Patient education for preventing diabetic foot ulceration

Valk, GD; Kriegsman, Dmw; Assendelft, W.J.J.

doi:10.1002/14651858.cd001488

Cited by 44 publications

(55 citation statements)

References 46 publications

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“…The manner of dealing with the patient by the team was different so that some team-therapy centers treated patients as outpatients, while others hospitalized patients for a long time and had kept him waiting or under treated t. Some had referred the patient to bigger centers; while some had hospitalized the patients at non-specialist centers; still, some of them had opted for the amputation of the foot or the toes and others had released the patient after gaining partial recuperation which had resulted in the worsening his condition. Some researchers [15,16] emphasize on the diabetic patients training. Contrary to Lone Gale, who believes that the hygienic specialists must pursue their training to the extent that they would be assured that patients believe in these trainings [17], our therapeutic team was unable to do this and there was no systematic program for training the diabetic patients or they were very weak?…”

Section: Discussionmentioning

confidence: 99%

“…The care process for the diabetic foot ulcer has resulted in satisfaction among some patients who had experienced the recuperation of their ulcer by using modern bandaging methods, while it had brought dissatisfaction for the patients who had experienced lengthy hospitalization, untimely consideration, long procedure of hospitalization, getting released after gaining partial recuperation and being re-hospitalized after deterioration of their condition. Studies [6,16,18] have also indicated that patients were not satisfied with the hygiene caretakers. Besides, Hellar indicates that patients get hospitalized at ward for a long time which is related to the higher number of patients compared to the number of nurses [19].…”

Section: Discussionmentioning

confidence: 99%

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

Aliasgharpour

Nayeri

2012

J Diabetes Metab Disord

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BackgroundThe Purpose of this study is to clarify the care process for Iranian diabetic patients with diabetic foot ulcer condition.MethodsThe 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.ResultsThree 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.ConclusionsThis 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Aliasgharpour

Nayeri

2012

J Diabetes Metab Disord

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“…A Cochrane review by Valk et al [13], last updated in 2004, has looked specifically at patient education initiatives in patients with diabetic foot ulceration. They included nine Randomized Controlled Trials (RCT) that they describe as of 'poor' quality, and conclude that there is weak evidence for the following:…”

Section: Discussionmentioning

confidence: 99%

Education, psychology and ‘compliance’

Price

2008

Diabetes Metab. Res. Rev.

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Those working with patients with diabetic foot wounds are well aware that individuals who take a considerable time to heal pose ongoing challenges for health care professionals and informal carers; cycles of breakdown, recurrent infections, pain management, and adherence to treatment all require regular reassessment, renegotiation of care goals, and review of care plans. Those patients with ulcers for many years are clearly hard-to-heal and often reach a state where the wound is 'static'-not always with any apparent reason. Whilst such scenarios lead professionals to feel exasperated by the lack of progress-how often do we fully consider what this must be like from the patient's point of view? This article will focus on aspects of educational research and health psychology that can lead to a clearer understanding of ways in which professionals can negotiate with patients and empower them to take more responsibility for their own health, within a framework that clearly distinguishes between 'compliance', 'adherence', and 'concordance'. Motivation is fundamental to adherence; the key to developing individual motivation is personal self-awareness and knowledge. However, education on its own will not lead to behaviour change. Readiness to change, confidence in having the necessary skills and family support are key factors when structuring behavioural change programmes.

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“…Thou shalt diagnose ischaemia without delay and revascularise me 5 6. Thou shalt educate all patients how to examine me and take care of me 6 7. Thou shalt carefully inspect the shoes that I have to wear and encourage the use of appropriate footwear 7 8.…”

Section: The 10 Commandments Of the Diabetic Footmentioning

confidence: 99%