Feelings of powerlessness in individuals with either venous or diabetic foot ulcers

Almeida, Sergio Aguinaldo de; Salomé, Geraldo Magela; Dutra, Rosimar Aparecida Alves; Ferreira, Lydia Masako

doi:10.1016/j.jtv.2014.04.005

Cited by 29 publications

(19 citation statements)

References 25 publications

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“…The patients with DFU experienced a stronger feeling of helplessness and a lower degree of hope of being cured than those with venous ulcerations on lower extremities (De Almeida et al . ). A long‐lasting process of helplessness can lead to hopelessness (Žiaková et al .…”

Section: Discussionmentioning

confidence: 97%

Quality of life in patients with diabetic foot ulcer in Visegrad countries

Němcová

Hlinková

Farský

et al. 2017

Journal of Clinical Nursing

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The quality of life of patients with diabetic foot ulcer reflects the conditions and healthcare system in each of the Visegrad countries. We have to respect socio-demographic factors and clinical characteristics in nursing care. This could have an impact on managing patient care not only with regard to their diabetic foot ulcer but also with regard to the patient as a personality with their own problems in relation to physical, psychosocial and environmental conditions.

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Section: Discussionmentioning

confidence: 97%

Quality of life in patients with diabetic foot ulcer in Visegrad countries

Němcová

Hlinková

Farský

et al. 2017

Journal of Clinical Nursing

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“…It revealed that patients who were completely independent or had higher PUSH scores experienced stronger feelings of powerlessness which was in accordance with previous studies. Salome et al pointed out that total PAT score was significantly higher in patients with foot ulcers than patients with venous ulcers . C‐PAT had been validated as a useful tool to assess powerlessness of patients with chronic wounds in Brazil .…”

Section: Discussionmentioning

confidence: 99%

“…To improve the self‐care adherence of the treatment, health staff should focus not only on wound care, but also on the psychological wellbeing of them . Patients with chronic wounds may feel uncomfortable, frustrated, discouraged, and powerless in the development of foot ulcers due to the unpleasant characteristics of chronic wounds and limitation of functional mobility …”

mentioning

confidence: 99%

“…10 Patients with chronic wounds may feel uncomfortable, frustrated, discouraged, and powerless in the development of foot ulcers due to the unpleasant characteristics of chronic wounds and limitation of functional mobility. 11,12 Powerlessness is characterized by feelings of no control over a current situation. 13 Some qualitative studies had showed that patients with chronic disease experienced powerlessness in relation to the direct and indirect effects of their condition.…”

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confidence: 99%

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Translation and validation of the Chinese powerlessness assessment tool

Huang

Yang

et al. 2018

Wound Repair Regeneration

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The objectives of this study were to translate the powerlessness assessment tool (PAT) into Chinese, and to evaluate its psychometric performance. The PAT was translated into Chinese and was evaluated in patients with chronic wounds. Mean PAT scores were compared between various wound types to evaluate the scale's power to differentiate wound severity (PUSH score). There were 154 consecutive patients included in this study. All items were included, and the results of item-domain correlation (r ranged from 0.838 to 0.967) and small-group analysis (critical ratio, p < 0.05) were satisfactory. Furthermore, the Chinese PAT also showed good criterion validity when correlated with the Cardiff wound impact schedule (r = 0.726, p < 0.01). Exploratory factor analysis of these items extracted only two domains instead of the hypothesized three domains: self-perception of behavioral control and decision making (9 items) and emotional responses to perceived control (3 items), explained 82.045% of the variance. Sensitivity was demonstrated between patients with different activity of daily living, wound severity (PUSH score) and wound types. The internal consistency of all scales of the Chinese PAT was consistently high (Cronbach's alpha ranged from 0.939 to 0. 965) and split-half reliability was 0.901. In conclusion, the validated Chinese PAT has good psychometric properties, and may be used to objectively evaluate the powerlessness experience of Chinese patients with chronic wounds.

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“…7,8 Patients may also report an elevated sense of powerlessness. 9 In the case of wounded warriors, scar-associated wounds can complicate the recovery process for those suffering from traumatic blast injuries. For example, in a case presented by Shumaker et al, small erosions and ulcers present at skin graft scars on a lower extremity amputation site prevented progress in the prosthetic rehabilitation of the patient's lower extremity.…”

Section: The Problem With Chronic Woundsmentioning

confidence: 99%

Treatment of ulcers with ablative fractional lasers

et al. 2015

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Chronic, nonhealing ulcers are a frustrating therapeutic challenge and investigation of innovative therapies continues to be an important research pursuit. One unique and newly applied intervention is the use of ablative fractional lasers. This technology has recently been employed for the treatment of hypertrophic, disfiguring and function-limiting scars, and was first shown to induce healing of chronic wounds in patients with persistent ulcers and erosions within traumatic scars. Recent reports suggest it may be applicable for other types of chronic wounds as well. The mechanism of action for this modality remains to be elucidated but possible factors include laser-induced collagen remodeling, photomicrodebridement and disruption of biofilms, and induction of a proper wound healing cascade.

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Feelings of powerlessness in individuals with either venous or diabetic foot ulcers

Cited by 29 publications

References 25 publications

Quality of life in patients with diabetic foot ulcer in Visegrad countries

Quality of life in patients with diabetic foot ulcer in Visegrad countries

Translation and validation of the Chinese powerlessness assessment tool

Treatment of ulcers with ablative fractional lasers

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