Use of information and communication technologies to promote self-management of diabetic foot ulcers

Authors

DOI:

https://doi.org/10.15649/cuidarte.2254

Keywords:

Diabetes Mellitus, Diabetic Foot, Health Promotion, Educational Intervention, Nursing Theory, Information Technology

Abstract

Introduction: Using information and communication technologies in nursing educational interventions facilitates self-management processes to adapt to chronic health conditions. Objetive:To evaluate the effect of a nursing educational intervention to promote self-management and prevent diabetic foot ulcers in Colombian adults with type 2 diabetes mellitus through information and communication technologies. Materials and Methods:A quasi-experimental, pre- and post-intervention study was conducted with 82 adults attending the chronic patient consultation of a second-level hospital in the department of Boyacá, Colombia. Participants were randomly allocated to the experimental and comparison groups. Results: There were no significant differences between the experimental and the comparison groups in terms of preintervention self-management scores. However, the experimental group’s mean self-management score was significantly higher than the control group’s six weeks after the intervention (p<0.005); the primary outcome was self-management behaviors from foot care. Nonparametric Wilcoxon and Mann Whitney tests were used. Discussion:Nursing interventions should be supported by theoretical approaches specific to the discipline, which allow visualizing specific results, in this case self-management, which requires strategies such as knowledge, skills and social support that will support adaptation to situations of chronic illness. Conclusions: The educational intervention based on the use of information and communication technologies improved self-management for preventing diabetic foot injuries, achieving a change in people’s behavior.

How to cite this article: Murillo Salamanca Ana Maria, Alvarado García Alejandra María. Uso de tecnologías de información y comunicación para promover la autogestión de ulceras por pie diabético. Revista Cuidarte. 2022;13(2):e2254. http://dx.doi.org/10.15649/ cuidarte.2254       

Author Biographies

Ana Maria Murillo Salamanca, Universidad pedagógica y tecnológica de Colombia

Universidad pedagógica y tecnológica de Colombia UPTC. Tunja Colombia

Alejandra María Alvarado-García, Universidad Antonio Nariño, Universidad de Antioquia

Enfermera, Magíster y Doctora en Enfermería, Profesora Asociada Universidad Antonio Nariño. Facultad de Enfermería. Profesora de cátedra Universidad de Antioquia. Medellín, Colombia. Mentees of Leadership Mentoring Program. Roy Adaptation Association, Los Ángeles- California.

References

Federación Internacional Diabetes. Atlas de la Diabetes de la FID. 7ma Edición. Bruselas. Atlas de la Diabetes de la FID. 2015. https://www.fundaciondiabetes.org/general/material/95/avance-nuevo-atlas-de-la-diabetes-de-la-fid-7-edicion--actualizacion-de-2015

Organización Mundial de la Salud. Las 10 principales causas de defunción. WHO. 2018. https://www.who.int/es/news-room/fact-sheets/detail/the-top-10-causes-of-death

Ministerio de Salud y Protección Social de Colombia. Análisis de situación de salud (ASIS) Colombia, 2016. MinSalud. 2016. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-colombia-2016.pdf

Kogani M, Mansournia MA, Doosti-Irani A, Holakouie-Naieni K. Risk factors for amputation in patients with diabetic foot ulcer in southwest Iran: a matched case-control study. Epidemiol Health. 2015; 37:e2015044. https://doi.org/10.4178/epih/e2015044

Mariam TG, Alemayehu A, Tesfaye E, Mequannt W, Temesgen K, Yetwale F, et al. Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study. J Diabetes Res. 2017. https://doi.org/10.1155/2017/2879249

Yudovsky D, Pilon L, Nouvong A, Schomacker K. Assessing diabetic foot ulcer development risk with hyperspectral tissue oximetry. J Biomed Opt. 2011; 16(2):026009. https://doi.org/10.1117/1.3535592

Guerrero-Núñez S, Valenzuela-Suazo S, Cid-Henríquez P. Cuidado de enfermería en personas con diabetes mellitus tipo 2, según la Teoría de la Atención Burocrática. Aquichan. 2018; 18 (1): 20-31. https://doi.org/10.5294/aqui.2018.18.1.3

Markle-Reid M, Ploeg J, Fraser KD, Fisher KA, Bartholomew A, Griffith LE, et al. Community Program Improves Quality of Life and Self-Management in Older Adults with Diabetes Mellitus and Comorbidity. J Am Geriatr Soc. 2018; 66(2):263-273. https://doi.org/10.1111/jgs.15173

Ebadi Fardazar F, Tahari F, Solhi M. Empowerment of type 2 diabetic patients visiting Fuladshahr diabetes clinics for prevention of diabetic foot. Diabetes Metab Syndr. 2018;12(6):853–8. https://doi.org/10.1016/j.dsx.2018.04.034

Buckner EB HS. Synthesis of middle range theory of adapting to chronic health condictions a lifelong process and a common journey. En: Generating middle range theory, from evidence to practice. New York, New York, USA: Springer Publishing Company; 2014. p. 299.

Ahmad Sharoni SK, Abdul Rahman H, Minhat HS, Shariff-Ghazali S, Azman Ong MH. The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia. PloS one, 2018 13(3): e0192417.https://doi.org/10.1371/journal.pone.0192417

Cahn A, Akirov A, Raz I. Digital therapy in diabetes. J Diabetes. 2017; 10(01): 10-17.https://doi.org/10.1111/1753-0407.12606

Plotnikoff RC, Wilczynska M, Cohen KE, Smith JJ, Lubans DR. Integrating smartphone technology, social support and the outdoor physical environment to improve fitness among adults at risk of, or diagnosed with, Type 2 Diabetes: Findings from the “eCoFit” randomized controlled trial. Prev Med. 2017; 105: 404-411. https://doi.org/10.1016/j.ypmed.2017.08.027

Chen M-Y, Huang W-C, Peng Y-S, Guo J-S, Chen C-P, Jong M-C, et al. Effectiveness of a health promotion programme for farmers and fishermen with type-2 diabetes in Taiwan. J Adv Nurs. 2011; 67(9):2060-2067. https://doi.org/10.1111/j.1365-2648.2011.05678.x

Murillo AM, Alvarado AM. “Uso de tecnologías de información y comunicación para promover la autogestión de ulceras por pie diabético”. Mendeley Data. 2022. http://dx.doi.org/10.17632/g7m6sxjz34.3

Raghavarao MM Desu D. Sample Size Methodology. Statistical Modeling and Decision Science. Academic Press, inc. pag.49 Capitulo 3 "k- Sample Problems".

Baba M, Foley L, Davis WA, Davis TME. Self-awareness of foot health status in patients with Type 2 diabetes: the Fremantle Diabetes Study Phase II. Diabet Med. 2014; 31(11):1439-1445. https://doi.org/10.1111/dme.12521

Borba Roque SM, Martins Louro MC, Anjos Dixe M, Menino E. Programas de educação dirigidos ao utente com diabetes mellitus tipo 2: revisão sistemática da literatura. Revista de Enfermagem Referência. 2013; III (10):135-143. https://www.redalyc.org/articulo.oa?id=388239969018

Silva M, Clinton J, Appleton S, Flanagan P. Diabetes self-management education in South Auckland, New Zealand, 2007-2008. Prev Chronic Dis. 2011 Mar;8(2):A42. Epub 2011 Feb 15. PMID: 21324256; PMCID: PMC3073435.

Rossaneis MA, Haddad MCF, Mathias TAF, Marcon SS. Differences in foot self-care and lifestyle between men and women with diabetes mellitus. Rev Lat Am Enfermagem. 2016; 24. https://doi.org/10.1590/1518-8345.1203.2761

Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA. 2002; 288 (19); 2469-2475. https://doi.org/10.1001/jama.288.19.2469

So CF, Chung JW. Telehealth for diabetes self-management in primary healthcare: A systematic review and meta-analysis. J Telemed Telecare. 2018; 24(5): 356-364. https://doi.org/10.1177/1357633X17700552

Li Y, Tan J, Shi B, Duan X, Zhong D, Li X, Qu J. Information and Communication Technology-Powered Diabetes Self-Management Systems in China: A Study Evaluating the Features and Requirements of Apps and Patents. JMIR Diabetes. 2016; 1(1): e2. https://doi.org/10.2196/diabetes.4475

Heinemann L. Future of Diabetes Technology. Journal of Diabetes Science and Technology. 2017; 11(5); 863-869. https://doi.org/10.1177/1932296817723261

Hartz J, Yingling L, Powell-Wiley TM. Use of Mobile Health Technology in the Prevention and Management of Diabetes Mellitus. Curr Cardiol Rep. 2016; 18(12):130. https://doi.org/10.1007/s11886-016-0796-8

Naranjo D, Tanenbaum ML, Iturralde E, Hood KK. Diabetes Technology: Uptake, Outcomes, Barriers, and the Intersection With Distress. J Diabetes Sci Technol. 2016; 10(4):852–8. https://doi.org/10.1177/1932296816650900

Baji Z, Zamani Alavijeh F, Shakerinejad G, Tehrani M. Comparing Gain and Loss Framed Message Texting (SMS) on Foot Self-Care Behaviors Among Women with Type 2 Diabetes. Shiraz E-Medical J. 2017; 19. https://doi.org/10.5812/semj.66298

Maldonado Muñiz G, Arana Gómez B, Cárdenas Becerril L, Solano Solano G. Lifestyle of the elderly person living with diabetes and characterization of nursing diagnoses. Texto Contexto Enferm. 2019. http://dx.doi.org/10.1590/1980-265X-TCE-2017-0552

Houston TK, Cooper LA, Ford DE. Internet Support Groups for Depression: A 1-Year Prospective Cohort Study. En: The American Journal of Psychiatry. 2002; 159 (12): 2062- 2068. http://dx.doi.org/10.1176/appi.ajp.159.12.2062

Published

2022-07-14

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1.
Murillo Salamanca AM, Alvarado-García AM. Use of information and communication technologies to promote self-management of diabetic foot ulcers . Revista Cuidarte [Internet]. 2022 Jul. 14 [cited 2024 Jul. 3];13(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2254

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