Journal of Japanese Society for Foot Care and Podiatric Medicine
Online ISSN : 2435-4783
Print ISSN : 2435-4775
Volume 5, Issue 2
Displaying 1-13 of 13 articles from this issue
Intersection between exercise therapy for dialysis patients and foot care
Original Article
  • Misako Uchita, Yuko Katada, Koichi Iwai
    2024 Volume 5 Issue 2 Pages 83-91
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     The aim of this study was to develop a factor scale influencing self-care behavior in patients at high risk of diabetic foot lesions. The participants comprised 106 foot care practitioners with a minimum of 10 years of nursing experience, who had received foot care training. An anonymous self-report questionnaire survey was conducted using the postal survey method, yielding a response rate of 47.2%(50 respondents)with a 100% valid response rate. Exploratory factor analysis with oblique promax rotation was employed to scale the questions, and reliability was confirmed through cronbach’s alpha coefficient. In addition, covariance structure analysis was performed to validate the model fit. The alpha coefficient was .798 for certain factors, slightly below the .800 threshold for high internal consistency but exceeding .800 for all other scales. While some factors in the model fit assessment exhibited insufficient values, none had alpha coefficients below .50; thus, the assessment tool was deemed usable. However, due to the inadequacy of certain values and reliance on integrated responses from nurses concerning their patients, the tool warrants reevaluation using actual patients as subjects.

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  • Fumie Uehara, Yoshie Takahashi, Eri Kusama, Daisuke Yamaguchi, Meg ...
    2024 Volume 5 Issue 2 Pages 92-98
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     The purpose of this study was to research how patients at high risk of developing diabetic foot ulcers select footwear to prevent foot lesions. This qualitative descriptive study collected data using semi-structured interviews. A total of 10 patients(8 males and 2 females; mean age, 63.8±9.2 years; mean duration of diabetes, 19.9±8.9 years)were enrolled in this study. They were outpatients at the University Hospital Foot Care Outpatient Clinic. Six categories were identified based on the collected data: “wearing well-fitting footwear”, “wearing footwear that serves the required use”, “harmful effects of wearing ill-fitting footwear”, “changes based on past negative experiences”, “medical foot care support at the outpatient clinic,” and “difficulty in selecting ready-to-wear footwear”. High-risk patients wanted footwear that fitted well to prevent foot lesions but faced difficulties in selecting from commercially available footwear. These results suggest that diabetic patients at high risk of podiatric issues should be provided with accurate information on footwear and its selection in foot-care clinics or during podiatric examinations.

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Case Report
  • Sanae Koseki, Satsue Fujii, Miyamoto Akira
    2024 Volume 5 Issue 2 Pages 99-103
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     Our cardiology department experienced an in-hospital cluster of COVID-19 in January 2022. Among the infected, we isolated six dialysis patients(aged 62-80 years, five males)with comprehensive critical limb ischemia(CLTI). All treatments for CLTI, including revascularization, hyperbaric oxygen therapy, LDL apheresis, and rehabilitation, were discontinued, and only wound care that could be performed in the hospital room was administered. Dialysis frequency was limited to three-hour sessions, three times a week in the isolation ward. Moreover, a third of the nursing staff on the ward contracted the virus, posing challenges to providing adequate foot care. Two patients developed COVID-19 pneumonia leading to one patient developing retroperitoneal hematoma, and one dying due to acute myocardial infarction. Furthermore, one patient became bedridden due to reduced food intake and progressive disuse syndrome, one died of aspiration pneumonia, and one remained asymptomatic throughout. Finally, three patients were discharged. The combined effects of infection and exacerbation of underlying conditions during the 10-day isolation period due to COVID-19 led to decreased activities of daily living, compromised staff capacity for patient care, and limited dialysis. These factors were believed to contribute to the patients’ poor prognosis.

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  • Ryota Sugisawa, Toshihiro Okamoto, Mikiko Inada, Minoru Suzuki, Masa ...
    2024 Volume 5 Issue 2 Pages 104-109
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     Evaluation of blood flow in patients with LEAD(Lower extremity arterial disease)is important for limb salvage. Traditional methodologies for evaluating blood flow, such as the brachial-ankle artery blood pressure ratio(ABI), skin perfusion pressure(SPP), and transcutaneous partial pressure of oxygen(TcPO2), while extensively used involve limitations including prolonged examination periods and discomfort during assessment. Furthermore, their application on curved skin surfaces such as toes or heels poses inherent challenges. Recently, regional oxygen saturation(rSO2)has emerged as a promising tool for evaluating limb blood flow in LEAD patients, leveraging near-infrared spectroscopy. In this study, we performed endovascular therapy and flap reconstruction in two LEAD patients with ischemic ulcers involving their heels. Throughout the perioperative phases, rSO2 values were monitored, and the selection of the skin flap was contingent upon these values. Our findings suggest that the measurement of rSO2 values is crucial for determining, appropriate strategies for revascularization and flap reconstruction in LEAD patients.

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Case Report
  • Asami Ushiyama, Seigo Naka, Arimichi Kamata, Masayuki Ishikawa, Atsu ...
    2024 Volume 5 Issue 2 Pages 110-116
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     Aim: To investigate the relationship between frictional force and preferred types of donning slips and rubber gloves, which are donning and doffing aids for compression garments. Methods: Frictional force was measured as per the Japanese Industrial Standards. Seven types of donning slips, eight types of gloves, and two types of slightly adhesive sheets were used as specimens. A total of 123 outpatients were interviewed about their preferred types. Results: Significant differences in frictional force were noted depending on the types of donning slips and type of rubber gloves(p<0.001). The slipperiness of donning slips was affected by the presence or absence of seams and the type of stitching technique used. Straight stitching had a smaller effect on frictional force and a higher preference rate of 69% than overlock stitching. The non-slipperiness of the surface of rubber gloves was not necessarily consistent with the preferences of the patients. Friction force on the back surface of rubber gloves, durability, thickness, and size, etc. also need to be considered. Conclusion: Consideration of the frictional force and preferences when selecting donning and doffing aids is expected to mitigate the burden on patients wearing compression garments and improve adherence, thereby creating a virtuous cycle in which the therapeutic effects are would be enhanced.

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Document
  • Chizuko Sakae, Kaori Miyahara, Mariko Futagami, Lutz Behle, Misao ...
    2024 Volume 5 Issue 2 Pages 117-124
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     We previously initiated weekly foot care consultation services in collaboration with a shoe salesperson and a physical therapist who were both members of the Foot Care Education Promotion Council of City A. However, evaluating the services proved challenging due to a lack of data on subsequent changes. In 2020, we conducted a study commissioned by the city to examine the effects of a combined intervention for citizens with foot problems. This study was performed in collaboration with a German Orthopedic Shoe Meister who live in Japan, neighborhood shoe store keepers, and a few nurses, and physical therapists. The intervention improved footprints, walking speed, and gait pattern. Furthermore, we observed reduction of calluses, corns, and other conditions associated with hyperkeratosis. Positive changes were also observed in the physical and mental well-being of the monitors, including subjective symptoms and perceptions. To disseminate and enhance awareness of this intervention, it is important to implement sustainable measures, such as integrating the intervention into workplace health examinations, defining the role of neighborhood shoe stores, and promoting behavioral changes among participants, in the future.

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  • Akiko Imai, Shuhei Fukuro
    2024 Volume 5 Issue 2 Pages 125-132
    Published: May 31, 2024
    Released on J-STAGE: May 31, 2024
    JOURNAL FREE ACCESS

     The Japanese Society for Foot Care and Podiatric Medicine established a new committee for home medical care in 2022. The committee conducted an internet questionnaire survey of the society members to investigate the current situation of medical foot care and podiatric treatment provided at patients’ homes and nursing care facilities to identify problems. Based on the results of the survey, we discussed necessary and sufficient foot care at home and issues to be solved for the spread of these services.

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