The effects of diabetes foot prevention program on the knowledge and behaviors of foot care and foot health among the elderly with type 2 diabetes mellitus in a Public Health Service Center

Authors

  • Nattanan Wattanawikan Faculty of Public Health, Mahidol University
  • Plernpit Boonyamalik Faculty of Public Health, Mahidol University
  • Panan Pichayapinyo Faculty of Public Health, Mahidol University

DOI:

https://doi.org/10.14456/dcj.2024.54

Keywords:

diabetic foot, foot care knowledge, foot care behaviors, foot health, King’s theory of goal attainment

Abstract

This controlled nonrandomized nonclinical trial (CNNT) research aimed to examine the effects of the diabetic foot prevention program applying King’s theory of goal attainment. The samples consist of 52 elderly with type 2 diabetes mellitus who had been identified as low or moderate risk of diabetic foot ulcer in a public health service center. The participants are equally divided into an experimental and a comparison group with 26 patients in each group. The duration of the intervention was 7 weeks. Data were collected at week 1, 5, and 7 by interviewed questionnaire that comprised of personal information, foot care knowledge, foot care behavior, and foot health assessment. Data were analyzed using descriptive statistic, chi-square test, Fisher's exact test, one-way repeated measure, independent t-test, and paired t-test. The research findings indicate that after receiving a diabetic foot prevention program, the experimental group had statistically significantly higher scores of knowledge and behaviors related to foot care for preventing diabetic foot at posttest and follow-up than pretest and those the comparison group (p-value<0.01). Additionally, the average foot health scores in the experimental group at follow-up were significantly higher than pretest and the comparison group (p-value<0.01). Therefore, the program applying King's goal attainment theory made the participants aware of their individual foot health issues. Setting goals and regularly evaluating progress provided continuous feedback for appropriate behavior. Along with increased knowledge and proper foot care behaviors, foot health problems can be improved.

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References

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Published

2024-12-19

How to Cite

1.
Wattanawikan N, Boonyamalik P, Pichayapinyo P. The effects of diabetes foot prevention program on the knowledge and behaviors of foot care and foot health among the elderly with type 2 diabetes mellitus in a Public Health Service Center. Dis Control J [Internet]. 2024 Dec. 19 [cited 2024 Dec. 19];50(4):654-67. Available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/273109

Issue

Vol. 50 No. 4 (2024): October-December

Section

Original Article

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