Foot Care among Diabetes Patients: A Concept Analysis
Dublin Core
Title
Foot Care among Diabetes Patients: A Concept Analysis
Subject
Parliani Parliani1,2, Somporn Rungreangkulkij2, Khanitta Nuntaboot2
Description
Background: The concept analysis of “foot care” is essential for expanding the
nursing knowledge base, synthesizing a broader theoretical concept, and guiding
more effective care for diabetes patients with and without diabetic foot ulcers (DFU).
Foot care in nursing has not yet been comprehensively defined for nurses and other
healthcare professionals.
Purpose: This concept analysis aimed to elucidate the nursing practice concept of
foot care. The study identified surrogate terms associated with the concepts,
attributes, antecedents, and consequences by employing Rodger’s evolutionary
method in a critical analysis of the relevant literature.
Methods: This research used Rodger’s evolutionary analysis. The databases were
PubMed (n=188), ProQuest (n=4,790), ScienceDirect (n=292), and Google Scholar
(n=7,810) with a total of 13,080 articles identified in this study. The screening
process involved evaluating titles and abstracts, followed by a thorough analysis of
inclusion criteria, which included full-text articles and the presence of keywords: foot
care, diabetes, diabetic foot ulcer. Articles that did not provide a clear definition of
foot care were excluded. A total of 45 articles were included. Rodger’s evolutionary
analysis stressed inductive investigation and careful analysis of the concept.
Results: The results of the foot care concept analysis were: (1) among people with
diabetes without DFU, the attributes were foot screening and foot examination, while
the antecedents were high glycemic levels, inability of the pancreas to produce
insulin, abnormal foot skin condition, and foot-related behaviors; (2) among patients
with DFU, the attributes were foot intervention and education, while the antecedents
included foot self-care knowledge, motivation, and family and social support. The
consequences associated with the concept of foot care included improvement in self-
efficacy, quality of life, and self-care behavior.
Conclusion: Nurses can use the findings of this foot care analysis in their clinical
work by promoting and practicing foot care as a preventative measure that shields
patients from ulcers. Additionally, nurses can intervene when patients already have
ulcers and provide appropriate wound care. Foot examinations become more
manageable when specific practice guidelines are available for diabetes patients.
nursing knowledge base, synthesizing a broader theoretical concept, and guiding
more effective care for diabetes patients with and without diabetic foot ulcers (DFU).
Foot care in nursing has not yet been comprehensively defined for nurses and other
healthcare professionals.
Purpose: This concept analysis aimed to elucidate the nursing practice concept of
foot care. The study identified surrogate terms associated with the concepts,
attributes, antecedents, and consequences by employing Rodger’s evolutionary
method in a critical analysis of the relevant literature.
Methods: This research used Rodger’s evolutionary analysis. The databases were
PubMed (n=188), ProQuest (n=4,790), ScienceDirect (n=292), and Google Scholar
(n=7,810) with a total of 13,080 articles identified in this study. The screening
process involved evaluating titles and abstracts, followed by a thorough analysis of
inclusion criteria, which included full-text articles and the presence of keywords: foot
care, diabetes, diabetic foot ulcer. Articles that did not provide a clear definition of
foot care were excluded. A total of 45 articles were included. Rodger’s evolutionary
analysis stressed inductive investigation and careful analysis of the concept.
Results: The results of the foot care concept analysis were: (1) among people with
diabetes without DFU, the attributes were foot screening and foot examination, while
the antecedents were high glycemic levels, inability of the pancreas to produce
insulin, abnormal foot skin condition, and foot-related behaviors; (2) among patients
with DFU, the attributes were foot intervention and education, while the antecedents
included foot self-care knowledge, motivation, and family and social support. The
consequences associated with the concept of foot care included improvement in self-
efficacy, quality of life, and self-care behavior.
Conclusion: Nurses can use the findings of this foot care analysis in their clinical
work by promoting and practicing foot care as a preventative measure that shields
patients from ulcers. Additionally, nurses can intervene when patients already have
ulcers and provide appropriate wound care. Foot examinations become more
manageable when specific practice guidelines are available for diabetes patients.
Creator
Concept analysis; diabetes;
foot care; ulcer
foot care; ulcer
Source
https://doi.org/10.14710/nmjn.v13i2.50722
Date
29 August 2023
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Concept analysis; diabetes;
foot care; ulcer, “Foot Care among Diabetes Patients: A Concept Analysis,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11184.