Barriers to diabetic foot care in a disadvantaged population: A qualitative assessment.
Barriers to diabetic foot care in a disadvantaged population: A qualitative assessment.
复制标题
DOI：
10.1016/j.jdiacomp.2020.107688
复制
发表时间：
2020-12
影响因子：
3
通讯作者：
Umpierrez, Guillermo E.
中科院分区：
文献类型：
--
作者：
Fayfman, Maya;Schechter, Marcos C.;Amobi, Chimora N.;Williams, Rebekah N.;Hillman, JoAnna L.;Alam, Muhammad Murtaza;Rajani, Ravi R.;Ziemer, David C.;Kempker, Russell R.;Umpierrez, Guillermo E.
我们利用焦点小组讨论（FGD）的定性方法探讨了这一人群进行适当足部护理的障碍。参与者从佐治亚州亚特兰大的一家安全网医院的诊所招募，并分为两组：糖尿病足溃疡（DFU）和轻微截肢（踝关节以下）。fgd研究的目标是了解患者接受护理的经历：足部护理知识、护理障碍和首选的教育方法。进行调查以补充fgd。40名参与者（90%为黑人）入组。FGDs出现的主要主题是：1患者报告对推荐的足部护理方法有足够的理解；2 .个人自我护理障碍包括缺乏动力、费用高、供应品保险覆盖面差、难以限制适当卸载的活动；医院系统障碍包括难以及时预约和联系提供者安排护理；4 .随着疾病严重程度的提高，获得足部护理相关信息和服务的机会有所改善。与会者强调，机会的改善往往来得太晚，无法改变其进程。他们表示有兴趣发展同伴支持小组，以促进学习和分享与DFU有关的信息。我们发现DFU或轻微截肢患者有足够的足部护理相关知识，但个人和系统障碍限制了适当的足部护理。
We explored barriers to proper foot care in this population using a qualitative approach with focus group discussions (FGD). Participants were recruited from clinics at a safety-net hospital in Atlanta, Georgia and stratified into two groups: diabetic foot ulcer (DFU) and minor amputation (below ankle). The FGDs addressed patient experience in receiving care with a goal of understanding:foot care knowledge,barriers to care, and preferred educational methods. Surveys were performed to supplement FGDs. Forty participants (90% Black) were enrolled. Dominant themes emerging from FGDs were: 1-Patients reported adequate understanding of recommended foot care practices; 2-Personal barriers to self-care included lack of motivation, high cost, poor insurance coverage of supplies, and difficulty limiting activity for proper offloading; 3-Hospital system barriers included difficulty making timely appointments and reaching a provider to arrange care; 4-Access to footcare-related information and services improved with greater disease severity. Participants stressed that improved access often came too late to alter their course. They expressed interest in developing peer support groups to facilitate learning and sharing information relating to DFU. We found that patients with DFU or minor amputations have adequate footcare-related knowledge, but personal and systemic barriers limited appropriate foot care.
登录
查看更多内容
影响因子：
0.7
作者：
Monami, Matteo;Longo, Rosella;Mannucci, Edoardo
通讯作者：
Mannucci, Edoardo
影响因子：
4.3
作者：
Feinglass, J;Rucker-Whitaker, C;Pearce, WH
通讯作者：
Pearce, WH
影响因子：
16.2
作者：
Lavery, LA;Ashry, HR;Basu, S
通讯作者：
Basu, S
影响因子：
3.9
作者：
Carpenter, Christopher J.
通讯作者：
Carpenter, Christopher J.
DOI：
10.1016/s0889-8529(02)00021-x
发表时间：
2002-09-01
影响因子：
4.5
作者：
Valk, GD;Kriegsman, DMW;Assendelft, WJJ
通讯作者：
Assendelft, WJJ