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...

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Autores principales:	Kashiko Fujii PhD, MPA, RN, Minna Stolt PhD, Takuyuki Komoda MD, Mariko Nishikawa MPH, RN
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/88d651f4bcae46f18198b7c1da7dd820
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spelling	oai:doaj.org-article:88d651f4bcae46f18198b7c1da7dd8202021-11-30T23:34:46ZEffects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study2377-960810.1177/23779608211058492https://doaj.org/article/88d651f4bcae46f18198b7c1da7dd8202021-11-01T00:00:00Zhttps://doi.org/10.1177/23779608211058492https://doaj.org/toc/2377-9608Introduction 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.Kashiko Fujii PhD, MPA, RNMinna Stolt PhDTakuyuki Komoda MDMariko Nishikawa MPH, RNSAGE PublishingarticleNursingRT1-120ENSAGE Open Nursing, Vol 7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 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
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.
format	article
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
title	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_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_sort	effects of nurse and care worker-led foot-care program on older people’s foot conditions: before and after intervention study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/88d651f4bcae46f18198b7c1da7dd820
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_version_	1718406213814714368

Effects of Nurse and Care Worker-led Foot-Care Program on Older People’s Foot Conditions: Before and After Intervention Study

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