Wound-care decision-making and dilemmas at different stages among patients with Wagner grade 2–3 diabetic foot ulcers: A longitudinal qualitative study

IF 2.5 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2025-11-01 Epub Date: 2025-09-23 DOI:10.1016/j.jtv.2025.100958

Min Huang , Suzhen Fang , Kai Li , Binglei Li , Bin Jia , Yanqun Zhang , Yuling Luo , Jia Huang , Xiangrong Luo , Cuihua Xie

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引用次数: 0

Abstract

Aims

This study aimed to explore the evolving decision-making processes and dilemmas in wound care among patients with diabetic foot ulcers (DFUs) across different stages, with the goal of informing the design of continuous, patient-centered wound care interventions.

Methods

Using purposive sampling, twelve patients with DFUs hospitalized at a tertiary hospital in Guangzhou, China, between December 2024 and February 2025 were recruited. Semi-structured interviews were conducted at three distinct time points: 48 h post-admission, one day prior to discharge, and within one month following discharge. Data were analyzed using Colaizzi's method.

Results

Five overarching themes and eight subthemes were identified:

Conclusions

Patients with Wagner grade 2–3 DFUs exhibit dynamic, stage-specific changes in wound care decision-making. These decisions are influenced by time and individual factors. Tailored, stage-specific, and navigable wound care interventions are essential to promote sustained treatment adherence, enhance self-management capabilities, and improve overall quality of life.

查看原文本刊更多论文

Wagner 2-3级糖尿病足溃疡患者不同阶段的创面护理决策及困境：一项纵向定性研究

目的：本研究旨在探讨糖尿病足溃疡（DFUs）患者在不同阶段伤口护理中的决策过程和困境，为设计持续的、以患者为中心的伤口护理干预措施提供信息。方法：采用目的抽样方法，招募2024年12月至2025年2月在中国广州某三级医院住院的12例DFUs患者。在三个不同的时间点进行半结构化访谈：入院后48小时，出院前一天和出院后一个月内。数据分析采用Colaizzi的方法。结果：确定了5个总体主题和8个亚主题：结论：Wagner 2-3级DFUs患者在伤口护理决策方面表现出动态的、阶段性的变化。这些决定受到时间和个人因素的影响。量身定制的、特定阶段的、可导航的伤口护理干预措施对于促进持续治疗依从性、增强自我管理能力和改善整体生活质量至关重要。

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

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.