Status of Foot Care for Chronic Dialysis Patients and Issues With Implementation

2.50
Hdl Handle:
http://hdl.handle.net/10755/621479
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Status of Foot Care for Chronic Dialysis Patients and Issues With Implementation
Author(s):
Tamura, Sachiko
Lead Author STTI Affiliation:
Non-member
Author Details:
Sachiko Tamura, PhD Sr., RN, Professional Experience: 2007-2014 -- Professor, Department of nursing, School of nursing, Kanazawa Medical University , Ishikawa, Japan 2015-2016 -- Professor, Department of nursing, School of nursing, Kanagawa Institute of Technology, Kanagawa, Japan Author Summary: 2009-2014-- President of Ishikawa Nephrology Nursing Conference 2015-2016-- Senior adviser of Ishikawa Nephrology Nursing Conference 2015-2016--Professor, Department of nursing, School of nursing, Kanagawa Institute of Technology, Kanagawa, Japan.
Abstract:

Purpose:  We are developing a foot care that will prevent foot lesions for chronic dialysis patients. As the first step, we conducted a survey of the actual conditions in order to grasp the status and issues with implementation.

Methods:  Head nurses at all dialysis facilities in one prefecture were posted question sheets we prepared, which were later collected.

 
 

Results:  Responses for these question sheets were obtained from 33 of the 40 facilities targeted. Foot care was carried out on all dialysis patients at 46% of the facilities. The implementation period was during dialysis for 76% of the facilities, while a foot care checklist was used at 70% of the facilities. The most common types of care were observation of the foot and walking (91%), provision of knowledge of foot diseases and assessment of lifestyle (65%), instruction for how to care for one’s own feet and the application of ointment (61%), cutting and filing toenails (52%), and foot baths (48%). Issues with the implementation of foot care included problems with ensuring enough time (86%), lack of knowledge and skills for foot care (73%), lack of a proper environment for foot care (50%), and the burden of recording in checklists, etc. (47%).

Conclusion:  There is a high level of interest in foot care among dialysis nurses. In many facilities, a foot check chart is used alongside observation and care, but in terms of preventing foot lesions, there are issues with a lack of assessment and implementation of care, and in support for self-care. In order to prevent foot lesions in patients undergoing chronic dialysis, it is necessary to further enhance assessment and care, and it is very important to use a simple yet effective checklist to that end. Recording in checklists and so on needs to be improved to allow it to be done on a daily basis without it causing a burden.

Keywords:
Chronic Dialysis Patients; Foot Care; Survey of Actual Conditions
Repository Posting Date:
13-Jun-2017
Date of Publication:
13-Jun-2017
Other Identifiers:
INRC17PST176
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleStatus of Foot Care for Chronic Dialysis Patients and Issues With Implementationen_US
dc.contributor.authorTamura, Sachikoen
dc.contributor.departmentNon-memberen
dc.author.detailsSachiko Tamura, PhD Sr., RN, Professional Experience: 2007-2014 -- Professor, Department of nursing, School of nursing, Kanazawa Medical University , Ishikawa, Japan 2015-2016 -- Professor, Department of nursing, School of nursing, Kanagawa Institute of Technology, Kanagawa, Japan Author Summary: 2009-2014-- President of Ishikawa Nephrology Nursing Conference 2015-2016-- Senior adviser of Ishikawa Nephrology Nursing Conference 2015-2016--Professor, Department of nursing, School of nursing, Kanagawa Institute of Technology, Kanagawa, Japan.en
dc.identifier.urihttp://hdl.handle.net/10755/621479-
dc.description.abstract<p><strong>Purpose: </strong><span> </span><span lang="EN-GB">We are developing a foot care that will prevent foot lesions for chronic dialysis patients. As the first step, we conducted a survey of the actual conditions in order to grasp the status and issues with implementation.</span></p> <p><strong>Methods: </strong> Head nurses at all dialysis facilities in one prefecture were posted question sheets we prepared, which were later collected.</p> <div>  <div> </div> </div> <p><strong>Results: </strong> <span lang="EN-GB">Responses for these question sheets were obtained from 33 of the 40 facilities targeted. Foot care was carried out on all dialysis patients at 46% of the facilities. The implementation period was during dialysis for 76% of the facilities, while a foot care checklist was used at 70% of the facilities. The most common types of care were observation of the foot and walking (91%), provision of knowledge of foot diseases and assessment of lifestyle (65%), instruction for how to care for one’s own feet and the application of ointment (61%), cutting and filing toenails (52%), and foot baths (48%). Issues with the implementation of foot care included problems with ensuring enough time (86%), lack of knowledge and skills for foot care (73%), lack of a proper environment for foot care (50%), and the burden of recording in checklists, etc. (47%).</span></p> <p><strong>Conclusion: </strong> <span lang="EN-GB">There is a high level of interest in foot care among dialysis nurses. In many facilities, a foot check chart is used alongside observation and care, but in terms of preventing foot lesions, there are issues with a lack of assessment and implementation of care, and in support for self-care. In order to prevent foot lesions in patients undergoing chronic dialysis, it is necessary to further enhance assessment and care, and it is very important to use a simple yet effective checklist to that end. Recording in checklists and so on needs to be improved to allow it to be done on a daily basis without it causing a burden.</span></p>en
dc.subjectChronic Dialysis Patientsen
dc.subjectFoot Careen
dc.subjectSurvey of Actual Conditionsen
dc.date.available2017-06-13T14:44:48Z-
dc.date.issued2017-06-13-
dc.date.accessioned2017-06-13T14:44:48Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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