Experiences of Patients with Diabetic Foot Ulcers
Pathiraja, Harshi; Wijebandara, Nirmani (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202303213933
https://urn.fi/URN:NBN:fi:amk-202303213933
Tiivistelmä
Purpose and aim - This descriptive literature review was conducted to describe patients' experiences with diabetes foot ulcers and how diabetic foot ulcer affects patients’ quality of life. The aim of this literature review was to produce new knowledge that could be utilised to improve the holistic care approach in clinical nursing practices.
Methods –Data were collected from databases CINAHL and Medline according to the inclusion and exclusion criteria. Fourteen articles were selected through PRISMA. Inductive content analysis was conducted to analyse the data.
Results – The review formed three generic categories as physical experiences, social experiences, and psychological experiences under the first study question of experiences of patients with a diabetic foot ulcer. Under physical experiences, disturbed body image due to swelling and redness also disturbed body functions due to pain and sleep disturbances were identified as the main experiences. Under the social experiences, social isolation due to the embarrassment of the wound was the main experience. Under the psychological experiences, the main experiences were fear and stress on amputation, worry about an uncertain future, and stigma due to isolation. In the second study question, the effect of diabetic foot ulcer on patient’s quality of life three generic categories was identified as negative physical effect negative psychological effect and negative social effect. Accordingly, in the physical effect, altered body image and altered physical mobility and energy negatively affect the quality of life. Under the social effect, mainly the inability to socialisation due to body image and limitations of recreational activities negatively affect quality of life. Under the psychological effect, unhappiness due to changes in normal life and anxiety and worry negatively affect on quality of life.
Conclusion – The findings revealed that patients were burdened physically, psychologically, and socially due to diabetic foot ulcer. Also, diabetic foot ulcer negatively affects patient’s quality of life physically, psychologically, and socially. The results lead to the conclude that physical experiences presence with diabetic foot ulcer including pain, altered body image, sleep disturbances, and reduced energy and immobility, negatively affect the psychosocial well-being of patients with diabetic foot ulcers hence, it is important to pay more attention to physical care along with psychosocial support.
Methods –Data were collected from databases CINAHL and Medline according to the inclusion and exclusion criteria. Fourteen articles were selected through PRISMA. Inductive content analysis was conducted to analyse the data.
Results – The review formed three generic categories as physical experiences, social experiences, and psychological experiences under the first study question of experiences of patients with a diabetic foot ulcer. Under physical experiences, disturbed body image due to swelling and redness also disturbed body functions due to pain and sleep disturbances were identified as the main experiences. Under the social experiences, social isolation due to the embarrassment of the wound was the main experience. Under the psychological experiences, the main experiences were fear and stress on amputation, worry about an uncertain future, and stigma due to isolation. In the second study question, the effect of diabetic foot ulcer on patient’s quality of life three generic categories was identified as negative physical effect negative psychological effect and negative social effect. Accordingly, in the physical effect, altered body image and altered physical mobility and energy negatively affect the quality of life. Under the social effect, mainly the inability to socialisation due to body image and limitations of recreational activities negatively affect quality of life. Under the psychological effect, unhappiness due to changes in normal life and anxiety and worry negatively affect on quality of life.
Conclusion – The findings revealed that patients were burdened physically, psychologically, and socially due to diabetic foot ulcer. Also, diabetic foot ulcer negatively affects patient’s quality of life physically, psychologically, and socially. The results lead to the conclude that physical experiences presence with diabetic foot ulcer including pain, altered body image, sleep disturbances, and reduced energy and immobility, negatively affect the psychosocial well-being of patients with diabetic foot ulcers hence, it is important to pay more attention to physical care along with psychosocial support.