Abstract:From antiquity to today, tissue repair and wound healing have played a central role in health. Over the past generation, negative pressure wound therapy (NPWT) has shown itself to be a valuable adjunct in wound healing, with effects that are superior to many traditional wound treatment modalities. Applications of NPWT are widespread, with use seen in management of severe soft tissue loss, prevention of surgical site infections, treatment of diabetic foot ulcers, and improving skin graft survival. This article … Show more
“…4 Conversely, the psychological factors that may have an impact on diabetes-related foot wound management have received little attention, and have only recently been recognized as a potentially important determinant of outcomes. 5 The chronic disease literature, in both diabetes and cardiac care, has identified multiple, interlinked factors that modulate individual differences in effective disease self-management, including, demographic factors (such as socioeconomic status, race, age, and educational level), disease knowledge and experience, cognitive functioning (attention, memory, and executive functioning), personality factors, self-efficacy, and psychological well-being. [6][7][8][9] However, these potential modulating factors are underresearched and not yet well understood in individuals with diabetes-related foot complications.…”
Section: Introductionmentioning
confidence: 99%
“…4 Conversely, the psychological factors that may have an impact on diabetes-related foot wound management have received little attention, and have only recently been recognized as a potentially important determinant of outcomes. 5…”
This study investigated cognitive functioning and understanding of peripheral neuropathy in a cohort of individuals with diabetes-related foot ulcers requiring hospitalization. The aim was to examine the association between cognition, understanding of peripheral neuropathy, and diabetic health variables. Thirty inpatients referred to the Diabetic Foot Unit Clinical Psychology service, at the Royal Melbourne hospital, were assessed using the Montreal Cognitive Assessment (MoCA) and the Patient Interpretation of Neuropathy (PIN) questionnaire. Relevant demographic and medical information was collected. In this predominantly middle-aged, male cohort, the average MoCA score (22.37, SD = 3.65) fell below the general population age-matched mean, and a quarter of the MoCA patient scores were consistent with those seen in early dementia samples (<20). There appeared to be several misperceptions regarding peripheral neuropathy, less accurate attributions of blame to self or practitioners, and more accurate attributions of control of ulcer management to practitioners. Correlation analysis indicated that individuals with stronger MoCA scores tended to provide more accurate answers on the Acute Foot Ulcer Onset PIN scale. Individuals with diabetes-related foot ulcers requiring hospitalization demonstrate reduced cognitive functioning and this may affect their understanding of peripheral neuropathy, particularly information regarding foot ulcer onset. Routine screening of cognitive functioning in this cohort may be useful so that health education and care management can be adjusted according to individual patients’ cognitive capabilities.
“…4 Conversely, the psychological factors that may have an impact on diabetes-related foot wound management have received little attention, and have only recently been recognized as a potentially important determinant of outcomes. 5 The chronic disease literature, in both diabetes and cardiac care, has identified multiple, interlinked factors that modulate individual differences in effective disease self-management, including, demographic factors (such as socioeconomic status, race, age, and educational level), disease knowledge and experience, cognitive functioning (attention, memory, and executive functioning), personality factors, self-efficacy, and psychological well-being. [6][7][8][9] However, these potential modulating factors are underresearched and not yet well understood in individuals with diabetes-related foot complications.…”
Section: Introductionmentioning
confidence: 99%
“…4 Conversely, the psychological factors that may have an impact on diabetes-related foot wound management have received little attention, and have only recently been recognized as a potentially important determinant of outcomes. 5…”
This study investigated cognitive functioning and understanding of peripheral neuropathy in a cohort of individuals with diabetes-related foot ulcers requiring hospitalization. The aim was to examine the association between cognition, understanding of peripheral neuropathy, and diabetic health variables. Thirty inpatients referred to the Diabetic Foot Unit Clinical Psychology service, at the Royal Melbourne hospital, were assessed using the Montreal Cognitive Assessment (MoCA) and the Patient Interpretation of Neuropathy (PIN) questionnaire. Relevant demographic and medical information was collected. In this predominantly middle-aged, male cohort, the average MoCA score (22.37, SD = 3.65) fell below the general population age-matched mean, and a quarter of the MoCA patient scores were consistent with those seen in early dementia samples (<20). There appeared to be several misperceptions regarding peripheral neuropathy, less accurate attributions of blame to self or practitioners, and more accurate attributions of control of ulcer management to practitioners. Correlation analysis indicated that individuals with stronger MoCA scores tended to provide more accurate answers on the Acute Foot Ulcer Onset PIN scale. Individuals with diabetes-related foot ulcers requiring hospitalization demonstrate reduced cognitive functioning and this may affect their understanding of peripheral neuropathy, particularly information regarding foot ulcer onset. Routine screening of cognitive functioning in this cohort may be useful so that health education and care management can be adjusted according to individual patients’ cognitive capabilities.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.