only received routine basic nursing, while the one-to-one education group gave patients one-to-one education on the basis of basic nursing. After nursing, the self-care ability and compliance behavior of the two groups were evaluated and compared between these two groups. The knowledge mastery of the patient and the satisfaction of nursing were accounted.

RESULTS

The assessment results of patients (self-care responsibility, self-care skills, self-concept and self-care knowledge) were significantly higher in the one-to-one education group than in the basic nursing group. The scores of compliance behaviors (foot bathing, shoes and socks selection, sports health care) in the one-to-one education group were significantly higher than those in the basic nursing group. Patients in the one-to-one education group had a significantly higher level of knowledge mastery and satisfaction of nursing than the basic nursing group.

CONCLUSION

One-to-one education for high-risk cases of diabetic foot is helpful to improve the cognition and self-care ability of patients with diabetic foot, to ensure that patients follow the doctor’s advice of self-care and to improve their nursing satisfaction.

Keywords: High risk cases of diabetic foot; One-to-one education; Contrastive research; Basic care; Ability of self-care; Compliance behavior

Core Tip: A patient-centered personalized education program can have a positive effect in nursing activities of various chronic diseases.