The Effects of Self - Care Promoting Program on Foot Care Behaviors, Foot Conditions and Blood Sugar Levels among Muslim Elderly with Uncontrolled Diabetes Mellitus

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Nadia Roning
Kanittha Naka
Tippamas Chinnawong


A quasi-experimental one group time series research design aimed to examine the effects of selfcare promoting program (SCPP) on foot care behaviors, foot conditions and blood sugar level among Muslim elderly with uncontrolled diabetes mellitus. Twenty-nine participants who met inclusion criteria were selected from Narathiwasrajanagarindra Hospital. Over the first 6 weeks participants received the usual care and in the following 6 weeks received the self-care promotion program. Data were collected at baseline, pre-intervention and post intervention. The content validity of all instruments was examined. The reliability using Cronbach’s alpha for the Foot Care Behaviors Questionnaire and the Foot Conditions Questionnaire. The accuracy of the Blood Glucose Meter was within acceptable limits. Data were analyzed using descriptive statistics, one way repeated measures ANOVA, Friedman test and Wilcoxon Signed Ranks test. The result revealed that the mean score of foot care behaviors, foot conditions, and blood sugar level were statistically different between baseline, pre-intervention and post-intervention (F(2, 52) = 258.13, F(1.49, 38.84) = 42.13, and χ2 = 29.96, respectively, p < .001). The mean score of foot care behaviors in post intervention was statistically higher than are at baseline and pre-intervention ( gif.latex?d\bar{} = 1.66 and 1.69 respectively, p < .001), the mean score of foot conditions in post intervention was statistically higher than are at baseline and pre-intervention ( gif.latex?d\bar{} = .28 and .22 respectively, p < .001) and the mean score of blood sugar level at post intervention was statistically decreased compared with the pre-intervention (Z = -4.05, p < .001 and Z = -2.41, p < .05) Our data suggested that nurses should to apply this SCPP in Muslim patients with similar context in the future.

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Roning, N. ., Naka, K. ., & Chinnawong, T. . (2021). The Effects of Self - Care Promoting Program on Foot Care Behaviors, Foot Conditions and Blood Sugar Levels among Muslim Elderly with Uncontrolled Diabetes Mellitus. Journal of Research in Nursing-Midwifery and Health Sciences, 41(1), 74–87. Retrieved from
Research Articles


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