Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study
Introduction An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-11-01
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| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/23779608211058492 |
| _version_ | 1818937107718078464 |
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| author | Kashiko Fujii PhD, MPA, RN Minna Stolt PhD Takuyuki Komoda MD Mariko Nishikawa MPH, RN |
| author_facet | Kashiko Fujii PhD, MPA, RN Minna Stolt PhD Takuyuki Komoda MD Mariko Nishikawa MPH, RN |
| author_sort | Kashiko Fujii PhD, MPA, RN |
| collection | DOAJ |
| description | Introduction An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many older people have foot problems with need foot care by nurses and care workers (NCWs) at geriatric day care centers. Objective This study explored the effects of NCWs’ foot-care programs on the foot conditions of older people attending daytime services. Methods A before-after intervention study was conducted at geriatric day care centers for older people, where the foot-care program was presented by NCWs for two months. The foot conditions of 23 clients (8 men, 15 women, mean age = 78.6 years, standard deviation = 9.2) were assessed before and after the program. Changes in foot condition and clients’ perceptions after the study were analyzed through descriptive statistics, McNemar, and paired t -tests. Results Although dramatic changes in foot conditions were not observed, some conditions were improved or maintained. Changes were observed in mean dry skin scores ( p < .01; right foot: 1.6→1.1, left foot: 1.6→1.1), skin lesions and long nails (skin lesions R: 0.2→0.1; long nail R: 1.4→1.0, L: 1.1→0.8), and edema (R: 43.5%→39.1%, L: 52.2%→47.8%). Further, clients started perceiving that foot health is important and discussed their feet with staff more often. Conclusion The NCWs’ foot-care program was effective in maintaining and improving foot health in older people and positively affected their perception of foot care. |
| first_indexed | 2024-12-20T05:46:42Z |
| format | Article |
| id | doaj.art-88d651f4bcae46f18198b7c1da7dd820 |
| institution | Directory Open Access Journal |
| issn | 2377-9608 |
| language | English |
| last_indexed | 2024-12-20T05:46:42Z |
| publishDate | 2021-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj.art-88d651f4bcae46f18198b7c1da7dd8202022-12-21T19:51:17ZengSAGE PublishingSAGE Open Nursing2377-96082021-11-01710.1177/23779608211058492Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention StudyKashiko Fujii PhD, MPA, RN0Minna Stolt PhD1Takuyuki Komoda MD2Mariko Nishikawa MPH, RN3 Department of Nursing, , Chiba City, Chiba Prefecture, Japan Turku University Hospital, Turku, Finland Department of Plastic and Reconstructive Surgery, , Toyohashi City, Aichi Prefecture, Japan Department of Nursing, University of Human Environments, Obu City, Aichi Prefecture JapanIntroduction An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many older people have foot problems with need foot care by nurses and care workers (NCWs) at geriatric day care centers. Objective This study explored the effects of NCWs’ foot-care programs on the foot conditions of older people attending daytime services. Methods A before-after intervention study was conducted at geriatric day care centers for older people, where the foot-care program was presented by NCWs for two months. The foot conditions of 23 clients (8 men, 15 women, mean age = 78.6 years, standard deviation = 9.2) were assessed before and after the program. Changes in foot condition and clients’ perceptions after the study were analyzed through descriptive statistics, McNemar, and paired t -tests. Results Although dramatic changes in foot conditions were not observed, some conditions were improved or maintained. Changes were observed in mean dry skin scores ( p < .01; right foot: 1.6→1.1, left foot: 1.6→1.1), skin lesions and long nails (skin lesions R: 0.2→0.1; long nail R: 1.4→1.0, L: 1.1→0.8), and edema (R: 43.5%→39.1%, L: 52.2%→47.8%). Further, clients started perceiving that foot health is important and discussed their feet with staff more often. Conclusion The NCWs’ foot-care program was effective in maintaining and improving foot health in older people and positively affected their perception of foot care.https://doi.org/10.1177/23779608211058492 |
| spellingShingle | Kashiko Fujii PhD, MPA, RN Minna Stolt PhD Takuyuki Komoda MD Mariko Nishikawa MPH, RN Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study SAGE Open Nursing |
| title | Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study |
| title_full | Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study |
| title_fullStr | Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study |
| title_full_unstemmed | Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study |
| title_short | Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study |
| title_sort | effects of nurse and care worker led foot care program on older people s foot conditions before and after intervention study |
| url | https://doi.org/10.1177/23779608211058492 |
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