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Foot Education Improves Knowledge and Satisfaction Among Patients at High Risk for Diabetic Foot Ulcer

Louise Metz, BS

Eugene Z. Oddone, MD, MHS

Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, and the Division of General Internal Medicine, Duke University Medical Center, Durham, North Carolina.

David Edelman, MD

Durham Veterans Affairs Medical Center, Health Services Research (152), 508 Fulton Street, Durham, NC 27705dedelman{at}acpub.duke.edu

PURPOSE

The purpose of this study was to evaluate an intensive diabetes foot education program for veterans at high risk for foot ulcer.

METHODS

We invited 100 consecutive patients with diabetes from a Department of Veterans Affairs Medical Center clinic who were insensate to the Semmes-Weinstein 5.07 monofilament to participate in a foot care education program. Two sessions were conducted by a nurse diabetes educator 3 months apart. Multiple educational approaches were used to teach patients foot self-examination, foot washing, proper footwear, and encouragement in enlisting proper physician foot care. Knowledge and satisfaction with care was measured before and after each visit.

RESULTS

The 34 patients who attended both education sessions improved their foot care knowledge over the course of the program. After the second session, the mean improvement over baseline was 14%. These patients also reported improved satisfaction with foot care; mean improvement was 33%.

CONCLUSIONS

An intensive education program improved the foot care knowledge and behavior of high-risk patients. Those who adhered to a foot care education program were more satisfied with their foot care than prior to the program. Ways to improve accessibility of education sessions must be explored.

The Diabetes Educator, Vol. 25, No. 4, 560-567 (1999)
DOI: 10.1177/014572179902500408


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