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A Randomized Pilot Study of improving Foot Care in Home Health Patients With Diabetes

Intercollegiate Collage of Nursing, Washington State University, 2971 West Fort George Wright Drive, Spokane WA 99223 corbett{at}wsu.edu

PURPOSE

the purpose of this study was to test the effectiveness of an educational intervention to improve patients' foot care knowledge, self-efficacy, and self-care practices.

METHODS

A prospective, randomized, single center, 2-group design was used with a convenience sample of 40 home care patients from a Medicare-certified home health agency. Baseline measures of foot care knowledge, self-efficacy, and reported self-care practices were obtained at study entry and 6 weeks later to control for foot care interventions provided during routine home care services. After obtaining the 6-week baseline measures, patients who were randomized to the intervention group received individualized education about proper foot care. All patients were interviewed a third time 3 months after study entry to determine the effectiveness of the intervention.

RESULTS

The educational intervention improved patients' knowledge, confidence, and reported foot care behaviors.

CONCLUSIONS

A brief, individualized educational intervention about standard foot care topics improved patients' foot care knowledge and self-efficacy as well as reported self-care practices. Incorporating such interventions into routine home care services may enhance the quality of care and decrease the incidence of lower-extremity complications.

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