Aim: To understand the experiences of individuals who undergo LEA due to DFU after disability.
Design: A descriptive research design in qualitative research.
Methods: Semi-structured interviews were used in this qualitative descriptive study. Eleven middle-aged patients (45-59 years) who underwent LEA due to DFU were purposively selected and interviewed. Qualitative data were thematically analysed.
Results: Three themes and 10 subthemes were identified. The themes were (1) role function confusion, (2) self-concept stress and (3) unreasonable objective support. Subthemes included (1) weakened career role, (2) family role reversal, (3) social role restriction, (4) over-focusing on appearance, (5) immersion in patient experience, (6) living with faith, (7) polarization of independent consciousness, (8) low perceived benefits of peer support, (9) existence of treatment disruption and (10) poor participation in medical decision-making.
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http://dx.doi.org/10.1002/nop2.2213 | DOI Listing |
Sci Rep
November 2024
Orthopedic Hospital, The First Affiliated Hospital, Jiangxi Medical College, Jiangxi Province's Artificial Joints Engineering and Technology Research Center, Nanchang University, 17 Yongwaizheng Street, Donghu district, Nanchang, 330006, Jiangxi Province, China.
To assess the accuracy of a nomogram for predicting the risk of lower-extremity amputation (LEA) in individuals with diabetic foot ulcers (DFUs). We retrospectively analyzed data from 144 patients with DFUs at the Department of Orthopedics of the First Affiliated Hospital of Nanchang University, collected between January 2020 and December 2023. Univariate analysis determined primary predictive factors for amputation, followed by single and multifactor logistic regression analyses to indentify independent factors.
View Article and Find Full Text PDFInt J Low Extrem Wounds
November 2024
Vascular Surgery Service, Department of Surgery, Woodlands Health, Singapore, Singapore.
Adherence to treatment plans is crucial for patients with diabetic foot ulcers (DFUs) to achieve positive outcomes. With limited understanding of nonadherence and its impacts on care outcomes, this study aimed to explore the reasons and factors associated with nonadherence in an integrated diabetic limb salvage (DLS) programme and evaluate its effects on care outcomes. This study included 2798 DFU patients who were enrolled in an integrated DLS programme across multiple institutions in central and northern Singapore from 2020 to 2021.
View Article and Find Full Text PDFDiabet Med
January 2025
Amsterdam UMC, University of Amsterdam, Department of Rehabilitation Medicine, Amsterdam, The Netherlands.
Aim: A diabetes-related foot ulcer (DFU) is a major risk factor for lower-extremity amputation (LEA). To help clinicians predict the risk of LEA in people with DFU, the Diabetic Foot Risk Assessment (DIAFORA) system was developed but has never been externally validated.
Methods: In this study, 317 people presenting with a new DFU were included.
Nurs Open
June 2024
School of Nursing, Naval Medical University, Shanghai, China.
Int J Low Extrem Wounds
May 2024
Vascular Surgery Service, Department of Surgery, Woodlands Health, Singapore.
Diabetic Foot in Primary and Tertiary (DEFINITE) Care is an inter-institutional, multidisciplinary team (MDT) program for patients with diabetic foot ulcers (DFU) within a healthcare cluster in Singapore. This is one of our subgroup analyses within DEFINITE Care, assessing clinical outcomes of lower extremity amputation prevention program (LEAPP), a multidisciplinary diabetic foot clinic, and non-LEAPP patients within the program. From June 2020 to June 2022, 2798 patients within the DEFINITE cohort completed a minimum of 12-month follow up.
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