Download or read book The Relationship Between Health Locus of Control Social Support and Foot Care Behaviors in Diabetic Foot Ulcer Patients written by Piyawan Kanan and published by . This book was released on 2006 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Relationship Between Self Management Behaviors and Associated Factors in Patients with Diabetic Foot Ulceration written by Lorie L Sigmon and published by . This book was released on 2021 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Self-management behaviors support patient and family members' engagement in treating diabetes. Such behaviors are most effective when accompanied by knowledge, beliefs, and social facilitation. Interprofessional collaborative (IPC) teams have the ability to promote self-care behaviors and patient engagement in treating diabetes. To date, no study has specifically looked at the relationship between patient perceptions of IPC teamwork (PP-IPCT) and self-management behaviors (SM). The purpose of this study was to examine the relationship between SM, family support (FS), PP-IPCT, health-related quality of life (HRQoL), wound size (WS), glycemic stability (SMBG), and demographics in patients with diabetic foot ulceration (DFU).Using a cross-sectional, descriptive, correlational research design, participants diagnosed with DFU completed a demographic data form and instruments to measure the associated factors. A variable summary was computed using descriptive statistics. Measures of central tendency (mode, median, and mean), and measures of dispersion (range and standard deviation) were used to initially analyze participant results of the demographic data, Patient Activation Measure (PAM), Family Adaptation, Partnership, Growth, Affection, Resolve (APGAR), Patients' Insights and Views of Teamwork (PIVOT), and Short-Form 12 version 2 (SF-12v2) survey tools. A Pearson correlation coefficient was used to determine the strength and direction of relationships between SM, FS, PP-IPCT, and HRQoL. The lowest group means scores occurredfor role physical (RP [M = 8.59]), role emotional (RE [M = 24.22]), and general health (GH [M = 26.95]), where all the means are less than 30. The highest means were observed for mental health (MH [M = 62.97]) and bodily pain (BP [M = 50.39]). There were very weak correlations between the PIVOT, PAM, and Family APGAR scales. The PIVOT scale had one positive medium correlation with the SF-12 physical functioning (PF) scale (r = .33) and small correlations with the other SF-12 scale scores. The PAM had one positive medium correlation with the GH scale (r = .31), and small correlations with the other SF-12 scales of PF (r = .13), RP (r = .12), BP (r = -.04), vitality (VT [r = .16], social functioning (SF [r = -.01]), RE (r = .18), and MH (r = .14). The Family APGAR scores had small correlations with all the SF-12 scales such as PF (r = .11), RP (r = .06), BP (r = .03), GH (r = .23), VT (r = .02), SF (r = -.07), RE (r = .10), and MH (r = .08). The two strongest correlations among the SF-12 scales included a large positive correlation (r = .51) between RP and RE, and a medium positive correlation (r =.42) between MH and BP. Findings from this study inform the development of interventions involving IPC teamwork and FS to improve individual and population health outcomes.

Download or read book The Interrelationship Between Multidimensional Health Locus of Control Knowledge of Diabetes Perceived Social Support Self reported Compliance and Therapeutic Outcomes Six Weeks After the Adult Patient Has Been Diagnosed with Diabetes Mellitus written by Mary Ellen Wierenga and published by . This book was released on 1979 with total page 758 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Foot Self Care Practices Among Patients with Type 2 Diabetes and Diabetic Foot Ulcers written by David Abiodun Oni and published by . This book was released on 2018 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetic foot ulcers (DFUs) are a major cause of morbidity and mortality globally. DFUs are often marked by poor healing, infection, re-ulceration, prolonged hospitalization, impaired quality of life, and death. Approximately 80,000 Americans lose their toes to DFU-related amputations annually, leading to impaired quality of life and financial burden. Research supports prevention of DFUs through foot self-care practices. However, a gap exists between healthcare provider recommendations and actions taken by patients with DFUs. This study explored the lived experiences of patients with type 2 diabetes and DFUs regarding their foot self-care practices. The long-term goal of this research is to support the development and delivery of patient-centered interventions to prevent DFUs and re-ulceration.Method: A descriptive phenomenological research study was conducted with a purposive sample of adults with type 2 diabetes and DFUs. Fifteen participants were recruited and interviewed from outpatient podiatry clinics in Washington State. Data were analyzed using Colaizzi's approach to phenomenology.Findings: Participants reported initially being passive about foot self-care. This was impacted by a lack of awareness between diabetes, foot self-care and DFU development. However, the sudden onset of DFUs was a wake-up call to adapt to a new reality. Adaptation included monitoring their feet, performing foot self-care, and learning about their disease process. However, ongoing challenges with DFUs and foot self-care continue to impair participants' physical, social, and mental well-being. Some participants seek self-management strategies in a quest to make their feet comfortable and continue with their preferred lifestyle.Conclusion: This research provides a rich description of the lived experience of patients with type 2 diabetes and DFUs. Findings provide broad insights into participants' perception of foot self-care practices. Evidence from this study supports that the risk perception of patients with diabetes impacted their health behaviors. Early education to promote health literacy is important to help patients with type 2 diabetes understand their susceptibility to DFUs and the severity of DFUs. Tailored and long-term behavioral reinforcement may support daily foot self-care and ongoing challenges with DFU to reduce DFU development and re-ulceration.

Download or read book The Effect of a Nurse Administered Foot Care Intervention Bundle on Self Management of Diabetic Patients with Existing Foot Ulcerations written by Janice Zima and published by . This book was released on 2019 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACTThe Effect of a Nurse-Administered Foot Care Intervention Bundle on Self-Management Knowledge and Skills of Community-Based Wound Center Patients with Diabetic Foot UlcerationsJanice V. Zima, D.N.P. Director: Nalini Jairath, Ph. D. Background: Foot ulcerations present significant problems for patients with diabetes. Consequences related both to diminished physical functioning and decreased social interaction may create socioeconomic hardships such as potential loss of income as well as increased pain, anxiety, and depression. Physiological factors associated with the progression of disease (i.e. poor diabetic control, peripheral vascular disease, diabetic neuropathy, restricted joint mobility) contribute to the development of these ulcerations and impact delayed healing. Without being able to effectively adopt healthy behaviors, people with limited diabetic management skills may develop worsening symptoms and health outcomes with a resultant higher burden and cost on the healthcare system (Berkman et al., 2004). Purpose: The purpose of this project was to examine the self-management skills of patients with diabetes who have a preexisting ulceration, and to determine the impact of a high intensity, nurse-administered foot care intervention bundle (NA-FCIB) uponself-management knowledge, skills and outcomes for diabetic patients with existing foot ulcerations. Design: Utilizing the Johns Hopkins Nursing Evidence-Based Practice Model (JHN-EBP), this project was conducted at a dedicated wound care clinic over a 3 month period. The sample consisted of 39 patients with diabetic foot ulcerations. The NA-FCIB was administered at each office visit and as part of periodic phone calls for patients whose clinic visits were more than 1 month apart. Baseline measures of foot care knowledge and reported self-care practices were recorded prior to, at 6 weeks and 12 weeks, after the start of NA-FCIB implementation. Ulcerations were measured at each visit and HgbA1C levels were measured at pretest and 12 week posttest. Search of literature/best evidence: An extensive search of the literature was conducted to identify relevant evidence. Multiple, overlapping databases were searched, specifically PubMed, Medline, Cochrane Library, and CINAHL, as well as Google Scholar. Evidence, based on JHN-EBP criteria and multiple high level randomized controlled studies, was reviewed regarding interventions to promote diabetic patient self- management to prevent the development of foot ulcerations. The review supported the potential value of enhancing foot care practices with a bundled approach. Clinical appraisal: Relevant evidence provided support for the implementation of nursing interventions to promote patient self-management of diabetes, and engagingpatients with diabetes with periodic foot examination, institution of basic foot hygiene procedures, implementation of measures to protect feet from injury and infection, seeking prompt clinical care in the event of injury, and tight glycemic control. The apparent simplicity of interventions such as daily foot inspection, use of clean socks, etc. may have contributed to the lack of research regarding their individual efficacy. The literature was congruent with the development and testing of a bundle of foot care interventions that reflect the available evidence, have minimal risk, and whose individual interventions represent standard of care. Standardizing and formalizing care of this select population was a concern though, with individual providers and individual nurses often approaching diabetic interventions from different viewpoints. Prior studies have indicated a relationship between higher intensity interventions for patients with diabetes, and better quality outcomes with improved self-care management. Integration into practice: Utilizing evidence based practice initiatives, the NA- FCIB was established to promote improved self management skills in patients with diabetes, with existing foot ulcerations. Patient education materials were developed to help teach and guide in prevention of further ulceration and in optimal care of the diabetic foot. Staff guidelines for support in teaching were formalizedResults and evaluation of evidenced based practice: The formative evaluation indicated that the NA-FCIB was feasible to implement with no major barriers identified. The NAFCIB was associated with significantly improved foot care related-knowledgeand skills. Over the intervention period, there were also significant decreases in HBA1C and ulcer size and stage which also reflects tighter pharmacologic controls by the clinicians and the specific wound treatment protocols as well as the self-management approaches addressed in the NA-FCIB. Conclusion: The NA-FCIB was effective in improving diabetic self-management practices of individual patients. It was feasible to implement at the level of the individual clinic and will be incorporated into routine clinic care. Further, the parent institution is examining ways in which the project may be extended to other areas of the institution, and has identified the EBP project as an exemplar for other projects and initiatives. The NA-FCIB also has potential value for wound care clinics where diabetic foot ulcerations are treated. Thus the NA-FCIB and the implementation processes associated with this EBP project have larger potential benefit at the level of individual patients and health care systems.

Download or read book Self efficacy and Social Support as Predictors of Diabetic Self care written by Mary Katherine Crabtree and published by . This book was released on 1986 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Relationship Between Locus of Control and Compliance in Diabetic Foot Care written by Marion Good and published by . This book was released on 1981 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Is There a Relationship Between Self efficacy and Diabetic Foot Self care written by Stacey Wendling and published by . This book was released on 2014 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The World Health Organization estimates the incidence of diabetes as 347 million worldwide, and reseach has shown that the ongoing rate of diabetes-related amputations remains signficiant despite the existence of prevention methods and the known fact that amputations in most cases can be prevented. Research indicates taht deabetics with higher levels of self-efficacy have a higher level of foot self-care, howeveer only weak correlations have been found between self-efficacy and foot care beahviors. A descriptive correlation study was conducted using the theoretical framework of Bandura's social cognitive theory, with the aim to identify if a relationship existed between self-efficacy and deabetic foot self-care. The study consisted of a multimodal distribution of survey instruments using the Foot Care Confidence Scale (FCCS) and the Nottingham Assessment of Foot Selfcare (NAFF) to those over 18 years old with diabetes Type 1 and 2 in rural and urban sites in the lower peninsula of Michigan (N=223). A weak correlation without statistical significance was identified between the level of self-efficacy and performance of foot self-care behaviors. Analyses of variance were performed with a statistical significance found between who cared for a person's feet and FCCS scores, and diabetes education and NAFF scores. Statistical significance was found between foot care behaviors and gender, with males scoring higher than females. This study adds to the body of nursing knowledge regarding self-efficacy and diabetes in relation to foot care behaviors. Further research is needed to explore the relationship of gender and foot care behaviors." --from Author's abstract page.

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Download or read book Effects of a Social Support Group as an Adjunct to Diabetes Education on Metabolic Control and Psychosocial Outcomes written by Annette Elisabeth Hellmann and published by . This book was released on 1990 with total page 716 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Relationship Between Social Support and Self care Behaviors of Adults with Non insulin Dependent Diabetes Mellitus written by Kathleen E. Gall and published by . This book was released on 1992 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Diabetic Foot Care a Public Health Problem written by Anjum Hashmi and published by LAP Lambert Academic Publishing. This book was released on 2012-07 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The frequency of diabetic patients taking proper foot care is highly insufficient. Proper Foot care practices are associated with provision of education of foot care and literacy status of patients. Most of diabetic patients are not provided with foot care educations and they are not offered regular foot examinations including patients with high risk feet. Frequencies of high risk behaviors are high. These malpractices are affecting the feet of diabetic patients. Our findings support, foot care education and regular foot examination as strategies for prevention of foot ulcers. Preventive practices must be reinforced so that patients without foot ulcers should not develop ulcers. Our study also high lights the need to increase foot care education along with proper diabetic foot clinics.

Download or read book Motivational Interviewing to Improve Diabetic Foot Ulcer Self care Behaviors Among African Americans written by Cloudine Dione Mbong and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes and Diabetic foot ulcer (DFU) remain a major health issue in patients clinically diagnosed as diabetic, both type 1 and type 2. DFU occurs when the skin of a person with diabetes sustains a break that does not promptly heal. This condition is linked to infection, ulceration, and damage to the deeper tissues of the feet, resulting from prolonged and uncontrolled high blood sugar levels. It poses significant health risks, including amputation, reduced quality of life, increased healthcare costs, and disability if left untreated. This proposed project was formed to assess how effective motivational interviewing (MI) affects self-care behavior for DFU among patients of African American descent. Evidence-Based Framework: Kurt Lewin's 3-stage unfreezing and refreezing theory of change will be implemented in this project, and the Johns Hopkins Nursing Evidence-Based Practice Model utilized to facilitate effective behavior change among patients. Method: The main objective for the project is analyzing the effects of motivational interviewing on self-care behavior for DFU among African Americans. The study utilized interventions designed before and after implementation. These interventions involved educating participants using motivational interviewing techniques. Data on self-care behaviors was collected before and after the intervention. Findings/Results: This project measured the participants' self-care behavior before and after using motivational interviewing. The results suggested that the knowledge gained from the pre-contemplation stage on the adverse outcomes of the participants' behaviors and the potential positive implications associated with appropriate DFU self-care promoted the change. Conclusion/Recommendation: Implementing motivational interviewing on self-care behavior for DFU among African American patients increased the patients' awareness. Patients began to make changes to improve their foot ulcer self-management. Therefore, it can be concluded that educating DFU patients on self-care behavior will improve their foot ulcer self-management. The positive changes can include regular feet inspection, moisturizing the feet daily, thoroughly washing and drying, and maintaining clean and short nails.

Download or read book Impact of Social Support Self efficacy and Outcome Expectations on Self care Behaviors and Glycemic Control in Caucasian and African American Adults with Type 2 Diabetes Mellitus written by Diane Orr Chlebowy and published by . This book was released on 2002 with total page 390 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Caucasians and African-Americans with type 2 diabetes continue to experience preventable diabetes-related life-threatening complications despite medical advances and health care availability. African-Americans are more likely to suffer from diabetes-related complications and experience a higher diabetes-related mortality rate than Caucasians. There is a definite need to better understand the relationship of psychosocial variables to diabetes control in these two racial groups. The purpose of this two-group, comparative, descriptive study was to examine the relationships of social support, self-efficacy, and outcome expectations (beliefs that diabetes-related behaviors will lead to certain outcomes) to self-care behaviors and glycemic control in Caucasian and African-American adults with type 2 diabetes. A convenience sample of 91 Caucasian and African-American subjects receiving health care at three outpatient facilities participated in the study. All subjects completed four self-report measures: Social Support Questionnaire, Self-Efficacy Questionnaire, Outcome Expectancy Questionnaire, and the Diabetes Activities Questionnaire at the time of the outpatient visit. Long-term glycemic control was assessed by glycosylated hemoglobin analyses at the time of the outpatient visit. Two-sample t-tests revealed no significant differences between the two racial groups in regards to age (p = .81), duration of diabetes (p = .69), and glycosylated hemoglobin (p = .85). Chi-square analyses revealed two significant differences between the two racial groups with regard to sex (p = .04) and marital status (p

Download or read book The Interrelationship Between Multidimensional Health Locus of Control written by Mary Ellen Wierenga and published by . This book was released on 1979 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Using Cellphones to Advance Diabetic Foot Care Practice written by Qiuna Fang and published by . This book was released on 2020 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preventing diabetic foot ulcers among patients diagnosed with diabetes is an important element of care as diabetic foot ulcers present major medical, psychosocial and economic threats. In addition, about 20% of the diabetic foot ulcer cases will ultimately require amputation and cause greater mortality rates. The purpose of this literature review was to evaluate cellphone use to promote diabetic foot care practices among patients with diabetes. Six electronic databases were searched for articles which included text messaging and or phone interventions geared at improving foot care practices. A total of 14 articles dated 2009-2019 met the inclusion criteria and were included in the review. Cellphone use for text messaging and phone calls to advance diabetic foot care practices appears to be promising. Cellphone interventions among clients diagnosed with diabetes were found to have higher adherence with foot examinations, more frequent foot checks, and better overall performance score of diabetic foot ulcer preventive behaviors. This literature review supports cellphone use for text messaging and phone calls to improve diabetic foot care practices. Particularly among populations with health disparities and limited access to healthcare cellphone improves access to care, is uncomplicated and presents a cost-effective approach to improving diabetic foot care practices.

Download or read book Social Support Dietary Adherence and Blood Glucose Control Among Patients with Noninsulin Dependent Diabetes Mellitus written by Lawrence Gershon Feinstein and published by . This book was released on 1988 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt: