Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis

Brand, Sarah L. and Musgrove, A. and Jeffcoate, W.J. and Lincoln, Nadina B. (2016) Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis. Diabetic Medicine, 33 (2). pp. 204-207. ISSN 0742-3071

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Abstract

AIMS: To assess whether a programme of nurse education increased the frequency with which nurses conducted foot checks on people with diabetes undergoing haemodialysis and to evaluate whether this influenced self-reported foot care behaviour.

METHODS:A non-randomized stepped-wedge design was used to evaluate a nurse education programme implemented in four UK National Health Service dialysis units. People with diabetes undergoing haemodialysis were invited to complete a questionnaire on the frequency of foot examination by health professionals, on the presence of foot problems and on their own foot care behaviour, using the Nottingham Assessment of Functional Foot-care (NAFF). An education session for nurses, including procedures for foot examination, was conducted sequentially in each of four haemodialysis units. The questionnaire was repeated at 2-monthly intervals.

RESULTS:The education session resulted in a significant increase in the reported number of foot examinations by nurses (P = 0.007). There was also a significant improvement in reported foot care behaviour (P < 0.001), but this occurred between the first and second 2-monthly assessments and was unrelated to the timing of the intervention.

CONCLUSIONS: A single education session can improve the routine checking of the feet of people with diabetes undergoing haemodialysis. The administration of the Nottingham Assessment of Functional Foot-care questionnaire was associated with improved self-reported foot care behaviour, reflecting greater awareness of risk in this population.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Brand, Sarah L. and Musgrove, A. and Jeffcoate, W.J. and Lincoln, Nadina B. (2016) Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis. Diabetic Medicine, 33 (2). pp. 204-207, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/dme.12831/abstract. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing
Identification Number: 10.1111/dme.12831
Depositing User: Dziunka, Patricia
Date Deposited: 13 Oct 2017 12:09
Last Modified: 13 Oct 2017 17:23
URI: http://eprints.nottingham.ac.uk/id/eprint/41267

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