Effects of a Health Promotion Program on Foot Ulcer Prevention Behavior Among Uncontrolled Type 2 Diabetes Mellitus Patients
Keywords:
Health promotion program, Foot ulcer, Uncontrolled type 2 diabetes mellitusAbstract
Foot ulcers are a common complication in people with type II diabetes who are unable to control their blood sugar levels. The purpose of this quasi-experimental two-group pre-posttest design was to investigate the effects of a health promotion program on foot ulcer prevention behavior for patients with uncontrolled type 2 diabetes. The sample was obtained by simple random sampling and consisted of 72 uncontrolled type 2 diabetes mellitus patients. The subjects were assigned to an experimental group or a control group with 36 people in each group. The research instruments were divided into 2 parts: part 1 consisted of a demographic characteristic questionnaire and a behavioral questionnaire on preventing foot ulcers, with reliability coefficients of .88; part 2 consisted of a health promotion program to prevent foot ulcers in patients with type 2 diabetes who cannot control their sugar levels. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
The results of the study showed that after participation in the program, the mean score of foot ulcer prevention behavior for the experimental group (M = 96.41, SD = 9.11) was significantly higher than that before participation (M = 88.86, SD = 13.2) (t = -7.47, p <.01) and that of the control group (M = 78.02, SD = 9.81) with statistical significance (t = 8.23, p < .01).
This study showed that the health promotion program for patients with type 2 diabetes who are unable to control their blood sugar levels can increase health promotion behavior to effectively prevent foot ulcers. Health care providers can use these results to develop guidelines for patient care.
References
Ali, M. M., & Ghonem, S. E. (2019). Effectiveness of health education program regarding foot self-care on risk for developing foot ulcer among patients with diabetes. American Journal of Nursing Science, 8(5), 274-287. https://doi.org/10.11648/j.ajns.20190805.20
Danyuthasilpe, C. (2018). Pender’s health promotion model and its applications in nursing practice. Songklanagarind Journal of Nursing, 38(2), 132-141. https://he02.tci-thaijo.org/index.php/nur-psu/article/view/132000/99145 (in Thai)
Diabetes Association of Thailand. (2023). Clinical practice guideline for diabetes 2023. Srimuang printing. https://www.thaiendocrine.org/th/wp-content/uploads/2023/08/Thai-DM-CPG-2566.pdf (in Thai)
Harutaithaworn, R., Nuysri, M., & Iemsawasdikul, W. (2020). Effects of a foot care program for risk foot ulcer of type 2 diabetes mellitus patients at Samrong Thap District, Surin Province. Thai Journal of Nursing, 69(4), 21-30. (in Thai)
Junchom, K., Boontiam, N., Sinsap, N., Chankra, C., & Jaimun, B. (2022). Development of health promotion activity model and foot care for the elderly with diabetes in Pathum subdistrict health promoting hospital. Journal of Education Innovation and Research, 6(2), 504-519. https://so03.tci-thaijo.org/index.php/jeir/article/view/260144/174081 (in Thai)
Karnjanapiboonwong, A., Khamwangsa-nga, P., & Kaewtha, S. (2020). Situation of NCDs report diabetes mellites hypertension and risk factors B.E. 2562. Aksorn graphic and design. https://ddc.moph.go.th/uploads/publish/1035820201005073556.pdf (in Thai)
Khoyun, S. (2019). Quality of life in diabetic type 2 with chronic diabetic wounds at surgical ward in Udonthani Hospital. Nursing, Health, and Education Journal, 2(3) 12-21. (in Thai)
Lalun, A., Vutiso, P., & Sanloa, P. (2021). Effects of educational and social support on foot ulcer prevention behaviors and HbA1c blood sugar levels among patients with diabetes at the Na Fai Subdistrict Health Promoting Hospital, Chaiyaphum Province. Journal of Nursing and Health Care, 39(2), 77-86. https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/249068/169374 (in Thai)
Mirza, Z. M., & Musa, D. H. (2022). Effectiveness of health education on foot ulcer severity and complications in patients with type 2 diabetes mellitus: A quasi-experimental study. Bulletin of National Institute of Health Sciences, 140(4), 2373-2383. https://www.healthsciencesbulletin.com/volume/BNIHS/140/04/effectiveness-of-health-education-on-foot-ulcer-severity-and-complications-in-patients-with-type-2-diabetes-mellitus-a-quasi-experimental-study-62dcbdb8e5e24.pdf
Moungkum, S., Srisopa, P., Kunsongkeit, W., Ponpinij, P., Wiseso, W., Chantamit-O-Pas, C., & Deerochanawong, C. (2020). Factors influencing microvascular complications among persons with type 2 diabetes. The Journal of Faculty of Nursing Burapha University, 28(2), 74-84. https://he02.tci-thaijo.org/index.php/Nubuu/article/view/242886/165131 (in Thai)
Oiangua, T., Samart, K., Sanee, J., Phuwakornphiphat, S., Leepaiw, R., Rakkua, P., & Posakaboot, S. (2022). The effective of empowerment program on foot care behavior in diabetes patient, community health center in Kantang District, Trang. Chonburi Hospital Journal, 47(2), 121-128. https://thaidj.org/index.php/CHJ/article/view/10163/10430 (in Thai)
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health promotion in nursing practice (6th ed.). Pearson.
Punyapet, K., Maharachpong, N., & Rodjarkpai, Y. (2021). Factors associated with self-care behavior in glycemic control in patients with type 2 diabetes mellitus. Nursing Journal of the Ministry of Public Health, 31(3), 151-163. https://he02.tci-thaijo.org/index.php/tnaph/article/view/255649/173975 (in Thai)
Samrannet, W., Thamduangsri, P., & Chansri, P. (2020). The nurse’s role in preventing diabetic foot ulcers. Journal of Nursing, Siam University, 21(40) 71-82. https://he01.tci-thaijo.org/index.php/nursingsiamjournal/article/view/243500/166692 (in Thai)
Sasee, T., Muktabhant, B., & Uttamavatin, P. (2018). Factors associated with foot care behavior of type 2 diabetic patients living in Kham Bo Subdistrict, Waritchaphum District, Sakon Nakhon Province. Journal of Sakon Nakhon Hospital, 21(1), 87-98. (in Thai)
Simasingha, N., Paholpak, P., & Suraamornkul, S. (2021). Prevalence of the stratified risk to develop diabetic foot ulcer in type 2 diabetes patients. Vajira Medical Journal: Journal of Urban Medicine, 65(Suppl.), S63-S74. https://he02.tci-thaijo.org/index.php/VMED/article/view/251635/174540 (in Thai)
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