Multimodal Education Package and Hyperbaric Oxygen Therapy for Diabetic Foot Ulcers: Patients` Needs Management

Abstract

Aim: This study aimed to evaluate the effect of multimodal education package about hyperbaric oxygen therapy for diabetic foot ulcers on patients` needs management . Subjects and Method : A quasi-experimental design was utilized for the conduction of this study in the Hyperbaric Oxygen Therapy ( HBOT ) Unit and Surgical Outpatients` Clinics affiliated to Nasser Institute Hospital . A purposive sample composed of 80 adult patients from both genders with diabetic foot ulcers (neuropathic and ischemic) from the above mentioned settings . Tools: 1) Patients' needs assessment sheet ( pre / post and follow up tests ) to assess studied patients’ health needs ( physical , psychological , social , spiritual and educational ), 2) Wound symptoms assessment sheet ( pre / post and follow - up tests ) to assess wound condition . 3) Powerlessness Assessment Tool ( pre / post and follow- up tests ) to measure level of powerlessness . Results: More than two fifths of studied patients were male , had the age of 40 - less than 50 yrs and with underweight . Moreover , their health needs were higher in pre test , added to elevated anxiety concerns , pain levels and poor wound condition . Conclusion : The multimodal education package had a positive effect on management of health needs ( physical, social, psychological, spiritual and educational ) among the studied patients undergoing HBOT in conjunction to standard treatment . Moreover , significant improvement in wound symptoms and level of powerlessness was indicated post treatment that possibly attributable to better ulcers healing . Recommendations: Further studies should be carried out on a large number of such group of patients for evidence of the results and generalization .