Developing a foot care guidance program for diabetics by using an internet videophone system

糖尿病患者在视频电话的帮助下接受足部护理指导，并检查随后足部护理行为的变化。一名护士在医生会诊之间的2至3周间隔内进行指导，第一次指导时间为30分钟，随后的指导时间为10至15分钟。通过视频电话进行的指导会议包括回顾患者在前一周的足部护理活动，并确认在医院就诊期间给予的指导。足部护理活动使用J-SDSCA量表进行评估。因此，“足部监测”、“脚趾间区域擦拭”和“鞋内监测”等活动得到了改善。定期回顾患者的足部护理增加了患者对自己脚部的认识。这似乎改善了他们的足部护理行为。对于需要定期检查的疾病，如足部皮损，使用可视电话可以在患者的家庭生活中进行准确和重复的实时指导。此外，这种系统被认为在医疗经济影响方面是有益的，例如减少医院会诊次数，以及在传染病暴发期间预防感染。

Diabetics were provided with foot care guidance with the help of videophones, and subsequent changes in foot care behavior were examined. A nurse conducted guidance sessions during the 2-to 3-week interval between doctor consultations, with the duration of the first session being 30 minutes and that of subsequent sessions being 10 to 15 minutes. Guidance sessions via videophone consisted of a review of foot care activities of the patient in the previous week, and confirmation of guidance given during the hospital visits. Foot care activities were evaluated using the J-SDSCA scale. Consequently, activities such as "foot monitoring,""wiping of areas between toes," and "monitoring of shoe interiors" improved. Regular reviews of the patient's foot care increased the patient's awareness about their own feet. This seems to have improved their foot care behavior. For ailments such as foot lesions that need to be checked regularly, using a videophone allows for precise and repeated guidance in real time, in the patient's domestic life. Furthermore, such a system is considered beneficial in terms of medical economic effects such as the decrease in the number of hospital consultations, and in terms of infection prevention in such times as outbreaks of infectious disease.