A qualitative study of the experience of lower extremity wounds and amputations among people with diabetes in Philadelphia
| Autor: | Cornelius Donohue, Ebony Easley, D. Scot Malay, Jinsup Song, David J. Margolis, Stephen R. Thom, Peter F. Cronholm, Trocon Davis, Michelle Hampton, Frances K. Barg |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment MEDLINE 030209 endocrinology & metabolism Dermatology Type 2 diabetes medicine.disease 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Amputation Diabetes mellitus Health care medicine Physical therapy Surgery Observational study 030212 general & internal medicine business Qualitative research |
| Zdroj: | Wound Repair and Regeneration. 25:864-870 |
| ISSN: | 1067-1927 |
| DOI: | 10.1111/wrr.12593 |
| Popis: | The purpose of this study was to explore perceptions among people with type 2 diabetes about foot ulcers and lower extremity amputations. This was a qualitative observational study utilizing open-ended, semistructured interviews of 39 people with diabetes who were purposively selected because they had either a foot ulcer (n = 19) or a lower extremity amputation (n = 20). Interviews were audio-recorded, deidentified, and entered into NVivo 10.0 for coding and analysis. Our integrated analytic approach combined inductively and deductively derived codes that were applied to all transcripts. Coded data were summarized and examined for patterns. Participants' description of the relationship between diabetes and their foot ulcer or amputation revealed a limited understanding of the disease process. Disruption and loss of independence was expressed whether the person had a foot ulcer or an amputation. Treatment recommendations for foot ulcers were viewed by most as extremely difficult. Amputation was a feared outcome, but some learned to adapt and, at times felt that the amputation enhanced their quality of life. Clinicians have assumed that a focus on limb salvage is preferred over a major amputation. However, because of the complexity of care requiring frequent healthcare provider visits, the frequency of care failure, the frequency of recurrence, and mortality associated with having had a foot ulcer, it may be more appropriate for clinicians to prioritize quality-of-life salvage. Foot ulcer treatment failure may be due to a lack of providers' understanding of the impact of treatment on a patient's life. |
| Databáze: | OpenAIRE |
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