Perception of social support in individuals living with a diabetic foot: A qualitative study

Palaya, Joshua; Pearson, Sue; Nash, Toni

doi:10.1016/j.diabres.2018.10.016

Cited by 19 publications

(61 citation statements)

References 26 publications

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“…The 42 articles included in this review present results of 40 studies and were published between 1986 and 2019 (Table 1). Of these, 24 were qualitative studies 25,30‐32,50‐69 . Of the quantitative studies, 13 were cross‐sectional 70‐82 (of which six had a comparative approach, eg, ulcer vs non‐ulcer participants) and two were cohort studies 83,84 .…”

Section: Resultsmentioning

confidence: 99%

Social participation of people with chronic wounds: A systematic review

Klein

Andrees

Kirsten

et al. 2020

International Wound Journal

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Living with chronic ulcers can be burdensome and restrictive, with regard to not only physical and psychological but also social well‐being. This review aims to analyse social participation in patients with chronic wounds and to compare results across different wound types. A search string was applied in several electronic databases. Results were screened according to predefined inclusion and exclusion criteria. Data of eligible articles were extracted and synthesised narratively. The search revealed 42 eligible publications. Only minor differences across different ulcer types could be detected. Overall, family members were the main social contacts for patients; they often provided wound care and emotional support. Patients had few non‐family relations, but those existing were often very close. Patients felt guilty as their condition imposed burden on family and friends, as well. A close relationship with nurses was described. Restrictions were caused by direct and indirect consequences of the wound. Overall, social support and social connections were reduced in wound patients. Inconsistent results were found regarding social isolation. In summary, people with chronic wounds experience impairments in all aspects of social participation. Therefore, social participation deserves increased attention in routine care both as a trigger of burden and as an outcome of therapy.

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Section: Resultsmentioning

confidence: 99%

Social participation of people with chronic wounds: A systematic review

Klein

Andrees

Kirsten

et al. 2020

International Wound Journal

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“…A recent systematic review attributes delays in initiating appropriate treatment to limitations in patient self-care, inaccurate healthcare assessment, and barriers to referral. 4 Of these, perhaps the most challenging to overcome are those related to the patient, who is often impeded in performing recommended daily self-exams and seeking care for emergent DFU by several factors, including comorbid peripheral neuropathy and loss of protective sensation, 8 comorbid vision impairment, 9 compromised lower joint mobility, 10 diminished cognitive function and poor health-related decision-making, 11 poor recall of diabetic foot education, 12 social isolation, 13 and distrust of established clinical pathways due to prior poor healthcare outcomes and experiences. 14 …”

Section: Introductionmentioning

confidence: 99%

“…Pathophysiology/complications daily self-exams and seeking care for emergent DFU by several factors, including comorbid peripheral neuropathy and loss of protective sensation, 8 comorbid vision impairment, 9 compromised lower joint mobility, 10 diminished cognitive function and poor health-related decision-making, 11 poor recall of diabetic foot education, 12 social isolation, 13 and distrust of established clinical pathways due to prior poor healthcare outcomes and experiences. 14 Thus, despite the importance of timely care for DFU, there are reasons to believe that meaningful delays exist between development of DFU and identification and initiation of treatment by a healthcare provider.…”

mentioning

confidence: 99%

Recurrence rates suggest delayed identification of plantar ulceration for patients in diabetic foot remission

Petersen

Bus

Rothenberg

et al. 2020

BMJ Open Diab Res Care

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IntroductionFoot ulcers are a common and costly complication of diabetes, and delays in treatment can result in impaired healing, infection, hospitalization, and lower extremity amputation.Research design and methodsWe aimed to determine whether patterns in plantar diabetic foot ulcer (DFU) recurrence coincided with typical intervals between routine preventive care appointments, which would suggest that delays exist between ulcer development and identification. We completed an analysis of existing data from two multicenter studies in 300 total participants. We analyzed unadjusted counts of DFU binned in weekly intervals and defined ‘exam periods’ as intervals from 2 to 4 weeks, from 6 to 8 weeks, within 1 week of 3 months and within 1 week of 6 months. We tested whether recurrence rates during exam periods were equivalent to rates outside exam periods. We estimated the delay between DFU development and DFU identification such that the rate of development would have been constant.ResultsDuring exam periods, a total of 43 DFUs were identified (43/86=50%) despite the fact that these periods represent only 23.5% of follow-up in aggregate. Accounting for censoring, the annualized incidence during exam periods was 0.68 DFU/year (CI 0.48 to 0.89) in contrast to 0.25 DFU/year (CI 0.18 to 0.32) outside exam periods (incidence ratio=2.8, CI 1.8 to 4.3). We estimated delays between DFU occurrence and identification to average 15.3 days (IQR 7.4–23.7 days).ConclusionsThese findings have potential implications for practice, particularly related to the value of telehealth and in-home monitoring of patients in diabetic foot remission. Additionally, there are implications for study design, which should consider the impact of interval censoring and attempt to control for confounders related to frequency and timing of exams.

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“…36,37 Thus, financial support from the government, such as the healthcare system, pension, and allowance, or other information sources, like charity, community, and personal, made it much more affordable for patients to deal with chronic conditions. 36,38 Even though those participants with high salaries did not pay much attention to this kind of support since they were able to pay for those medical bills, it was even better to have healthcare insurance coverage. As such, all the participants appreciated the financial support from the government.…”

Section: Discussionmentioning

confidence: 99%

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

Qiu¹,

Schick‐Makaroff²,

Tang³

et al. 2020

PPA

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Purpose: This study is aiming to investigate cardiovascular patients' attitudes towards selfmanagement during hospitalization in China. Patients and Methods: Twenty-nine individuals living with cardiovascular disease from one designated Cardiology Department in Hangzhou, China, were recruited through a purposive sampling procedure. A qualitative descriptive methodology was used. Semi-structured interviews were also used to gain attitudes toward self-management. The interviews were audiorecorded, transcribed and analyzed by thematic analysis to develop the results. Results: Four themes were identified from the qualitative data: (1): Responsibilities of selfmanagement; (2): Reflections on self-management; (3): Acknowledgement of self-management support; (4): Challenges in implementing and adherence to self-management. Additionally, interview data were also given to illustrate these main themes emerging during the analysis. Patients gradually took their responsibilities to manage chronic symptoms. During their self-management process, they did reflections to help correct their regiments through supportive interactions. Health system responsiveness, health disparities, social capital, and cultural setting were the main external factors influencing better self-management implementation and adherence. Conclusion: This study revealed the hospitalized cardiovascular patients' attitudes towards self-management in China. These findings emphasized the importance of patients' responsibility, reflections, and various social support receiving and pointed out specific external factors influencing the health outcomes and their quality of life. This study also proves the guide for the policymakers and health system better instructions to develop individually and culturally tailored advanced self-management interventions and programs.

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Perception of social support in individuals living with a diabetic foot: A qualitative study

Cited by 19 publications

References 26 publications

Social participation of people with chronic wounds: A systematic review

Social participation of people with chronic wounds: A systematic review

Recurrence rates suggest delayed identification of plantar ulceration for patients in diabetic foot remission

<p>Chinese Hospitalized Cardiovascular Patients’ Attitudes Towards Self-Management: A Qualitative Study</p>

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