The effectiveness of foot care education on people with type 2 diabetes in Tehran,Iran |
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| Authors: | Nasibeh Vatankhah Mohammad Ebrahim Khamseh Younes Jahangiri Noudeh Rokhsareh Aghili Hamid Reza Baradaran Nami Safai Haeri |
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| Institution: | 1. Education & Development Center (EDC), Gifted and Talented Students Council, Iran University of Medical Sciences, Chamran Exp. Way, Hemmat Exp. Way, P.O. Box 14155-5983, Tehran, 14496, Iran;2. Institute of Endocrinology and Metabolism, Iran University of Medical Sciences (IUMS), Valiasr Sq., Behafarin St., Tehran, Iran;3. Medical Student Research Committee (MSRC), Faculty of Medicine, Iran University of Medical Sciences (IUMS), Chamran Exp. Way, Hemmat Exp. Way, Tehran, Iran;4. Department of Epidemiology/Medical Education & Development Centre, Iran University of Medical Sciences (IUMS), Chamran Exp. Way, Hemmat Exp. Way, Tehran, Iran;1. Ph.D Student in Health Education and Health Promotion, Student Research Committee, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;3. Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran;4. Department of Medical Education Brighton and Sussex Medical School, Division of Medical Education, University of Brighton Falmer Campus, Brighton BN1 9PH, UK;5. School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran;6. Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran;7. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;1. Division of Primary Care, School of Medicine, University of Nottingham, NG7 2RD, UK;2. School of Social and Community Medicine, University of Bristol, BS8 2PS, UK;3. Department of Psychology, University of Northumbria, NE1 8ST, UK;4. Rand Institute, Los Angeles, CA 90401, USA;5. School of Nursing, Midwifery and Social Work, University of Manchester, M13 9PL, UK;6. Institute of Molecular and Experimental Medicine, University of Cardiff, CF14 4XN, UK;7. Department of Podiatry, Southmead Hospital, BS10 5NB, UK;8. School of Healthcare Studies, Cardiff University, CF14 4XN, UK;9. Matrix Biology Research Group, University of Bristol, BS40 5DU, UK;10. Health Psychology Section, Institute of Psychiatry, SE1 9RT, UK;11. Department of Cellular and Molecular Medicine, University of Bristol, UK;1. Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand;2. Department of Nursing and Wound Research Center, Faculty of Health Sciences, Universitas Muhammadiyah Magelang, Indonesia;3. Yale University School of Nursing, United States;1. Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, C/Arquitecto Francisco Peñalosa, Ampliación del Campus de Teatinos, 29071 Málaga, Spain;2. Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, C/Arquitecto Francisco Peñalosa, Ampliación del Campus de Teatinos, 29071 Málaga, Spain;1. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada;2. School of Nursing, Ryerson University, Toronto, Ontario, Canada;1. Public and Tropical Health Program, Graduate College, University of Medical Sciences and Technology, Khartoum, Sudan;2. Department of Pharmacy, Faculty of Pharmacy, Omdurman Islamic University, Khartoum, Sudan;3. Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eagelstone, Milton Keynes, Buckinghamshire, UK;4. Department of Pathology, Faculty of Medicine, University of Medical Sciences and Technology, P.O. Box12810, Khartoum, Sudan |
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| Abstract: | AimThe aim of this study was to evaluate the impact of a simple educational program on the knowledge and practice of people with type 2 diabetes in relation to the foot at risk in Tehran, Iran.MethodsOne hundred and forty-eight people with type 2 diabetes underwent a structured interview using a 32-item designed questionnaire (DiFoKaPS-32) about their knowledge of foot care standards in diabetes and their personal foot care behaviours. Each participant in the study received a single 20 min education session individually. The mode of the intervention was face-to-face.ResultsThe applied educational intervention aimed at patients with type 2 diabetes has improved their knowledge and practice about diabetic foot care (P < 0.0001 and P = 0.011; Wilcoxon Signed Ranks test, respectively). Knowledge and practice scores were increased significantly after the education in the lean group (BMI ≤ 25) rather than the obese ones.ConclusionsIn conclusion the findings of our study have shown that a simple face-to-face education is an effective and applied method to improve the knowledge about foot care. It has also shown that it could increase the motivation and change the behaviour of people with type 2 diabetes regarding their feet. In addition, the obese patients referring to a diabetic clinic need much more attentions and tighter care programs. |
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