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Volume 3
Journal of Nursing Research and Practice
Nursing & Immunology 2019
March 11-12, 2019
Neonatology, Pediatric Nursing and Nursing
Immunology
March 11-12, 2019 London, UK
World Congress on
8
th
World Congress on
&
Application of trans-theoretical model of change on foot care management among diabetic patients:
Prevention better than cure
Faiza A Abou-El-Soud
1,3
, Hend M Elazazy
1,2
and
Bothyna Z Murshid
1
1
King Saud Bin Abdul-Aziz University for Health Sciences, KSA
2
Tanta University, Egypt
3
Menoufiya University, Egypt
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.
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) 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:
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.
Keywords:
Trans-theoretical model of change, diabetic foot care management.
Biography
Faiza has completed her RN, BSN, and MSN, PhD. She was acting as assistant professor College of Nursing, Menuofiya University since 7 years before 2010-
2017. In addition, she was associate professor, community health nursing, RAK-MHSU, UAE for 6 years 2010-2015. Currently, she is assistant professor,
community health nursing specialty, King Saud Bin Abdel Aziz University for Health Sciences - College of Nursing, Riyadh. In addition, she was chairperson of
the Continues Educational development at RAK-CON-UAE and she was a member in many academic and nonacademic committees. She acts as a supervisor
of postgraduate nursing students of their dissertation as well as shared in many community projects that are served community and academic fields. She had
published more than ten papers in national and international journal. The area of research interest is health promotion and risk reduction at various target population
in the community settings.
soudf@ksau-hs.edu.saFaiza A Abou-El-Soud et al., J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C1-002