Beneficial Affects of Nursing and Diabetic Foot

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Beneficial Effects Of Foot Care Nursing For People With Diabetes Mellitus: An Uncontrolled Before And After Intervention Study

Beneficial Effects Of Foot Care Nursing For People With Diabetes Mellitus: An Uncontrolled Before And After Intervention Study

The article by Fujiwara and colleagues published in the Journal of Advanced Nursing discusses the benefits of nursing programs to help prevent, treat, and reduce recurrences of diabetic foot complications. Based on eligibility criteria, 88 people were selected. The study excluded patients with orthopedic diseases, cranial nerve disorders, impaired cognitive function, mental disorders, patients receiving chemotherapy, and those that did not follow the 2-year program. The patients were divided into groups according to risk factors using International Working Group on the Diabetic Foot (IWGDF) classification. (p. 1954) Once the patients were classified into groups according to risk factors, a nursing foot care program was devised specific to each risk group. Each group received education and care by a professional nurse that was in accordance with their risk assessment. The 4 groups were: Group 0 (patients with no diabetic neuropathy), Group 1 (patients with diabetic neuropathy), Group 2 (patients with diabetic neuropathy and peripheral arterial disease and foot deformity), and Group 3 (patients with history of foot ulceration). (Table 1) Results of the study reviewed the recurrence of foot ulcers after the 2-year study. The non-ulcerated foot had an increase in patients free of tinea pedis from 14.8% to 37.5%. (Fujiwara, p. 1958) There was also a significant improvement in callus grade; in the high-risk group, callus grade decreased in 7 of 15 patients. (p. 1958) Six patients of the 88 patients in the study developed foot ulcerations. The ulcers were a result of trauma and burns, and all 6 patients had diabetic neuropathy. These patients were given education regarding foot care and were referred to a...
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