Self-management dilemmas and coping strategies for home-dwelling elderly patients with diabetic foot: a qualitative study
10.3760/cma.j.cn115682-20241202-06607
- VernacularTitle:居家老年糖尿病足患者自我管理困境与应对策略的质性研究
- Author:
Hongli YU
1
;
Hongjuan ZHU
1
;
Qian WANG
1
;
Liwei WANG
1
Author Information
1. 解放军总医院第四医学中心烧伤整形医学部，北京 100048
- Publication Type:Journal Article
- Keywords:
Aged;
Diabetic foot;
Self-management;
Qualitative research;
Management dilemma
- From:
Chinese Journal of Modern Nursing
2025;31(22):3031-3036
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To deeply understand the real experiences of self-management in home-dwelling elderly patients with diabetic foot, explore the factors associated with management dilemmas, and reveal the diversity of coping strategies based on the theory of planned behavior, so as to provide a reference for development of targeted clinical nursing strategies.Methods:Purposive sampling was used to select 21 elderly patients with diabetic foot who attended the Fourth Medical Center of the Chinese PLA General Hospital from May 2023 to March 2024 for semi-structured interviews. Colaizzi 7-step analysis was used to analyze and refine the themes.Results:After collating, analyzing and summarizing the interview data, 3 themes and 9 sub-themes were extracted, namely, behavioral attitudes (lack of self-management awareness due to insufficient cognition, compromising and avoiding psychology restricting self-management behaviors, negative emotions generating and attacking confidence in self-management), subjective norms (lack of healthcare channels increasing the difficulty of accessing healthcare, increased economic burden delaying disease treatment, and poor treatment experience damaging physical and mental health) and perceived behavioral control (accumulation of knowledge to put into practice, experience of multiple management strategies, seeking external help and support) .Conclusions:The home-dwelling elderly patients with diabetic foot have multiple self-management dilemmas. Nursing staff should emphasize the patient's own and objective dilemmas, provide cognitive intervention strategies, multiple coping support, and long-term professional guidance to improve the patients' self-management ability.
