The Effect of Education on Patient Care Outcomes in Individuals With Diabetic Foot Ulcer

Not Applicable

Completed

• Conditions: Foot Ulcer, Diabetic; Patient Engagement; Self Efficacy; Wound Healing; Nursing

• Registration Number: NCT06753799
• Lead Sponsor: Fadime Koyuncu

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.

Study Timeline

• Study Start: 2024-01-19
• Primary Completion: 2024-04-19
• Study Completion: 2024-09-27
• Status Verified: 2024-12
• Study First Submitted: 2024-12-11
• Study First Submitted QC: 2024-12-22
• Last Update Submitted: 2024-12-22
• Study First Posted: 2024-12-31
• Last Update Posted: 2024-12-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 52

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
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)."

Trial Locations

Locations (1)

University of Health Sciences Gulhane Faculty of Nursing; 🇹🇷 Ankara, Turkey