Effects Of A Peer-led Self-management Program On Patients With Diabetic Foot Ulcers
College of Nursing, Korea University, Goyang-si, Korea, Republic of.
BACKGROUND: Most diabetes-related lower limb amputations can be attributed to the infection of foot ulcers. To reduce the risk of infection and subsequent amputation, not only medical care but also patients’ self-management is necessary during treatment periods. Therefore, it is important that nurses encourage patients to improve their self-management abilities. Using peers to lead health programs helps build a high level of rapport among individuals with similar age and life experiences. The present study aimed to examine the effects of a peer-led self-management program for patients with diabetic foot ulcers. METHODS: Participants included 60 patients with diabetic foot ulcers (30 in the experimental group and 30 in the control group). In the experimental group, the designed intervention was implemented by a peer leader, while the control group received “usual care,” which included some education materials. Outcome variables, including self-efficacy, quality of life (QoL), and wound state (Wagner grade and size) were measured at the baseline and again four weeks later. ANOVA/ANCOVA were used for data analysis. RESULTS: The peer-led group reported higher improvements in self-efficacy and QoL following the program as compared to the control group (F=4.36, p=0.04; F=4.94, p=0.03, respectively). Changes in wound state (Wagner grade and size) did not differ significantly between the two groups (F=0.10, p=0.76; F=0.05, p=0.83, respectively); however, an increasing trend was observed in the experimental group. CONCLUSIONS: The peer-led self-management program was effective in increasing self-efficacy and QoL in patients with diabetic foot ulcers.
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