title: Effect of intensive nursing education on the prevention of diabetic foot ulceration among patients with high-risk diabetic foot: a follow-up analysis.
abstract: The aim of the study was to discuss the effect of intensive nursing education on the prevention of diabetic foot ulceration among patients at high risk for diabetic foot. One hundred eighty-five diabetes patients at high risk for foot diseases were enrolled in this study and provided with intensive nursing education, including individualized education about diabetes mellitus and diabetic foot diseases, instruction in podiatric care (the right way of washing the foot, the care of foot skin, appropriate choice of shoes and socks, intense examinations and records of feet by patients themselves every day, and the assistant management of calluses). Study subjects were followed up for 2 years. Once the foot ulceration developed, the inducing factors of foot ulceration were inquired about, the ulcers were evaluated, and the incidence of foot ulceration was analyzed before and after the intensive nursing education according to self-paired data. Results showed there were highly statistically significant improvements in the intensive treatment group compared with the control group in plasma glucose, blood pressure, and high-density lipoprotein cholesterol levels. More important is that intensive nursing education helps to prevent diabetic foot ulceration and to decrease the rate of amputation among patients at high risk for diabetic foot.
authors.affiliation: Department of Endocrinology, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University , Guangzhou, China .
authors.forename: Meng
authors.initials: M
authors.lastname: Ren
authors.forename: Chuan
authors.initials: C
authors.lastname: Yang
authors.forename: Diao Zhu
authors.initials: DZ
authors.lastname: Lin
authors.forename: Hui Sheng
authors.initials: HS
authors.lastname: Xiao
authors.forename: Li Fang
authors.initials: LF
authors.lastname: Mai
authors.forename: Yi Chen
authors.initials: YC
authors.lastname: Guo
authors.forename: Li
authors.initials: L
authors.lastname: Yan
mesh_terms: D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D017719:Diabetic Foot / Q000150:complications / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D009730:Nursing Assessment; D010353:Patient Education as Topic; D057285:Precision Medicine; D012307:Risk Factors; D012648:Self Care