Nonweight-Bearing Exercise on Diabetic Foot Ulcer Healing, Risk Assessment and Health Related Quality of Life Among Patients with Diabetic Foot Ulcer

Abstract

Background and Objectives: Literature search does not find much study on nonweight-bearing exercise in ulcer leg. Active or passive exercise keeps the joint mobile and enhances blood flow. The objectives of the study were to assess the effectiveness of nonweight-bearing exercise on diabetic foot ulcer healing, risk assessment and Health Related Quality of Life (HRQOL).
Materials and Methods: A quantitative research with evaluative approach was used. 242 patients with diabetic foot ulcer 121 in each group were recruited who were fulfilling the inclusion criteria. Simple random technique was used for the distribution of the participants. Information on background variables, ulcer healing, blood flow, risk assessment on unaffected foot and health related quality of life was obtained as a baseline data. The study group participants were taught about nonweight-bearing exercise practiced on both the legs for 4 weeks and information pamphlet on foot care practices were distributed along with the routine care. Patients were followed for 2 months and assessment was done at the end of each month. The intra-group and inter-group comparisons were carried out using and t-tests and RMANOVA respectively, at 5% significance level.
Results: The results show a highly statistically significant difference in the diabetic foot ulcer healing score, blood flow, risk assessment and health related quality of life in the study in contrast to the control group. Correlation exists between ulcer healing and blood flow. As the blood flow increased the wound size decreased.
Conclusion: The inclusion of nonweight-bearing exercise as part of diabetic foot ulcer management strategies holds promise for improving healing outcomes and reducing the burden of DFU-related complications.
Categories: Nursing.