Volume 23 Issue 1
Jan.  2025
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SU Qiaodan, ZHUGE Fuyuan, WANG Jun, TU Xin. Application of Skinner' s procedural teaching theory in health education for high-risk patients with diabetic foot[J]. Chinese Journal of General Practice, 2025, 23(1): 98-102. doi: 10.16766/j.cnki.issn.1674-4152.003844
Citation: SU Qiaodan, ZHUGE Fuyuan, WANG Jun, TU Xin. Application of Skinner' s procedural teaching theory in health education for high-risk patients with diabetic foot[J]. Chinese Journal of General Practice, 2025, 23(1): 98-102. doi: 10.16766/j.cnki.issn.1674-4152.003844
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Application of Skinner' s procedural teaching theory in health education for high-risk patients with diabetic foot

doi: 10.16766/j.cnki.issn.1674-4152.003844

  • Department of Endocrinology and Metabolism, Shaoxing People' s Hospital, Shaoxing, Zhejiang 312000, China

Funds:

 2022RC274

 2022ZB363

  • Received Date: 2024-05-18
    Available Online: 2025-02-13
    Abstract
  •   Objective  Health education plays an important role in preventing diabetic foot. This study discusses the application of Skinner' s procedural teaching theory in the health education of high-risk patients with diabetic foot, aiming to reduce the risk of diabetic foot occurrence and improve the quality of life of patients.  Methods  From January 2022 to October 2023, a total of 102 high-risk patients with diabetic foot from Shaoxing People' s Hospital were randomly divided into a control group (n=51) and an experimental group (n=51). The study was completed by 48 patients in the control group and 47 in the experimental group, respectively. The control group was given routine health education, while the experimental group was given Skinner' s procedural teaching theory, followed by an intervention for 3 months. Foot care knowledge, self-care behavior score, blood glucose level, and foot skin condition were compared between the two groups.  Results  Scores of foot examination, daily foot care, toenail trimming, foot skin dryness, footwear selection, and foot problem treatment knowledge after health education in experimental groups were higher than those in the control group (P < 0.05). Scores of foot self-care behavior were also higher in the experimental group than those in control group (P < 0.05), except for the item "frequency of foot washing in the past week". Additionally, fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower in the experimental group than those in the control group (P < 0.05). After health education, general condition of the foot of both control group and experimental group were improved compared with that before health education (P < 0.05), and the total improvement of experimental group (OR=2.765, 95% CI: 1.561-4.891, P < 0.001) was better than that of control group (χ2=5.902, P < 0.05).  Conclusion  Compared with the conventional health education, the application of Skinner' s procedural teaching theory in the health education of high-risk patients with diabetic foot improves the knowledge level of foot care, enhances the self-care behavior of foot, regulates the blood sugar levels, and improves the food skin conditions. This approach has positive significance in preventing the occurrence of diabetic foot.

     

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