Qualitative study on promoting and hindering factors of restricting weight-bearing activities in patients with diabetic foot ulcer
10.3760/cma.j.cn211501-20231030-00860
- VernacularTitle:糖尿病足溃疡患者限制负重活动促进与阻碍因素的质性研究
- Author:
Ting PENG
1
;
Jing TAO
;
Qinghua LIU
;
Min GAO
;
Jing ZHANG
Author Information
1. 华中科技大学同济医学院附属同济医院内分泌科，武汉 430030
- Keywords:
Qualitative research;
Diabetic foot;
Restricted weight bearing;
Social ecosystem theory;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2024;40(16):1260-1267
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the experience of weight-bearing restriction in patients with diabetic foot ulcer, and to explore the influencing factors of weight-bearing restriction, so as to provide reference for individualized nursing intervention.Methods:Nineteen patients with diabetic foot ulcer from March to May 2023 in the Department of Endocrinology of Tongji Hospital Affiliate to Tongji Medical College of Huazhong University of Science and Technology were selected by purposive sampling method. Phenomenological research method was adopted to conduct semi-structural interviews on them. Based on the social ecosystem theory, Colaizzi 7-step analysis method was applied to collate and analyze the data.Results:Of the 19 patients interviewed, 12 were males and 7 were females. The age ranged from 45 to 78 years old. The results of the interview showed that the compliance of patients with diabetic foot ulcer was not optimistic, the influencing factors could be summed up into 3 themes and 13 sub-themes, the microscopic systems (daily needs, perceived benefits and risks, entrenched exercise habits, disease status, lack of belief in exercise therapy, stress and guilt), the middle-level system (doctor-nurse-patient trust relationship, health education, appropriate incentives, economic burden, family support), the macro-level system (limited medical resources, insufficient information support). Among them, the ten hindering factors were more than the five promoting factors, the hindrance factors included daily life demands, solidified exercise habit, hypoalgesia caused by peripheral neuropathy change, lack of belief in exercise therapy, stress and guilt, defects in health education, financial burden, insufficient family support, limited medical resources and insufficient information support. The promoting factors included the perception of behavioral benefits and risks, foot pain, doctor-patient trust and proper encouragement, and family support.Conclusions:The compliance of diabetic foot ulcer patients with weight restriction is affected by many factors, and intervention should be made from micro, middle and macro levels to improve the compliance of patients with weight restriction, promote wound healing, improve the quality of life and disease outcomes.
