Basic Study on Foot Care Education to Support Elder's Empowerment

本研究目的在评估足部护理教育对老人增能的影响，并透过持续护理介入，以获得基础资料，发展足部护理教育对老人增能的支援计划。在第一年，2005年，我们检查了测量仪器和方法，以及如何干预。然后，我们招募了240名健康的老年人进行足部护理的事实发现研究，作为第一个基础调查。2006年，即第二年，我们又对37名能够独立行走的体弱老人进行了一次实况调查，以了解健康体弱老人足部护理的现状。健康的人被分成两组;一组用脚护理，另一组不用。两组在足部护理方面存在差异。这些发现暗示了基于他们对足部的兴趣的干预可能对未来的足部护理教育有效。还显示， ...更多信息 体弱的老年人对他们的脚不太感兴趣，也不太有意识地保持健康的脚。在此基础上，进行第三次调查，对22名体弱老人进行为期三个月的定期团体运动计划，并评估其效果。另外，其中5人提供另一个3个月的个人计划，包括足部按摩和指甲护理，并评估效果。结果表明，单纯的团体锻炼对身体机能无明显改善，但对足部的兴趣增加，且有改善趋势，个人锻炼3个月后情绪明显改善。下肢肌力、平衡功能、FSE测试值均无显著性差异。未来足部护理教育的出发点，应该是让长者有机会唤起对足部的兴趣。老年人可以通过集体教育获得独立的步态，他们将从中获得乐趣，并感到需要足部护理和同时进行个人教育。少

The purpose of this study is to obtain basic data to develop support programs employing foot care education for elderly by assessing our foot care education that physically and psychologically assist elder's empowerment, through continuing nursing intervention of the education. In the first year, 2005, we examined measuring instruments and methods, and how to intervene. We then recruited 240 healthy elders to conduct a fact finding study on foot care, as the fist basic investigation. In 2006, the second year, we carried out another fact finding study of 37 weak elderly persons who were able to walk independently to understand the current situation of foot care for healthy and weak elderly. The healthy persons were divided into two; one cared with their feet, the other did not. There were differences in foot care between the two groups. These findings implied intervention based on their interest about their foot could be effective for the future foot care education. It was also shown th … More at weak elderly has less interest in their foot and less conscious of maintaining healthy foot. Based on these findings, the third investigation was conducted, where we provided a three-month regular group-exercise program to 22 weak elder persons and assessed the effect. Additionally, five of them were provided another 3-month personal program including foot massage and nail care, and the effect was evaluated. The results showed no significant improvement of body function was obtained by regular group-exercise program alone, while their interest about foot was increased, and an improvement tendency was found. Their mood was significantly rose after 3-month personal program. The measurement values were improved, while no significant differences were found in leg muscular strength, balance function and FSE. For the future foot care education, the starting point should be to provide elder persons any chance to arouse interest about their foot. Elder persons could acquire independent gait from support of group education from which they would derive pleasure and a sense of the need for foot care and simultaneous personal education. Less