The effectiveness of Using a Diabetes Foot Care Mirror Innovation to Promote Foot Care Behaviors among Type 2 Diabetic Mellitus Patients in Primary Care Units in Mueang Samut Sakhon District, Samut Sakhon Province
Keywords:
diabetic mellitus, foot care behaviors, foot care innovationAbstract
This research was a quasi-experimental, 2 group, pre-posttest control group design. The study aimed to examine the effectiveness of using a diabetes foot care mirror innovation to promote foot care behaviors among type 2 diabetic mellitus (T2DM) patients. The participants consisted of 46 people with T2DM patients receiving services at a primary care unit in Samut Sakhon Province. The patients were selected by purposive sampling according to set inclusion criteria and assigned into an experimental group and a comparison group (n=23 per group). The research instruments included: 1) a diabetes foot care mirror innovation, 2) the LINE application Official Account "Sai-Jai-Song-Tao-Baowan", 3) a general information and satisfaction questionnaire, and 4) a foot care behavior assessment form (Cronbach's alpha coefficient 0.70). The data was analyzed using descriptive statistics, paired t-tests, and independent t-tests.
The findings showed that the experimental group had significantly higher mean scores for foot care behavior after the intervention than before intervention and the control group (p < .01) The study showed that "the diabetes foot care mirror innovation" was effective in promoting foot care behaviors in patients with T2DM. The recommended that this innovation be implemented for patients in the early stages of DM to enhance foot care practices and prevent diabetic foot complications.
Downloads
References
Bureau of Non-Communicable Diseases, Department of Disease Control. Report on the operational results of diabetes management development (DM Remission) 2024–2025 [Internet]. Nonthaburi: Ministry of Public Health; 2024 [cited 2024 Sep 09]. Available from: https://ddc.moph.go.th/dncd/journal_detail.php?publish=17675 (in Thai)
Puanglumyai P. The situation of mortality attributable to the 5 major noncommunicable diseases in Thailand, 2020–2024. Weekly Epidemiological Surveillance Report. 2026;57(6):e8036. doi: 10.59096/wesr.v57i6.8036 (in Thai)
Choochote K, Upakdee N. Expenditure of diabetes mellitus according to classification systems for out -patient payment at Bangbuathong Hospital. Journal of Health System Research. 2018;12(4):645-56. (in Thai)
Lertwattanarak R. How to deal with diabetic numbness in feet [Internet]. Bangkok: Diabetes Association of Thailand; 2019 [cited 2024 Sep 15]. Available from: https://www.dmthai.org/new/index.php/sara-khwam-ru/sahrab-bukhkhl-thawpi/health-information-and-articles/health-information-and-articles-2562/874-2019-10-26-02-30-36 (in Thai)
Thungtak R. The prevalence and risk factors of diabetic foot ulcer in patients with type 2 diabetes mellitus at primary care setting in Trang province. Journal of Health and Health Management. 2023;9(2):230-41. (in Thai)
Myron AB, Mark AD, Matthew AV. Diabetic peripheral neuropathy. [Internet]. [cited 2024 Sep 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK442009/
Yazdanpanah L, Shahbazian H, Nazari I, Arti HR, Ahmadi F, Mohammadianinejad SE, et al. Incidence and risk factors of diabetic foot ulcer: A population-based diabetic foot cohort (ADFC study)-two-year follow-up study. International Journal of Endocrinology. 2018;2018:7631659. doi: 10.1155/2018/7631659.
Peters EJ, Armstrong DG, Lavery LA. Risk factors for recurrent diabetic foot ulcers: Site matters. Diabetes care. 2007;30(8):2077-9. doi: 10.2337/dc07-0445
Mahathamnuchock S, Phanpeang P, Keelapang A. A study on the self-foot examination practice among diabetes patients, Mae Hong Son province. Journal of Bamrasnaradura Infectious Diseases Institute. 2022;16(1):22–32. (in Thai)
Harutaithaworn R, Nuysri M, Iemsawasdikul W. 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. 2020;69(4):21-30. (in Thai)
Strategy and Planning Division, Office of the Permanent Secretary. Ministry of Public Health. Sustainable Development Goal 3: Ensure healthy lives and promote well-being for all at all ages. Nonthaburi: Strategy and Planning Division, Office of the Permanent Secretary; 2023. (in Thai)
Rosenstock IM. Historical origins of the health belief model. In the health belief model and personal health behavior. Thorofare (NJ): Charles B. Slack; 1974.
Urairerkkul C. List of health promoting hospitals in Mueang Samut Sakhon District. [Internet]. [cited 2024 Aug 05]. Available from: https://www.chonlatit.com/survey/setting_amphur.php?type=11&chw_code=74&file=bse.healthcare_bc&file2=bse.hosp_type&topic=%E0%B8% (in Thai)
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988.
Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice. 10th ed. Philadelphia (PA): Lippincott Williams & Wilkins; 2021.
Grove S, Burns N, Gray J. The Practice of nursing research. Appraisal synthesis and generation. 7th ed. Missouri: Elesevier Saunders; 2013.
Amattayakong C, Oupra R, Kantawong E. The effectiveness of a transformative learning program on health literacy promotion among older adults with diabetes. The Southern College Network. Journal of Nursing Public Health. 2021;8(2):232–45. (in Thai)
Department of Disease Control. Report the situation of NCDs Diabetes, Hypertension and related factors in 2019. [Internet]. [cited 2025 May 05]. Available from: https://ddc.moph.go.th/uploads/publish/1035820201005073556.pdf (in Thai)
Sankote R, Mator L, Amatachaya S. Development of a foot care behavior scale for type 2 diabetes patients with peripheral neuropathy. Journal of Nursing and Health Care. 2015;33(4):74-83. (in Thai)
Meehanpong P, Chatdokmaiprai K. Assessing quality of research instrument in nursing research. Journal of The Royal Thai Army Nurses. 2018;19(1):9–15. (in Thai)
Pipitkun K. Quality of questionnaire tools: Validity and reliability in public administration for research. NEU Academic and Research Journal. 2018;8(2):104–10. (in Thai)
Promnoi W. Effects of an educational and foot care behavior promotion program among patients with diabetic foot ulcers in the female surgical ward 1, Sakon Nakhon Hospital. Journal of Nursing and Health Sciences, Nakhon Phanom University. 2024;2(2):1-13. (in Thai)
Nonpanya U, Terathongkum S, Lininger J. Effects of self-efficacy enhancement of foot care program on foot care behavior and insensate foot among persons with type 2 diabetes. Thai Journal of Nursing and Midwifery Practice. 2020;7(2):77-91. (in Thai)
Pawong N, Sookpier P. Effects of foot care video education and manual on foot care behaviors to prevent foot ulcers among type 2 diabetic patients with uncontrolled fasting blood sugar. Journal of Boromarajonani College of Nursing Surin. 2024;14(1):37-50. (in Thai)
Iamsomboon T, Kengganpanich T, Kengganpanich M, Benjakul S. Effect of promoting program for foot self-care behaviors and foot ulcers among diabetic patients, Krathumbaen Hospital, Samut Sakhon province. Journal of Public Health. 2017;47(3):289–300. (in Thai)
Boonsong J, Charoenpun C, Worawong C. Effects of the health behavior promotion program for preventing foot complications in patients with type 2 diabetes admitted to Dong Khwang Tambon health promotion hospital, Muang Nakhon Phanom, Nakhon Phanom province. Journal of the Office of disease prevention and control, 7 Khon Kaen. 2016;23(2):46-59. (in Thai)
Chusak T, Sasang N, Chaleoykitti S. Effect of diabetes foot care program to prevent leg cramps of type 2 diabetic patients, Samrongchai Sub-district, Phisalee District, Nakhon Sawan Province. Royal Thai Army Medical Journal. 2018;71(2):105-12. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Journal of Nursing and Therapeutic Care

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.