Diabetes
Conditions
Interventions
Intervention group:The intervention group received the developed nursing care protocol for calluses in elderly diabetic patients:
1. Standardized callus debridement (using an electric hard skin remove
2. Customization of personalized pressure-redistributing insoles and guidance on their use
3. Foot skin care education (moisturizing, inspection, proper footwear and hosiery selection)
4. Integration of traditional Chinese medicinal foot baths or topical ointments as needed.
Control group:The control group received the existing conventional care:
1. Routine scalpel debridement
2. Conventional health education (verbal instructions)
3. Referral to dermatology or podiatry clinics for management in cases of callus thickening or discomfort
4. No standardized debridement, no customized insoles, and no structured education program.
Sponsors
Huadong Hospital Affiliated to Fudan University, Shanghai
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 65 years; 2. Meeting the 1999 WHO diagnostic criteria for diabetes; 3. Patients presenting with calluses; 4. Voluntary participation in this study with provision of written informed consent.
Exclusion criteria
Exclusion criteria: 1. Amputation of the affected limb; 2. Patients presenting with severe acute or chronic diabetic complications such as ketosis, acute infection, severe retinopathy, severe cardiopulmonary insufficiency, or nephropathy; 3. Patients with existing diabetic foot; 4. Subjects who were unable to cooperate due to mental disorders, cognitive impairments, or other conditions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Callus recurrence rate: Recurrence rate = Number of recurrent cases / Total number of cases × 100%;Treatment efficacy rate for callus: Efficacy rate = (Cured + Markedly effective) / Total cases × 100%; | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in plantar pressure in diabetic patients, with observed parameters including impulse, maximum force, and peak pressure.;Pain Score;Foot self-care behaviors in diabetic patients; | — |
Countries
China
Contacts
Public ContactBai Jiaojiao
Huadong Hospital Affiliated to Fudan University
Outcome results
None listed