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. 2020 Aug 6;19:75. doi: 10.1186/s12912-020-00467-1

Table 6.

Accuracy rates for knowledge questions according to profession

N = 225
Subscales Item Nurses Care workers Differences p value
N % Accuracy n % Accuracy
Nail 1 Cutting a toenail shorter than the tip of the toe may cause a curly nail, and/or an ingrown nail. 58 96.7 125 75.8 20.9 0.000**
Nail 2 A toenail can be cut easier after soaking nails in warm water for 5–10 min. 57 95.0 148 89.7 5.3 0.216
Nail 3 Toenails protect the end of the foot and support body weight when walking. 55 91.7 120 72.7 19 0.003**
Nail 4 When a nail is yellowed and rough, a fungal infection is the suspected cause. 55 91.7 146 88.5 3.2 0.494
Nail 5 The color of the nail can be used as barometer of general health. 57 95.0 154 93.3 1.7 0.647
Skin 1 Moisturizer should be applied immediately after taking a bath. 50 83.3 129 78.2 5.1 0.397
Skin 2 Corns and calluses have the same meaning. 45 75.0 103 62.4 12.6 0.079
Skin 3 Repeated friction and stimulation cause the keratin in the sole of the foot to become thicker. 49 81.7 118 71.5 10.2 0.124
Skin 4 Skin tear on an older person’s upper arms or elbow joints are often produced when a caregiver adds extra pressure when assisting movement. 38 63.3 66 40.0 23.3 0.002**
Skin 5 Skin tear on lower limbs often occurs by coming into contact with appliances such as footrests. 52 86.7 101 61.2 25.5 0.000***
Skin 6 Because there are no sebaceous glands on the soles, oil is unavailable, and the sole becomes dry easily. 38 63.3 95 57.6 5.7 0.437
Vascular and Neurologic 1 If the client suffers from severe diabetes, foot sensitivity is reduced and pain may not be noticed even though he/she was injured. 60 100.0 143 86.7 13.3 0.003**
Vascular and Neurologic 2 When only one foot only suddenly becomes cold, blood vessels may be blocked by blood clots. 58 96.7 103 62.4 34.3 0.000***
Vascular and Neurologic 3 Small wounds on an older person may develop into an ulcer if left without treatment. 58 96.7 134 81.2 15.5 0.004**
Vascular and Neurologic 4 Signs of infection are flares (reddish tinge), swelling, pain and a feeling of heat. 56 93.3 134 81.2 12.1 0.027*
Vascular and Neurologic5 Even though pain is felt on one foot after a period of walking, it will go away after rest. Consequently, there is no need to worry. 52 86.7 144 87.3 −0.6 0.905
Toe and Arch 1 There is no relationship between foot or toenail deformation, and pain in the waist or neck. 51 85.0 121 73.8 11.2 0.078
Toe and Arch 2 When one of the three arches on the foot collapses, various problems occur. 52 86.7 112 67.9 18.8 0.005**
Toe and Arch 3 A stiff ankle is more likely to make a person stumble or fall. 59 98.3 137 83.0 15.3 0.002**
Toe and Arch 4 Toe deformity influences the muscular strength of lower limbs. 58 96.7 152 92.1 4.6 0.227
Toe and Arch 5 Toe flexor exercise increases the calf muscle pump function of lower limbs. 60 100.0 128 78.0 22.0 0.000***
Infection 1 Fungal bacteria can be removed from the nail clippers using alcohol. 43 71.7 126 76.4 −4.7 0.471
Infection 2 When medical appliances are shared among clients without sufficient sterilization, infection spreads. 59 98.3 155 93.9 4.4 0.176
Infection 3 The bucket used for foot baths is cleaned only by rinsing with hot water. 45 75.0 126 76.4 −1.4 0.832
Shoes and Socks 1 The client’s shoes have approximately 1–1.5cms space, measured from the longest toe, and allow the toes to move freely. 34 56.7 83 50.3 6.4 0.398
Shoes and Socks 2 Corns and calluses are not influenced by the type of socks worn. 31 51.7 97 58.8 −7.1 0.340
Shoes and Socks 3 Shoe sizes are not absolute and vary by a maker. 53 88.3 142 86.1 2.2 0.657
Shoes and Socks 4 Shoes with a well-fixed heel prevent foot slippage. 29 48.3 98 59.4 −11.1 0.139
Sedentary Behavior 1 Walking for 1 h a day is enough to compensate for long sedentary periods. 54 90.0 146 88.5 1.5 0.749
Sedentary Behavior 2 Falls that happen when an older person moves from sitting to standing can be prevented by planning from the care worker. 44 73.3 117 70.9 2.4 0.722

Chi-square test *p < 0.05

**p < 0.01

*** p < 0.001

Among the 232 participants, 225 (96%) answered all questions regarding knowledge

Answer: yes = 1, no = 2, I do not know = 3