Objective: To study the effect of a self-management supporting program on foot care behavior among older persons with type 2 diabetes.
Design: Quasi experimental research.
Procedure: Purposive sampling was used to recruit participants from Thasala hospital and Noppitum hospital, Nakhon Si Thammarat province. Participants were assigned into the experimental and control groups; 22 persons in the experimental group and 26 persons in the control group. The experimental group attended the self-management supporting program for 6 weeks, while the control group did not participate in this self-management supporting program. The instruments used in this study consisted of self-management supporting program for foot care in the elderly, the self-management education manual, a videotape about foot care, videotape about foot exercise, and videotape about foot massage for older persons with type 2 diabetes, and the perceived self-efficacy questionnaire. Data collection tools consisted of the Demographic Data Recording Form and a Foot Care Behaviors Questionnaire. Data were analyzed using descriptive statistics, independent t-test, and paired t-test.
Results: Older people with type 2 diabetes who attended the self-management supporting program had significantly higher foot care behaviors than that of the group who did not participate in the self-management supporting program at level of p < 0.001, and after attending the self-management supporting program, older people with type 2 diabetes had significantly higher foot care behaviors than before attending the program at level of p < 0.001.
Recommendations: The results of this study indicate that the self-management support program can increase foot care behaviors among older people with type 2 diabetes who had category 1 at risk for developing foot ulcers.
Keywords: self-management supporting program for foot care; foot care behaviors; Older Persons with Type 2 Diabetes Mellitus
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