Volume 23 Issue 11
Nov.  2025
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YAN Binjuan, FENG Mengxue, ZHAO Chaoying. Effect of nursing intervention based on the knowledge action model on foot nursing knowledge and behavior of type 2 diabetes patients[J]. Chinese Journal of General Practice, 2025, 23(11): 1977-1981. doi: 10.16766/j.cnki.issn.1674-4152.004273
Citation: YAN Binjuan, FENG Mengxue, ZHAO Chaoying. Effect of nursing intervention based on the knowledge action model on foot nursing knowledge and behavior of type 2 diabetes patients[J]. Chinese Journal of General Practice, 2025, 23(11): 1977-1981. doi: 10.16766/j.cnki.issn.1674-4152.004273
shu

Effect of nursing intervention based on the knowledge action model on foot nursing knowledge and behavior of type 2 diabetes patients

doi: 10.16766/j.cnki.issn.1674-4152.004273
  • 1.

    Department of Endocrinology, Rheumatology and Immunology, Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing, Zhejiang 312000, China

Funds:

 2025ZL137

  • Received Date: 2025-03-10
    Available Online: 2026-01-07
    Abstract
  •   Objective  Patients suffering from type 2 diabetes are predisposed to severe complications arising from diabetes-related foot problems. Effective foot care knowledge and behavior is the key to prevent diabetes foot. This study analyzed the effect of nursing intervention based on the knowledge action model on improving the level of foot care knowledge and behaviour practice of type 2 diabetes patients.  Methods  A total of 198 patients diagnosed with type 2 diabetes who received treatment at Shaoxing Hospital of Traditional Chinese Medicine between September 2022 and September 2024, were selected by convenient sampling method. Participants were randomly allocated into two groups, namely the control group and the observation group, each comprising 99 individuals, using a randomized numerical table. The control group received standard nursing procedures; the observation group received additional care interventions grounded in the knowledge-action framework. A comparative analysis was conducted to evaluate the differences in foot care-related knowledge, behavioural practices and self-efficacy scores between the two groups, before and after the intervention.  Results  Following the intervention, the total score for foot nursing knowledge in the diabetes knowledge scale (ADKnowl) for patients in the observation group was (20.09±2.35) points, which was higher than that in the control group [(17.15±3.84) points, P < 0.05]. The total score for the Nottingham foot care function scale (NAFF) in the observation group was (55.68±6.76) points, which was higher than that in the control group[(49.97±7.46) points, P < 0.05]. Furthermore, the foot care score on the diabetes self-efficacy scale in the observation group was (17.66±2.38) points, which was higher than that in the control group [(13.25±3.10) points, F=10.967, P < 0.05].  Conclusion  The nursing intervention, grounded in the knowledge action model can effectively enhance the level of foot nursing knowledge among type 2 diabetes patients, and improve the patients ' foot nursing self-care abilities and self-efficacy.

     

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