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

당뇨병성 족부 궤양을 가진 환자의 자가 관리 프로그램 적용 효과

  • 김정윤 (분당서울대학교병원 간호본부) ;
  • 천의영 (수원여자대학교 간호학과)
  • Received : 2016.02.18
  • Accepted : 2016.05.07
  • Published : 2016.05.31

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.

Keywords

References

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