A Three-Way Challenge Faced by Patients Living with Diabetic Foot Ulcers at Komfo Anokye Teaching Hospital, Ghana: A Qualitative Study

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100856

Ajaratu Lampinley , Isaac Hayford Budu , Abigail Kusi-Amponsah Diji , Alberta Yemotsoo Lomotey , Olivia Nyarko Mensah , Saviour Yao Davor , Felix Apiribu

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引用次数: 0

Abstract

Background

Diabetes Foot Ulcer, DFU, remains a significant public health challenge worldwide, especially in low and middle-income countries LMICs, like Ghana. However, not much has been done to address the challenges facing patients living with DFU in Ghana. This qualitative study investigated the challenges facing patients living with DFU at the Komfo Anokye Teaching Hospital in Ghana, KATH.

Methods

In-depth interviews were conducted among 11 purposively sampled individuals living with DFU at KATH to the point of data saturation and analysed using content analysis.

Results

The study found three main challenges facing patients living with DFU at KATH. These challenges were economic (cost of treatment of DFU), psychological (fear of amputation, hopelessness and sadness) and social (stigmatization, mobility and inability to attend social functions) in nature.

Conclusion

The study advocates for policy interventions to address the economic, psychological, and social challenges faced by patients with DFU. Key among them include regular counselling programs by healthcare providers and religious bodies, strengthening social support networks, integrating psychological support, and incorporating DFU treatment.

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加纳Komfo Anokye教学医院糖尿病足溃疡患者面临的三方面挑战：一项定性研究

糖尿病足溃疡（DFU）仍然是世界范围内的一个重大公共卫生挑战，特别是在加纳等低收入和中等收入国家。然而，加纳在解决DFU患者面临的挑战方面做得并不多。本定性研究调查了加纳Komfo Anokye教学医院DFU患者面临的挑战。方法对11名在KATH生活的DFU患者进行深度访谈，直至数据饱和，并采用内容分析法进行分析。结果该研究发现了KATH的DFU患者面临的三个主要挑战。这些挑战本质上是经济上的（治疗DFU的费用）、心理上的（害怕截肢、绝望和悲伤）和社会上的（污名化、行动不便和无法参加社会活动）。结论本研究提倡政策干预，以解决DFU患者面临的经济、心理和社会挑战。其中的关键措施包括医疗保健提供者和宗教团体定期提供咨询方案，加强社会支持网络，整合心理支持，并纳入DFU治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.