Development and Evaluation of a Web-based Educational Program on Prevention of Foot Lesion in Adults with Diabetes

당뇨병 환자를 위한 웹기반 족부병변 예방교육 프로그램 개발 및 효과검정

  • Published : 2010.08.30

Abstract

Purpose: This study was done to develop a web-based educational program on prevention of foot lesion in adults with diabetes and to evaluate the effects of this program on patients' knowledge of foot care, foot self-efficacy, foot self-care behavior, diabetes foot screening tool, and foot management check scores. Methods: The webbased educational program on prevention of foot lesions in adults with diabetes was developed through the process of analysis, development, implement and evaluation. Theoretical framework was derived from Bandura's Self Efficacy Theory. The research design was a non-equivalent control group pretest-posttest design. Forty-eight patients with diabetes were randomly assigned to the experimental group (24) or control group (24). Results: The finished program on prevention of foot lesion in adults with diabetes was posted at http://www.footlove.co.kr. Total scores for knowledge of foot care, foot efficacy, and foot care behavior in the experimental group were significantly higher than the control group (p<.05). Total scores for foot diabetes, foot management check score, and status of foot management in the experimental group were significantly lower than the control group (p<.05). Conclusion: These results suggest the importance of web-based diabetes foot prevention education programs to prevent foot lesions in adult patients with diabetes.

Keywords

References

  1. Ahn, S. K., & Kim, S. S. (1999). A study on the user's satisfaction of agriculture information system. AgroInformatics Journal, 1 (1), 1-11.
  2. Bandura, A. (1977). Self-efficacy toward a unifying on behavior change. Psychological Review, 84 , 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  3. Boulton, A. J. (2000). The diabetic foot: A global view. Diabetes Metabolism Research and Reviews, 16(Suppl 1), S2-S5. https://doi.org/10.1002/1520-7560(200009/10)16:1+<::AID-DMRR105>3.0.CO;2-N
  4. Chung, E. S., Jeong, I. S., & Song, M. G. (2004). Development and effect analysis of web-based instruction program to prevent elementary school students from safety accidents. Journal of Korean Academy of Nursing, 34(3), 485-494. https://doi.org/10.4040/jkan.2004.34.3.485
  5. Corbett, C. F. (2003). A randomized pilot study of improving foot care in home health patients with diabetes. Diabetes Educator, 29(2), 273-282. https://doi.org/10.1177/014572170302900218
  6. Frank, K. I. (2003). Self-management of foot care for patients 65 years of age or older with diabetes. Doctoral Dissertation, Indiana University, Indiana.
  7. Healthy Roads Media (2004). English-Diabetes. Retrieved March 3, 2006, from http://www.healthyroadsmedia.org/english/ Files/flv/engdiaft.htm.
  8. Jeong, H. Y., & Kwon, M. S. (2008). The effects on self-care knowledge and performance in the individualized education for chemotherapy. Journal of Korean Oncology Nursing, 8(1),8-16.
  9. Korea Association Diabetes Nurse Educator (2007). Education- Checklist. Retrieved March 30, 2008, from http://www. kadne.or.kr/member/notice.asp.
  10. Kang, S. W. (2004). Development of a health information web site evaluation tool for diabetes mellitus. Unpublished master's thesis, University of Yonsei, Seoul.
  11. Kim, J. H. (2000). Issue on web (web-based instruction). The Journal of Elementary Research, 5(1), 41-59.
  12. Lavery, L. A., Wunderlich, R. P., & Tredwell, J. L. (2005). Disease management for the diabetic foot: Effectiveness of a diabetic foot prevention program to reduce amputation and hospitalization. Diabetes Research and Clinical Practice, 70, 31-37. https://doi.org/10.1016/j.diabres.2005.02.010
  13. Lee, J. R. (2001). Association among the foot risk factors, knowledge for foot care, and foot care behaviors in type 2 diabetic patients. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Mayfield, J. A., Reiber, G. E., Sanders, L. J., Janisse, D., & Pogach, L. M. (1998). Preventive foot care in people with diabetes. Diabetes Care, 21(12), 2161-2177. https://doi.org/10.2337/diacare.21.12.2161
  15. Moon, M. Y. (1999). The effects of a foot care education for diabetic patients. Unpublished master's thesis, Keimyung University, Daegu.
  16. Moon, M. Y. (2006). Diabetic foot nursing care. Retrieved June 3, 2009, from http://www.footlove.co.kr.
  17. National Institutes of Health (1993). Medline plus-health information. Retrieved March 3, 2006, from http://www.nlm. nih.gov/medlineplus/tutorials/diabetesfootcare/htm/_no _50_no_0.htm.
  18. Orem, D. E. (1985). Nursing: Concepts of practice (3th ed.). New York: McGraw-Hill.
  19. Peter-riesch, B., Assal, J. P. (1997). Teaching diabetic foot care effectively. Journal of the American Pediatric Association, 87(7), 318-320. https://doi.org/10.7547/87507315-87-7-318
  20. Perrin, B., Swerissen, H., & Payne, C. (2009). The association between foot care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy: A crosssectional study. Journal of Foot and Ankle Research, 2(3), 1-8. https://doi.org/10.1186/1757-1146-2-1
  21. Ralston, J. D., Hirsch, I. B., & Hoath, J., & Mullen, M., & Cheadle, A., & Goldberg, H. I. (2009). Web-based collaborative care for type 2 diabetes. Diabetes Care, 32, 234- 239. https://doi.org/10.2337/dc08-1220
  22. Rha, I. J. (2005). Web-based education. Seoul: Kyoyookbook.
  23. Ribu, L., Hanestad, B. R., Moum, T., Birkeland, K., & Rustoen, T. (2007). A comparison of the health-related quality of life in patients with diabetic foot ulcers, with a diabetes group and a nondiabetes group from the general population. Quality of Life Research, 16(2), 179-189. https://doi.org/10.1007/s11136-006-0031-y
  24. Roh, Y. S., Chon, S. J., Kwon, Y. S., Lim, M. S., & Sim, K. H. (2007). Effects of foot care education on foot care compliance and diabetic foot complications in elders with Diabetes. Journal of Korean Gerontological Nursing, 9(2), 124-132.
  25. Yang, N. Y. (2009). Knowledge, self efficacy and self care behavior regarding foot care among elderly diabetes mellitus patients. Journal of Korean Academy of Adult Nursing, 21(4), 413-422.
  26. Yoo, H. J. (2004). The development and evaluation of webbased education program for lung cancer patient. Unpublished master's thesis, Hanyang University, Seoul.
  27. Singh, N., & Armstrong, D. G., & Lipsky, B. A. (2005). Preventing foot ulcers in patients with diabetes. The Journal of the American Medical Association, 293(2), 217-228. https://doi.org/10.1001/jama.293.2.217
  28. Sloan, H. L. (1997). Developing and testing of the foot care confidence scale to measure self-efficacy in foot care. Doctoral Dissertation. University of Louisiana, LA.