Utilization of foot care services among homeless adults: Implications for advanced practice nurses
Utilization of foot care services among homeless adults: Implications for advanced practice nurses
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DOI：
10.1111/j.1745-7599.2011.00598.x
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发表时间：
2011-04-01
影响因子：
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通讯作者：
Secrest, Janet
中科院分区：
文献类型：
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作者：
Muirhead, Lisa;Roberson, Anthony James;Secrest, Janet
目的：介绍一项调查结果，该调查调查了东南部中型城市无家可归的成年人使用足部护理服务的原因。数据来源：使用包含 18 项的调查问卷收集数据。一百名无家可归的成年人（65 名男性，30 名女性）被问及他们的足部护理使用水平，包括在什么情况下可以使用足部护理服务。结论：足部状况是无家可归者的一个重要问题。为了增加足部相关问题的复杂性，本次调查的许多受访者 (N = 56) 报告了糖尿病、高血压和周围血管疾病的病史。大多数（N = 92）受访者重视足部健康和足部护理相关教育。参与者 (n = 62) 认为鞋子、袜子的状况和脚臭是使用足部护理服务的主要障碍。实践意义：为了增加无家可归的成年人对足部护理计划的使用，必须在白天提供服务，因为这样他们就不会争夺夜间住所。足部护理计划应具有创新性，并根据其独特需求量身定制，并解决对脚部、袜子和鞋子状况的敏感性问题；成本;提供的具体服务；竞争性需求；护理来源；以及如何访问这些服务。
Purpose: To present the findings of a survey that examined the reason(s) for use of foot care services among homeless adults in a mid-size southeastern city.Data sources: Data were collected using an 18-item questionnaire. One hundred homeless adults (65 males, 30 females) were asked about their level of foot care use, including under what circumstances foot care services might be used.Conclusion: Foot conditions are an important concern among homeless individuals. To add to the complexity of foot-related problems, many respondents (N = 56) from this survey reported a history of diabetes, hypertension, and peripheral vascular disease. The majority (N = 92) of those surveyed value healthy feet and education related to foot care. Condition of shoes, socks, and foot odor was identified by participants (n = 62) as a major deterrent to using foot care services.Implication for practice: To increase use of foot care programs among homeless adults, services must be offered during the day time when they are not competing to secure nightly shelter. Foot care programs should be innovative and tailored to their unique needs and address concern for sensitivity to feet, sock, and shoe condition; cost; specific services provided; competing needs; source of care; and how to access these services.