Autocuidado de los pies en personas con diabetes tipo 2. Un estudio cualitativo

IF 0.7 Q4 NURSING Enfermeria Clinica Pub Date : 2023-05-01 DOI:10.1016/j.enfcli.2023.01.016
María Isabel Bonilla-Carrasco , Elisabeth Rasero-Fernández , Mariela Aguayo-González , Sabiniana San Rafael-Gutiérrez
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引用次数: 2

Abstract

Objective

To understand the experiences of adults over 65 years of age with type 2 diabetes mellitus, regarding foot self-care.

Method

Qualitative phenomenological study with a descriptive approach. It is carried out in the facilities of the Primary Care Center of Les Planes de Sant Joan Despí, Barcelona, belonging to the Catalan Institute of Health. For the data collection, a semi-structured and individual interview was used, with a script of basic aspects to be explored, not closed and focused on the objectives of the research. The interviews were carried out between June 2019 and December 2020. A thematic analysis was carried out concomitantly with the collection of these.

Results

A final sample of 13 persons (4 men and 9 women) participated in the study. Adherence to diabetic foot self-care recommendations is irregular. Participants explain risky behaviors despite knowing that they can cause injury to feet previously considered high risk. The evaluation of the podiatrist supposes an economic cost that some people cannot afford.

Conclusions

The nurse has to do an exhaustive follow-up of how persons with diabetes take care of her feet, insisting on preventive recommendations not only in the annual review but every time the person attends the diabetes follow-up consultation. Effective nurse-podiatrist communication is needed to improve prevention and follow-up of people at risk of diabetic foot disease.

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2型糖尿病患者的足部自我护理。定性研究
目的了解65岁以上成人2型糖尿病患者足部自我护理的经验。方法采用描述性方法进行定性现象学研究。它是在巴塞罗那圣琼飞机Despí初级保健中心的设施中进行的,该中心属于加泰罗尼亚卫生研究所。对于数据收集,使用了半结构化和个人访谈,其中包含要探索的基本方面的脚本,而不是封闭的,并专注于研究的目标。这些采访是在2019年6月至2020年12月期间进行的。在收集这些资料的同时,还进行了专题分析。结果最终共13人(男4人,女9人)参与研究。坚持糖尿病足自我保健建议是不规律的。参与者解释了危险行为,尽管他们知道这些行为会导致先前被认为是高风险的足部受伤。足病医生的评估假设了一些人无法承受的经济成本。结论:护士必须对糖尿病患者的足部护理情况进行详尽的随访,不仅在年度检查中,而且在患者每次参加糖尿病随访咨询时,坚持提出预防性建议。需要有效的护士-足科医生沟通,以改善糖尿病足病风险人群的预防和随访。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
74
期刊介绍: Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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