Development and application of home-based dietary management protocol for diabetic foot patients based on the family nurses dietary therapy theory model
FAN Lihong
AN Junhong
HAN Shifan
WANG Xiaoye
GAO Ruiqin
Abstract：Objective:To develop and apply home-based dietary management protocol for diabetic foot patients.Methods:Literature analysis and quality assessment were conducted to formulate initial draft of the home-based dietary management protocol for diabetic foot patients.Expert consultation was organized to revise and refine the draft.The final version of the home-based dietary management protocol for diabetic foot patients was formed.A total of 90 home-based diabetic foot patients from a tertiary grade A hospital and communities in Shanxi province were selected as research subjects from July to October 2024.Participants were randomly divided into control group and observation group using random number table.There were 43 cases in each group after excluding dropout cases.The control group received routine diabetes dietary care instructions,while the observation group received guidance based on the home-based dietary management protocol for diabetic foot patients.The nutritional status,dietary management level,glycated hemoglobin(HbA1c)levels,and wound outcomes were assessed in both groups.Results:The final home-based dietary management protocol for diabetic foot patients was established,structured according to the pathological stages of diabetic foot wounds(inflammatory phase,proliferative phase,remodeling phase).The effective recovery rate of questionnaire was 100%.The expert authority coefficient was 0.85.The Kendall's W coefficient was 0.318(P<0.001).The observation group showed superior outcomes compared to the control group in terms of Mini Nutritional Assessment(MNA)scores,Dietary Management Scale for Type 2 scores,HbA1c levels,and overall wound treatment effectiveness(all P<0.05).Conclusions:The home-based dietary management protocol for diabetic foot patients is scientific and feasible.Its application is beneficial for improving the nutritional status,dietary management capabilities,glucose metabolism indicators,and wound outcomes of diabetic foot patients.
Keywords：family nurses dietary therapy theorydiabetic foothome caredietary managementprotocol development
Publication Date：2026-03-25
Online Publishing Date：2026-03-26(First online date of this platform, not the publication date of the document)
Pages：5( 1023-1027 )