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Development of a Patient-Centered Daily Foot Self-Care Protocol for High-Risk Diabetic Foot Patients Based on
Xiaodan Lin1, Xianghao Chen1, Yuantian Li2
1School of Nursing, Guangdong Pharmaceutical University, Guangzhou, Guangdong, 510315, People's Republic of China.
Daily foot self-care is crucial for preventing diabetic foot ulcers. This study developed a standardized, practical daily foot self-care protocol for high-risk diabetic patients using the checklist management model.
Area of Science:
- Podiatry
- Diabetology
- Preventive Medicine
Background:
- Daily foot self-care is vital for preventing diabetic foot ulcers.
- Patients are the primary implementers of foot self-care.
- A lack of patient-centered, actionable care plans exists.
Purpose of the Study:
- To develop a scientifically sound, standardized, and practical daily foot self-care protocol.
- To create a protocol for high-risk diabetic foot patients.
- To utilize the checklist management model for structured self-care.
Main Methods:
- A preliminary draft was created via literature review and expert/patient interviews.
- The Delphi method involved two rounds of expert consultation (17 specialists).
- Indicators were screened and refined based on predefined criteria.
Main Results:
- High expert consensus was achieved (Kendall's harmony coefficients > 0.168, p<0.001).
- Expert authority coefficient was 0.93, indicating high credibility.
- The final plan includes 5 primary and 27 secondary indicators for daily foot self-care.
Conclusions:
- The developed self-care plan is scientifically grounded, targeted, and feasible.
- It offers a structured approach for standardized self-care in high-risk diabetic patients.
- Further clinical validation is needed to assess practical effectiveness and implementation.
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