The care process of diabetic foot ulcer patients: a qualitative study in Iran

Journal of Diabetes & Metabolic Disorders

Nahid Dehghan Nayeri²  Mansooreh Aliasgharpour¹ 

[1] Department of Medical Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

关键词: Wound care;    Qualitative study;    Diabetics;    Education;    Care;   

Others  :  807171
DOI  :  10.1186/2251-6581-11-27

 received in 2012-07-15, accepted in 2012-12-18,  发布年份 2012

【 摘 要 】

Background

The Purpose of this study is to clarify the care process for Iranian diabetic patients with diabetic foot ulcer condition.

Methods

The main question of this research was “How is the care process for diabetic foot ulcer patients and how do patients experience it?” This study was within the Grounded Theory method. Data collection was carried out until data saturation was achieved. Saturation was achieved after interviewing 11 patients, 4 physicians, one head nurse and one nurse.

Results

Three main themes emerged from this study, including: “disease management, disease experience and continuity of care”. Each of these themes is consisted of different sub-themes.

Conclusions

This is the first study to describe the care process in Iranian diabetic patients with diabetic foot ulcer disease. Knowing patients’ experience and the manner of dealing with them once faced with foot ulcer condition could facilitate a comprehensive decision making by therapists and better recovery of diabetic patients.

【 授权许可】

   
2012 Aliasgharpour and Nnayeri; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Barathmanikanth S, Kalishwaralal K, Sriram M, Pandian SR, Youn HS, Eom S: Antioxidant effect of gold nanoparticles restrains hyperglycemic conditions in diabetic mice. J Nanobiotechnology 2010, 8:16. BioMed Central Full Text
• [2]Anselmo MI, Nery M, Parisi MC: The effectiveness of educational practice diabetic foot: a view from Brazil. Diabetol Metab Syndr 2010, 2:45. BioMed Central Full Text
• [3]Pendsey SP: Understanding diabetic foot. Int J Diab Dev Countries 2010, 30:75-79.
• [4]Edwards L: Practical advice for the effective application of compression bandaging. J Community Nurs 2003. online
• [5]Searle A, Campbell R, Tallon D: A Qualitative Approach to Understanding the Experience of Ulceration and Healing in the Diabetic Foot: Patient and Podiatrist prespective, wounds. 2005, 17:16-26.
• [6]Vileikyte L, Gonzalez JS, Leventhal H: Patient Interpretation of Neuropathy (PIN) questionnaire: an instrument for assessment of cognitive and emotional factors associated with foot self-care. Diabetes Care 2006, 29:2617-2624.
• [7]Faggiolani C: Perceived Identity: applying Grounded Theory in Libraries, JLIS.It. 2011., 2(1)
• [8]Martin PY, Turner BA: Grounded Theory and Organizational Research. J Appl Behav Sci 1986, 22(2):141.
• [9]Allan G: A critique of using grounded theory as a research method. Electron J Bus Res Meth 2003, 2(1):1-10.
• [10]Khamseh ME, Vatankhah N, Baradaran HR: Knowledge and practice of foot care in Iranian people with type 2 diabetes. Int Wound J 2007, 4(4):298-302.
• [11]Vatankhah N, Khamseh ME, Noudeh YJ, Aghili R, Baradaran HR, Haeri NS: The effectiveness of foot care education on people with type 2 diabetes in Tehran, Iran. Prim Care Diabetes 2009, 3(2):73-7.
• [12]Jaffiol C: Current management of type 2 diabetes in France. Bull Acad Natl Med 2009, 193:1645-1661.
• [13]Lippmann-Grob B, Bierwirth RA, Kron P, Leinhos B, Funke K, Huptas M: Patient classification and analysis of risk profiles for type 2 diabetics as the main focus point in practice. Results of the TEMPO study. Deutsche medizinische Wochenschrift 2004, 1946:01-16.
• [14]Moser A, van der Bruggen H, Widdershoven G, Spreeuwenberg C: Self-management of type 2 diabetes mellitus: a qualitative investigation from the perspective of participants in a nurse-led, shared-care programme in the Netherlands. BMC Public Health 2008, 8:91. BioMed Central Full Text
• [15]Valk GD, Kriegsman DM, Assendelft WJ: Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev 2001, 4:1488.
• [16]Valk GD, Kriegsman DM, Assendelft WJ: Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev 2005, 1:1488.
• [17]Gale L: Patients’ perspectives on foot complications in type 2 diabetes: a qualitative study. Br J Gen Pract 2008, 58:555-563.
• [18]Ekore RI, Ajayi IO, Arije A, Ekore JO: Attitude; diabetic foot care; education; knowledge; Type 2 diabetes mellitus. Afr J Prim Health Care Family Med 2010. 2, ISSN 2071–2928
• [19]Hellar AM, Mbembati NAA: The Pattern and Surgical Management of Diabetic Foot at Muhimbili NationalHospital, Dar-es-salaam. East and Tanzania. Cent Afr J Surg 2011, 16:37-45.
• [20]Johnson M, Newton P, Jiwa M, Goyder E: Meeting the educational needs of people at risk of diabetes-related amputations: a vignette study with patients and professionals. Health Expect 2005, 8:324-333.
• [21]Agarwal G, Pierce M, Ridout D: The GP perspective: problems experienced in providing diabetes care in UK general practice. Diabetic Medicine 2002, 19:13-20.