Foot Ulcer, Diabetic, Nursing, Patient Engagement, Self Efficacy, Wound Healing
Conditions
Keywords
Diabetic foot ulcer, patient participation, self-efficacy, wound healing, nursing
Brief summary
The aim of this study is to determine the effect of Social Cognitive Learning Theory-based education on patient participation, self-efficacy and wound healing in individuals with diabetic foot ulcers. The research was conducted with 52 patients (25 intervention and 27 control) with Wagner 2 diabetic foot ulcers at Gülhane Training and Research Hospital between January and September 2024.
Detailed description
The study was conducted in four stages: first application to the clinic, 1st month, 2nd month and 3rd month. While the Social Cognitive Learning Theory was applied to the intervention group, only the currrent clinical education was provided to the control group. The research data were collected using the Data Collection Form Regarding Participants' Identifying Characteristics, Diabetic Foot Information Form, Metabolic Status and Wound Follow-up Form, Patient Participation Scale and Diabetic Foot Care Self-Efficacy Scale. The results of this study show that education based on Social Cognitive Learning Theory is effective on patient participation, self-efficacy and wound healing in individuals with diabetic foot ulcers.
Interventions
BEHAVIORALThe intervention group received training based on Social Cognitive Learning Theory.
One of the theories that provides a conceptual framework for the learning and behavior change process is Social Cognitive Learning Theory. Verbal information is commonly provided in the education of individuals with diabetic foot ulcers. The difference of this study from other studies is that an educational booklet, an educational video and a demonstration method with a diabetic foot model are used during the education within the scope of theory-based education.
Sponsors
Fadime Koyuncu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Individuals 18 years of age or older Agree to participate in the study Have type 2 diabetes Have a Wagner classification score of 2 Have the same wound care protocols (epidermal growth factor/hyalunoric acid containing cream and dressing with gauze)
Exclusion criteria
* Having communication difficulties and mental retardation Having vision and manual dexterity problems Having diabetic foot infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in ulcer size | From enrollment to the end of treatment at 3 months | The result obtained by multiplying the length and width measurements of the ulcer with each other expresses the ulcer size in cm2. |
| Change in patient participation | From enrollment to the end of treatment at 3 months | It was assessed with the Patient Health Engagement Scale (PHE-s). The PHE-s was developed based on a 4-stage model of patient. Items of the PHE-s: blackout, arousal, adhesion and eudaimonic project. Patients were asked to respond by positioning themselves between one and seven points in relation to their experience. |
| Change in self-efficacy | From enrollment to the end of treatment at 3 months | Participants achieved a response if they scored a self efficacy status of 0 or 10 on a scale ranging from 0 (worst outcome) to 90 (best outcome). |
Countries
Turkey (Türkiye)
Outcome results
None listed