The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers

, Kim, Jung Yoon; , Cheon, Eui Young

doi:2016.18.2.78

J Korean Biol Nurs Sci > Volume 18(2); 2016 > Article

Original Article

Journal of Korean Biological Nursing Science 2016;18(2):78-86.
DOI: https://doi.org/10.7586/jkbns.2016.18.2.78 Published online May 31, 2016.

The Effects of a Self-care Management Program for Patients with Diabetic Foot Ulcers

Kim, Jung Yoon , Cheon, Eui Young

¹Nursing Department, Seoul National University Bundang Hospital, Seongnam, Korea.
²Department of Nursing, Suwon Women's University, Suwon, Korea. astra20@swc.ac.kr

Abstract

PURPOSE
Diabetic foot ulcers are significant problems in diabetes mellitus and often result in lower extremity amputation. This study was conducted to evaluate the effects of a self-care management program on Korean patient's self-efficacy, self-care behavior, size of the wound, and wound related pain.
METHODS
This study was a quasi-experimental study of pre-test and post-test design in a non-equivalent control group. The intervention strategies of the self-care management program consisted of individual intervention (education, practice and demonstration), computer animation, and face-to-face counseling. There were thirty seven patients, and 20 were assigned to the experimental group while the other 17 were assigned to the control group. The experimental group was given a self-care management program. The control group received information on diabetic mellitus care by means of a leaflet. The data was analyzed using descriptive statistics, a chi-square test, an independent t-test, and a Mann-Whitney test.
RESULTS
There were significant differences in self-care behavior and wound related pain.
CONCLUSION
A Self-care program is an effective way to increase patient's self-care ability. This program is highly applicable to diabetic foot ulcer patients in various settings.

Key Words: Self care, Diabetic foot, Pain, Self efficacy