Qualitative study of stigma in patients with diabetic foot
10.3760/cma.j.cn115682-20210913-04153
- VernacularTitle:糖尿病足患者病耻感的质性研究
- Author:
Dan YUAN
1
;
Wei XIE
;
Huaqian DONG
;
Lu GAN
;
Xiuya REN
;
Lingling ZHAO
;
Yiming XIANG
Author Information
1. 贵州中医药大学研究生院，贵阳 550002
- Keywords:
Diabetic foot;
Stigma;
Real experience;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2022;28(9):1133-1138
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To deeply explore the real experience, source and coping style of stigma in patients with diabetic foot, so as to provide a reference for nurses to formulate targeted intervention measures.Methods:From January to April 2021, 12 diabetic foot patients from the Department of Endocrinology, the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine were selected as the research object by objective sampling. The in-depth patient interview was conducted using the phenomenological method in qualitative research. The interview data were analyzed according to the Colaizzi 7-step analysis in phenomenology, and the themes were refined with the Nvivo 12.0.Results:The stigma experienced by diabetic foot patients was grouped into three themes. Theme one was the real experience of stigma, including shame, anxiety, depression, self-blame and regret, and low self-esteem. Theme two was the source of stigma, including family, friends and colleagues, media, and treatment costs. Theme three was stigma coping styles, including positive response, concealment, avoidance, and rejection.Conclusions:Diabetic foot patients have a strong sense of stigma and cannot take effective coping styles. Medical and nursing staff and family members of patients should pay full attention to the stigma of diabetic foot patients and provide them with nursing interventions and psychological support.
