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Volume 3
Journal of Nursing Research and Practice
Nursing Care Congress 2019
March 11-12, 2019
Nursing and Nursing Care Congress
March 11-12, 2019 Orlando, USA
5
th
World
Application of trans-theoretical model of change on foot care management among diabetic patients:
Prevention better than cure
Faiza Abou El-Soud
King Saud Bin Abdel Aziz University, KSA
Diabetic foot ulcer is one of the most common consequences of uncontrolled blood glucose level, which takes place in 15% of people
with diabetes, and precedes 84% of all diabetes-related lower-leg amputations that have the adverse effect on the diabetic patients
causing physical, psychosocial, and financial burden as well as an economic burden on health care system.
Aim:
The aim of the study is to improve foot care management among diabetic patients by applying the Trans theoretical Model of
Change.
Design:
A quasi-experimental design was conducted with a systematic random sample.
Study sample:
154 patients who were selected from the registration systemwere divided equally into (77 study group) and (77 control
group).
Setting:
The study was conducted at the outpatient diabetic clinic affiliated to Tanta University Hospital and Segar Primary Health
Care Center affiliated to Ministry of Health, Tanat Governorate, Egypt.
Tools:
Three tools were used for the purpose of data collection (I) Bio-socio-demographic characteristics questionnaire; (II); ( II)
Trans-theoretical Model scale and (III) Diabetes Management Self-Efficacy Scale (DMSES). A survey was conducted by using Arabic
version of self-reporting questionnaire to assess the stages of change and self-efficacy among the studied groups as a baseline and
during the implementation of foot care intervention program.
Results:
Results revealed that, there was a statistical significant difference in the stages of change of the Trans theoretical Model
for diabetic foot care management of the study group compared to the control group at 2, 4, and 6 months after implementation of
intervention program. In addition, there was a statistical significant difference in Diabetes Management Self-Efficacy Levels between
study groups who received program intervention compared to control group 6 months after intervention.
Recommendation:
Encouraging nurses who are dealing with diabetic patients to use the Trans theoretical Model of change or other
health promotion models to enhance diabetic patient for foot care management, and adoption of healthy behavior.
soudf@ksau-hs.edu.saJ Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C2-006