Effect of Applying Telenursing Strategy on Foot Self-care among Diabetic Patients

Ibrahim, Amira Abd El Wahab; Abdel-Karim, Nesrine Ezzat Mohamed; Abo El Fadl,, Soheir

doi:10.21608/asalexu.2025.450095

Effect of Applying Telenursing Strategy on Foot Self-care among Diabetic Patients

Document Type : Research articles

Authors

¹ , Demonstrator Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

² , Assistant Professor Emeritus Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

³ Lecturer Emeritus Medical-Surgical Nursing, Faculty of Nursing, Alexandria University

10.21608/asalexu.2025.450095

Abstract

Background: Diabetic foot complications are a major cause of morbidity, often resulting
from poor self-care and delayed treatment. Telenursing, nursing care remote delivery via
technology can be in the form of videos, messaging apps like WhatsApp etc. These offer a
practical solution to support diabetic patients. It enables nurses to educate, monitor, and
guide patients in real-time, promoting better foot care practices. Studies proved that
telenursing improves self-care adherence, reduces complications, and enhances access to
care Objective: To evaluate the effect of applying telenursing strategy on foot self-care among
diabetic patients. Settings: The study was carried out in the Main University Hospital
outpatient diabetic clinic Alexandria, Egypt. Subjects: A convenient sample of 80 diabetic
adult patients (one group pre-test post-test design). Tools: one tool was used “Diabetic
Patients’ frequency foot self- care Checklist questionnaire”. An attachment sheet was added
“Bio-socio-demographic data”. Results: There was a significant improvement in foot selfcare
(P<0.001*) in both first, second evaluation post telenursing strategy application.
Conclusion: Diabetic patients who received telenursing application- WhatsApp and YouTube
videos- achieved higher scores in foot self-care than before the telenursing application.
Recommendations: Continuous training and educational programs must be designed for
diabetic patients through online applications to update their practice performance and
enhance their foot self-care.

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