دورية أكاديمية
"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.
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. |
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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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