Background: Foot care is important for maintaining walking function in the older people with dementia. However, the effect of foot care intervention on older people with dementia has not been fully clarified. Method: A scoping review was conducted according to the Japanese version of PRISMA-ScR. The eligibility criteria were (1) targeting elderly people with dementia, (2) foot intervention, and the exclusion criteria were (1) case reports and (2) conference presentations. From PubMed, Embase, CINAHL, Cochrane, Central Medical Journal, search terms "# 1 (foot care) etc., # 2 (dementia) etc." were searched. Accepted English and Japanese papers. Result: 7 documents were analyzed. The implementation countries were Japan 5 cases and Australia 2 cases. There were 3 and 2 studies with multiple reports in the same participants. Foot care interventions were foot assessment, foot bath, and foot massage. Intervention outcomes reported confirmation of foot lesions, reduction of edema, emotional response to foot care decreased systolic blood pressure, and decreased alertness. Conclusion: Foot lesions were also found in people with dementia, and it was speculated that foot care intervention would be effective. Moreover, it is expected to have an effect not only on the physical aspect but also on the psychological well-being. On the other hand, there are few studies that intervened in people with dementia as foot care, and it is necessary to continue to pursue it in order to build evidence.
Shin Otomo, St. Luke's International University, Japan