"When nothing happens, nobody is afraid!" beliefs and perceptions around self-care and health-seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care.

التفاصيل البيبلوغرافية
العنوان:	"When nothing happens, nobody is afraid!" beliefs and perceptions around self-care and health-seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care.
المؤلفون:	Zhu X; Nursing Services, National Healthcare Group Polyclinics, Singapore., Lee M; Health Outcomes and Medical Education Research, National Healthcare Group, Singapore., Chew EA; Clinical Research Unit, National Healthcare Group Polyclinics, Singapore., Goh LJ; Nursing Services, National Healthcare Group Polyclinics, Singapore., Dong L; Nursing Services, National Healthcare Group Polyclinics, Singapore., Bartlam B; Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
المصدر:	International wound journal [Int Wound J] 2021 Dec; Vol. 18 (6), pp. 850-861. Date of Electronic Publication: 2021 May 06.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Blackwell Pub Country of Publication: England NLM ID: 101230907 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1742-481X (Electronic) Linking ISSN: 17424801 NLM ISO Abbreviation: Int Wound J Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Oxford : Blackwell Pub., c2004-
مواضيع طبية MeSH:	Diabetes Mellitus* , Diabetic Foot*/surgery, Amputation, Surgical ; Health Behavior ; Humans ; Lower Extremity/surgery ; Patient Acceptance of Health Care ; Perception ; Primary Health Care ; Self Care
مستخلص:	Self-management and self-care are the cornerstone of diabetes care and an essential part of successfully preventing or delaying diabetes complications. Yet, despite being armed with the required information and guidance for self-management, self-care and adherence to foot self-care recommendations and compliance to medication among patients with diabetic foot ulcer and diabetic lower extremity amputations remain low and suboptimal. This study reveals in-depth account of nine such patients' beliefs and perceptions around their illness, their self-care, and their health-seeking behaviours. Patients living with diabetic lower extremity amputation displayed profound lack of knowledge of self-care of diabetes and foot and passive health-related behaviours. The overarching sense that "when nothing happens, nobody is afraid," points to a lack of motivation in taking charge of one's own health, whether this is with reference to treatment or care adherence, following recommended self-care advice, or seeking timely treatment. The Health Beliefs Model provides the theoretical framework for probing into the factors for the participants' suboptimal self-care and passive health-seeking behaviours. Two themes emerged from data analysis: profound knowledge deficit and passive health-related behaviours. The beliefs and perceptions around self-care and health-seeking behaviours for patients with lower extremity amputation are interpreted as the "ignorant self" with passive health-seeking behaviours. Patients with diabetes and diabetic foot diseases may benefit from personalized education, motivational interviewing, and family support. (© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.)
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معلومات مُعتمدة:	Ref 002 Centre for Primary Health Care Research and Innovation, a partnership between the Lee Kong Chian School of Medicine, Nanyang Technological University Singapore and the National Healthcare Group Singapore.
فهرسة مساهمة:	Keywords: amputation; diabetic foot ulcer; health-seeking; perceptions; self-care
تواريخ الأحداث:	Date Created: 20210506 Date Completed: 20211126 Latest Revision: 20231108
رمز التحديث:	20231108
مُعرف محوري في PubMed:	PMC8613372
DOI:	10.1111/iwj.13587
PMID:	33955156
قاعدة البيانات:	MEDLINE

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تدمد:	1742-481X
DOI:	10.1111/iwj.13587