{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T06:12:17Z","timestamp":1762409537901},"reference-count":54,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2019,3,20]],"date-time":"2019-03-20T00:00:00Z","timestamp":1553040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The National Social Science Fund of China","award":["15BSH124"],"award-info":[{"award-number":["15BSH124"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To assess the effectiveness of a 12\u2010week educational intervention on foot self\u2010care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Diabetes with the coexistence of diabetic retinopathy and foot problems complicating diabetes not only represents a personal disaster, but also becomes a serious burden to public health in China. A foot self\u2010care educational intervention is both cost\u2010effective and feasible even in a health resource\u2010limited setting, which should be developed and evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Quasi\u2010experimental.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From July\u2013September 2017, we enrolled 80 eligible hospitalised diabetic retinopathy patients and their primary caregivers by convenient sampling method in a first\u2010class comprehensive hospital in Nantong, in China. Before and after the educational intervention that is in accordance with the TREND statement (for details, see the \u201cSupplementary File 1\u201d), researchers and subjects filled out the self\u2010designed questionnaire on foot problems complicating diabetes and the Diabetic Foot Self\u2010care Behavior Scale, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Scores of foot self\u2010care behaviour among the subjects significantly improved from 54.19\u00a0\u00b1\u00a08.01\u201375.85\u00a0\u00b1\u00a05.04. The number of patients with fasting blood glucoses &lt;7.0\u00a0mmol\/L improved from 43 (53.75%)\u201380 (100%). The results of incidence of foot problems complicating diabetes were not statistically significant. The complete execution of each item in Diabetic Foot Self\u2010care Behavior Scale of subjects was apparently higher.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This educational intervention can facilitate positive foot self\u2010care behaviours among the diabetic retinopathy patients with visual disability and their primary caregivers in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice.<\/jats:title><jats:p>This study adds to the evidence of the effectiveness of an educational intervention to foster positive foot self\u2010care behaviours. This educational intervention appears to be prospective in promoting diabetic home\u2010based self\u2010management in China, and the delivery method of the intervention may be applied to other chronic diseases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14810","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T07:26:25Z","timestamp":1548833185000},"page":"2506-2516","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["An educational intervention on foot self\u2010care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers"],"prefix":"10.1111","volume":"28","author":[{"given":"Jiayu","family":"Li","sequence":"first","affiliation":[{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lipei","family":"Gu","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujie","family":"Guo","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University Nantong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,20]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"657","article-title":"Designing and conducting health surveys: A comprehensive guide, 3rd ed","volume":"32","author":"Aday L. 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