Outcome of Self-Efficacy Enhancement Program on Knowledge and Confidence of Foot Ulcers Prevention Behavior in the Diabetic Elderly of the Puranawat Temple Elderly Club, Bangkok
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2022, Vol 66, Issue 2
Abstract
Objectives: To study and compare knowledge of foot ulcer prevention before and after program implementation and to compare foot ulcers prevention behavior before program implementation and confidence of foot ulcers prevention behavior after program implementation in the diabetic elderly of the Puranawat Temple Elderly Club, Bangkok. Method: The research was quasi experimental research with one group pre-post-test design. The purposively selected samples were thirty Diabetic elderly of the Puranawat Temple Elderly Club, Bangkok. The research tool was the modified program of the Self-Efficacy Theory of Bandura. Data were collected from questionnaire for the period of 3 days. Data were analyzed by percentage, mean, standard deviation and paired t-test. Results: Before and after program implementation, the diabetic elderly had good and very good level of knowledge about foot ulcers prevention respectively. After program implementation, the knowledge about foot ulcer prevention of the samples were statistical significantly higher than before the program (p < 0.01). Results of the compare the foot ulcers prevention behavior before program implementation. The samples had average level of behavior before program implementation. After program implementation, they had high level of confidence which was higher than the level of behavior before program implementation with statistical significance (p < 0.01) in overall and in each aspect. The aspect with the highest confidence was foot examination and the aspect with the least confidence was foot cleaning. Conclusion: The Self-Efficacy Enhancement Program on knowledge and confidence of foot ulcers prevention behavior in the diabetic elderly of the Puranawat Temple Elderly Club showed significant improvement of knowledge and confidence in the diabetic elderly. The program was designed for health teams, village health volunteers and other interested groups to enhance foot care self-efficacy and help the diabetic elderly in communities to prevent foot ulcers and leg amputation.
Authors and Affiliations
Kunnika Jermtienchai Prapaiwan Danpradit
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