转诊到伤口护理诊所接受糖尿病足溃疡护理后患者的行为：一项基础理论研究。

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2024-06-02 DOI:10.12968/jowc.2022.0265

Thomas Vedste Aagaard, Søren T Skou, Stig Brorson, Ulla Riis Madsen

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引用次数: 0

摘要

研究目的本研究旨在构建一个基础理论，研究糖尿病足溃疡（DFU）患者转诊到门诊治疗后一段时间内的活动行为：采用建构主义基础理论方法。方法：采用建构主义基础理论方法，从对参与者的观察和访谈中收集数据，并使用不断比较法进行分析。在此基础上，构建了基础理论 "Just a bump in the road"：结果：研究小组包括五名参与者，他们认为自己的溃疡是生活中的 "绊脚石"，在这一核心类别中包含四个子类别：限制我的自由"、"信任或怀疑系统"、"感觉不到疼痛或疾病 "和 "获得的信息不足"。这些类别共同描述了参与者在转诊到门诊治疗 DFU 后与日常活动相关的行为和潜在担忧：结论："只是路途中的颠簸 "这一基础理论描述了患有 DFU 的参与者是如何将自己的病情视为一个短暂的阶段，并将以恢复正常生活而告终。将这些结果应用到临床实践中可以改善护理工作，并使医疗专业人员的工作重心从将患者视为由伤口决定的人转变为将患者视为带着伤口生活的人。

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Patients' behaviour after referral to a wound care clinic for diabetic foot ulcer care: a grounded theory study.

Objective: The aim of this study was to construct a grounded theory regarding patients' activity behaviour over time after referral to an outpatient clinic for diabetic foot ulcer (DFU) care.

Method: A constructivist grounded theory approach was used. Data from observations of and interviews with participants were collected and analysed using the constant comparative method. Based on this, the grounded theory 'Just a bump in the road' was constructed.

Results: The cohort included five participants who considered their ulcers as 'Just a bump in the road' in their lives, and four subcategories were embedded in this core category: 'Restricting my freedom'; 'Trusting or doubting the system'; 'Feeling no pain or illness'; and 'Receiving insufficient information'. Together, these categories describe the participants' behaviour and underlying concerns related to daily activities after referral to an outpatient clinic for the care of their DFU.

Conclusion: The grounded theory 'Just a bump in the road' describes how participants with a DFU viewed their condition as merely a passing phase that would end with them regaining what they considered a normal life. Integrating these results into clinical practice could lead to improved care and a focus shift among health professionals from viewing patients as being defined by their wounds to seeing them as people who live with a wound.

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.