Caregiving dilemmas of carers of patients with diabetic foot ulcers at different stages:a qualitative study/
10.3761/j.issn.0254-1769.2024.19.005
- VernacularTitle:糖尿病足溃疡患者照护者不同阶段照护困境的质性研究
- Author:
Qian WANG
1
;
Hongjuan ZHU
;
Dengfen ZENG
;
Siyu YAO
;
Hongli YU
;
Liwei WANG
;
Yubo SUN
Author Information
1. 100048 北京市 解放军总医院第四医学中心烧伤整形医学部
- Keywords:
Diabetic Foot Ulcers;
Timing It Right;
Carers;
Caregiving Dilemmas;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(19):2340-2345
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the dynamics of carers'caregiving dilemmas during different stages of disease progression in patients with diabetic foot ulcers,and to provide a basis for giving precise intervention strategies.Methods Based on the theory of Timing It Right,the phenomenological study was adopted.A purposive sampling method was used to select carers of patients with diabetic foot ulcers who were hospitalised in the Wound Repair Unit of a tertiary hospital in Beijing from March 2023 to February 2024 to conduct semi-structured interviews,and the data were analysed using the Colaizzi 7-step analysis method.Results Combined with the theory of Timing It Right,5 stages of diabetic foot ulcer development were formed,and 5 themes were extracted(①diagnostic period:mixed emotions,facing the dilemma of being unable to do anything;②therapeutic period:lack of knowledge of the disease,and the difficulties of bedside care;③recovery period:contradictions of the desire for rapid healing and the lack of caregiving ability;④transition period:poor patient adherence,and the hope for professional support;⑤adaptation period:the accumulation of negative emotions,and the persistence of caregiving difficulties),and 12 sub-themes.Conclusion At different stages of disease development in patients with diabetic foot ulcers,the caregiving dilemma of caregivers changes dynamically,and healthcare professionals should provide professional,personalised,and high-quality professional support according to their caregiving experience and needs at different stages to improve their quality of care and promote patients'recovery.
