Objective:

This study aimed to develop an animation-supported Mobile Diabetic Foot Care Education (M-DFCE) application for use by individuals with type 2 diabetes and identify its effects on knowledge, self-efficacy and foot care behaviour.

Design:

Randomised, controlled experimental study.

Setting and Method:

The study was carried out between October 2016 and September 2017. The sample consisted of 130 individuals with diabetes (65 in the experimental group and 65 in the control group). The experimental group received M-DFCE. Data were collected using the Patient Assessment Form, the Diabetes Foot Knowledge Questionnaire, the Diabetic Foot Care Self-Efficacy Scale and the Foot Self-Care Behaviour Scale. Differences between the groups were examined using Student’s t, Mann–Whitney U, Wilcoxon Signed Rank and Paired Sample tests.

Results:

Although there was no difference between the groups at initial evaluation, individuals in the experimental group who received animation-supported M-DFCE had significantly higher knowledge, self-efficacy and foot care behaviour levels than the control group.

Conclusion:

The animation-supported mobile application developed for foot care education was effective in increasing the individuals’ knowledge, self-efficacy and behaviour with respect to foot care.

中文翻译：

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移动应用对2型糖尿病患者足部护理的影响：一项随机对照研究

目的：

这项研究旨在开发一种动画支持的移动糖尿病足护理教育（M-DFCE）应用程序，供2型糖尿病患者使用，并确定其对知识，自我效能和足部护理行为的影响。

设计：

随机对照实验研究。

设置方法：

该研究于2016年10月至2017年9月进行。该样本包括130位糖尿病患者（实验组65位，对照组65位）。实验组接受了M-DFCE。使用患者评估表，糖尿病足知识调查表，糖尿病足护理自我效能量表和足部自我护理行为量表收集数据。使用Student's t检验，Mann-Whitney U检验，Wilcoxon Signed Rank检验和成对样本检验来检验两组之间的差异。

结果：

尽管最初评估时两组之间没有差异，但是接受动画支持的M-DFCE的实验组个体的知识，自我效能和足部护理行为水平明显高于对照组。

结论：

为足部护理教育开发的动画支持的移动应用程序有效地提高了个人在足部护理方面的知识，自我效能和行为。