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KMID : 1104420190300040560
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Research in Community and Public Health Nursing
2019 Volume.30 No. 4 p.560 ~ p.570
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Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy
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Kim Hye-Min
Seo Ji-Min
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Abstract
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Purpose: The purpose of this study was to examine the effects of diabetic foot care education for the older adults with low health literacy.
Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The participants who were diagnosed with diabetes, were adults over 65 years old at the welfare center of Y and B city. They were divided into the experimental group (n=32) and the control group (n=31). Inclusion criteria were a score of 5 or under on the Short form of Korean Functional Health Literacy Test and 24 or more on the Korean version of Mini-Mental State Examination. Foot care education was conducted in a small group for 40 minutes, once a week, for three weeks. The education materials are composed of an easy term, picture and photographs to understand easily.
Results: The scores of diabetic foot care knowledge (t=4.57, p<.001), foot care self-efficacy (t=6.07, p<.001), and foot self-care behavior (t=4.18, p<.001) were significantly increased in the experimental group compared to the control group. Foot health status was not significantly improved.
Conclusion: The findings indicate that this education program can be used as a nursing intervention improving foot care knowledge, foot care self-efficacy, and foot self-care behavior in order to prevent the diabetic foot problems of elderly diabetic persons with low health literacy.
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KEYWORD
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Aged, Diabetic foot, Foot ulcer, Diabetes mellitus, Health education
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