Development and Pilot Application of a Solution-Focused Intervention for Social Isolation in Elderly Diabetic Foot Patients

The goal of this interventional study is to develop and preliminarily evaluate asolution‐focused model‐based intervention program for reducing social isolation inelderly patients with diabetic foot ulcers. It will also learn about the feasibility andsafety of the intervention program. The main questions it aims to answer are:Does the solution‐focused intervention program effectively reduce social isolation levelsin elderly patients with diabetic foot ulcers?What effects does the intervention have on patients' foot self‐care behaviors, socialparticipation, social support, depressive symptoms, and glycemic control?Researchers will compare an intervention group (receiving the solution‐focusedintervention combined with routine nursing care) to a control group (receiving routinenursing care only) to see if the intervention program works to alleviate social isolationin this population.Participants will:Complete a set of validated questionnaires (including assessments of social isolation,foot self‐care behaviors, social support, social participation, and depressive symptoms)and undergo fasting blood glucose measurement at four time points: baseline, after 3intervention sessions, at intervention completion, and 1‐month post‐interventionAttend 5 weekly sessions (0.5 ‐1 hours each) of the solution‐focused interventionprogram, which follows five core steps: problem description, goal setting, exceptionexploration, feedback, and progress evaluation (intervention group only)Receive routine nursing care including blood glucose monitoring, dietary management,medication guidance, psychological support, and activity instructions (both groups)