Patients' Perceptions of Reasons Contributing to Delay in Seeking Help at the Onset of a Diabetic Foot Ulcer: A Grounded Theory Study.

Idevania G Costa, Deborah Tregunno, Pilar Camargo-Plazas
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引用次数: 1

Abstract

Purpose: The purpose of this study was to explore patients' perception of reasons contributing to delay in seeking help and referral to a wound care specialist at the onset of a diabetic foot ulcer (DFU).

Design: Constructivist grounded theory study.

Subjects and setting: The sample comprised 30 individuals with active DFU attending a wound care clinic in southeastern Ontario, Canada.

Methods: Participants were selected through purposive and theoretical sampling. Semistructured interviews were conducted with participants until no new properties of the patterns emerged. All interviews were transcribed, coded, and analyzed using methods informed by constructivist grounded theory.

Results: The reasons contributing to delay to seek help and referral to a wound care specialist were (1) limited knowledge about foot care, (2) unaware of diabetic foot problems, (3) underestimation of ulcer presentation, (4) I thought I could fix it myself, (5) inaccurate diagnosis, and (6) trial and error approach by a nonspecialized wound care provider.

Conclusions: Study findings suggest that patients and primary healthcare providers need additional education regarding the management of diabetic foot disease and DFU.

糖尿病足溃疡患者对延迟寻求帮助的原因的认知:一项扎根的理论研究。
目的:本研究的目的是探讨患者对糖尿病足溃疡(DFU)发病时延迟寻求帮助和转诊到伤口护理专家的原因的感知。设计:建构主义理论研究。受试者和环境:样本包括30名在加拿大安大略省东南部一家伤口护理诊所就诊的活动性DFU患者。方法:采用目的性抽样和理论抽样相结合的方法进行调查。对参与者进行半结构化访谈,直到没有新的模式属性出现。所有访谈都被转录、编码,并使用基于建构主义理论的方法进行分析。结果:导致延迟寻求帮助和转介到伤口护理专家的原因是(1)对足部护理的知识有限,(2)不了解糖尿病足问题,(3)低估溃疡的表现,(4)我认为我可以自己解决,(5)不准确的诊断,(6)非专业伤口护理提供者的试验和错误方法。结论:研究结果表明,患者和初级卫生保健提供者需要关于糖尿病足病和DFU管理的额外教育。
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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