Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2021


Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Cynthia Allen PhD, APRN, FNP-BC; project Secondary advisor: Dr. Pearl Zhou, PhD, RN; DNP team member: Dr. Bhargavbhai Patel, MPH, MD


Diabetic foot ulcers, diabetic foot care education, diabetic foot care practices


Background: A diabetic foot ulcer is a major complication in diabetes mellitus that results in increased mortality, morbidity, costs, and reduced quality of life. In 2015, the prevalence of diabetic foot ulcers was estimated by the International Diabetes Federation to develop annually among 9.1 million to 26.1 million people with diabetes worldwide. Diabetic foot care has economic consequences due to the expenses related to the treatments that arise from prolonged and recurrent hospitalizations and social problems from employment losses.

Purpose: The purpose of this project was to implement diabetic foot care education among diabetes patients in the clinic as a means of providing them with diabetic foot care knowledge and skills.

Methods: This project employed a quantitative quasi-experimental design and was implemented among 31 diabetic patients aged 65-years and older at risk of developing diabetic foot ulcers. Data were analyzed through a paired t-test and Mcnemar test via SPSS version 24.

Results: Results showed that diabetic patient foot care knowledge improved from preintervention (M = 12.69, SD = 3.118) to post-intervention (M = 14.69, SD = 1.365). There was a significant improvement of diabetic patient foot care skills from pre-intervention (M = 52.13, SD = 9.142) to post-intervention (M = 64.35, SD = 6.290). Findings indicated that there was a significant decrease of diabetic foot complications from pre-intervention (M = 1.97, SD = 1.048) to post-intervention (M = 1.06, SD = 1.063).

Conclusion: Diabetic foot care education is an effective intervention among diabetes patients aged 65 years and older.

Open Access


Included in

Nursing Commons



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