Living with a diabetic foot ulcer: a phenomenological study

Watson-Miller, Sonia

doi:10.1111/j.1365-2702.2006.01521.x

Cited by 15 publications

(33 citation statements)

References 3 publications

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“…Three additional papers were identified from the reference lists of included papers. Overall, 42 articles reporting the findings of 35 qualitative studies were selected for inclusion (Figure ).…”

Section: Resultsmentioning

confidence: 99%

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Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis

Coffey

Mahon

Gallagher

2018

International Wound Journal

131

133

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Diabetic foot ulceration (DFU) is a common and debilitating complication of diabetes that is preventable through active engagement in appropriate foot‐related behaviours, yet many individuals with diabetes do not adhere to foot care recommendations. The aim of this paper was to synthesise the findings of qualitative papers exploring diabetic people's perceptions and experiences of DFU in order to identify how they could be better supported to prevent ulceration or manage its impact. Five databases (MEDLINE, PsycINFO, CINAHL, EMBASE, Web of Science) were searched in May 2016 to identify eligible articles. Findings were synthesised using a meta‐ethnographic approach. Forty‐two articles were eligible for inclusion. Synthesis resulted in the development of five overarching themes: personal understandings of diabetic foot ulceration; preventing diabetic foot ulceration: knowledge, attitudes, and behaviours; views on health care experiences; development of diabetic foot ulceration and actions taken; and wide‐ranging impacts of diabetic foot ulceration. The findings highlight various barriers and facilitators of foot care experienced by people with diabetes and demonstrate the significant consequences of ulcers for their physical, social, and psychological well‐being. The insights provided could inform the development of interventions to promote foot care effectively and provide appropriate support to those living with ulceration.

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Section: Resultsmentioning

confidence: 99%

“…However, some individuals with no prior experience were aware of the risks and feared developing an ulcer . Fear of amputation was also frequently reported, especially among those who either had personal experience of DFU or knew someone who had undergone this procedure …”

Section: Resultsmentioning

confidence: 99%

Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis

Coffey

Mahon

Gallagher

2018

International Wound Journal

131

133

View full text Add to dashboard Cite

show abstract

“…The amputation is often related to chronic illness such as diabetes, vascular disease, and renal insufficiency and high rates of post-operative complications and mortality are reported (Belmont et al, 2011; Kristensen, Holm, Kirketerp-Møller, Krasheninnikoff, & Gebuhr, 2012). Furthermore, the amputation is often preceded by a long period of pain (Watson-Miller, 2006), and phantom limb pain is described after the amputation (Björkman, Arnér, Lund, & Hydén, 2010; Vase et al, 2011). Regardless of aetiology, however, the loss of a leg presents major challenges for the person concerned.…”

mentioning

confidence: 99%

Living with clipped wings—Patients’ experience of losing a leg

Norlyk

Martinsen

Kjær-Petersen

2013

International Journal of Qualitative Studies on Health and Well

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This study explores the lived experience of losing a leg as described by the patients themselves post-discharge. Studies have documented that regardless of aetiology patients are faced with severe physical as well as psychosocial challenges post-amputation. However, only few studies explore in-depth the patients’ perspective on the various challenges following the loss of a leg. The study uses the phenomenological approach of Reflective Lifeworld Research (RLR). Data were collected from 24 in-depth interviews with 12 Danish patients. Data analysis was performed according to the guidelines given in RLR. The essential meaning of losing a leg is a radical and existential upheaval, which restricts patients’ lifestyle and irretrievably alters their lifeworld. Life after the operation is associated with despair, and a painful sense of loss, but also with the hope of regaining personal independence. The consequences of losing a leg gradually materialize as the patients realize how the loss of mobility limits their freedom. Patients experience the professional help as primarily directed towards physical care and rehabilitation. The findings show that the loss of a leg and, subsequently, the restricted mobility carry with them an existential dimension which refers to limitation of action space and loss of freedom experienced as an exclusion from life. Our findings demonstrate a need for complementary care and stress the importance of an increased awareness of the psychosocial and existential consequences of losing a limb.

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“…These studies found that patients with a diabetes complication or comorbid condition frequently experienced a sense of dependence, social isolation, and the loss of social and occupational roles [56,65]. Further, patients expressed difficulty interpreting severe symptoms of their condition and knowing when to seek medical attention [57], understanding risks of developing complications associated with diabetes [58,61], maintaining self-care regimens [57,60], communicating with health professionals [59,64], and taking prescribed medications for other health conditions [62].…”

Section: Complications and Comorbiditiesmentioning

confidence: 94%

“…Several qualitative studies have explored diabetes patients' experiences of living with and treating of a single diabetes complication or comorbid condition, including diabetic retinopathy, myocardial infarction, diabetic foot infections, and depression [56][57][58][59][60][61][62][63][64][65]. These studies found that patients with a diabetes complication or comorbid condition frequently experienced a sense of dependence, social isolation, and the loss of social and occupational roles [56,65].…”

Section: Complications and Comorbiditiesmentioning

confidence: 97%

Digging Deeper: The Role of Qualitative Research in Behavioral Diabetes

2011

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Qualitative research methodology is more recognized and valued in diabetes behavioral research in recent years. Qualitative methods help clinicians answer questions that quantitative research may not be able to answer, such as exploring patients' motivations, perceptions, and expectations. This paper reviews recent (2005-present) rigorous qualitative studies of children, adolescents, and adult patients with type 1 and type 2 diabetes with the aim of answering the following research question: How has qualitative research contributed to our understanding of behavioral diabetes care? We focus on studies exploring patients', health care providers', and families' interpersonal experiences of diabetes as well as patients' psychosocial experiences of diagnosis and treatment, self-care, complications, and cultural factors. After reviewing the research in each area, we conclude by discussing how qualitative research contributes to our increased understanding of behavioral diabetes.

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Living with a diabetic foot ulcer: a phenomenological study

Cited by 15 publications

References 3 publications

Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis

Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: A qualitative meta‐synthesis

Living with clipped wings—Patients’ experience of losing a leg

Digging Deeper: The Role of Qualitative Research in Behavioral Diabetes

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