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
ARTICLE HIGHLIGHTS
Research background

Diabetic foot is one of the most common complications of diabetes. Basic nursing care, such as lowering blood pressure and preventing foot skin infections in clinical nursing work, has a positive significance for the prevention and control of diabetic feet.

Research motivation

In clinical practice, it is beneficial to evaluate patients’ characteristics and educational backgrounds before the implementation of an educational program so that an appropriate follow-up educational program can be developed and implemented. Individualized educational programs can provide basic information about the occurrence and development of diabetes and diabetic foot, thereby improving the patient’s knowledge of the disease. The individualized educational program can improve the patient’s awareness of how to control his or her blood sugar level, summarize the main aspects of daily nursing care and encourage the patient to master the main contents of self-care quickly.

Research objectives

The purposes of one-to-one patient education, for which individualized educational programs are developed, are to improve the pertinence and effectiveness of the educational program and to improve the efficiency of education.

Research methods

In the basic nursing group, the patient was admitted to the hospital to receive a blood glucose test and received general knowledge education. In the one-to-one education group, a comprehensive assessment of the patient’s education level was determined, and the patient received one-to-one education. The patients were assessed on their self-care capacity through the self-care capacity scale and on their compliance behavior. Patient mastery and degree of nursing satisfaction were obtained. All the data in this observational study were analyzed by Statistic Package for Social Science statistical software.

Research results

In this study, all the self-care capacity scale scores and compliance behaviors of the one-to-one education group were significantly better than those of the basic nursing group (P < 0.05). The patients in the one-to-one education group gained more knowledge and had a higher level of nursing care satisfaction than did those in the basic nursing group (P < 0.05).

Research conclusions

One-to-one education programs for patients with high-risk cases of diabetic foot can play a positive role in the control of diabetic foot.

Research perspectives

One-to-one education programs for patients with high-risk cases of diabetic foot can improve the patients’ understanding of the disease, nursing abilities and nursing satisfaction and is worthy promotion.