ArticleJournal of advanced nursing2022
The patient's perspective of diabetic foot ulceration: A phenomenological exploration of causes, detection and care seeking.
Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- How Do Poverty, Insurance, and Government Assistance Impact Diabetic Foot Ulcer Outcomes? A Scoping Review.Diabetes/metabolism research and reviews · 2026Article
- Advice From Patients to Improve Diabetic Foot Ulcer Management and Amputation Prevention.International wound journal · 2026Article
- Misconceptions and health-seeking behavior among diabetic patients regarding foot ulcers: the hidden role of circulatory awareness in preventing amputation.Frontiers in public health · 2026Article
- Information Quality Requirements for AI-Generated Patient Education Materials in Diabetic Foot Ulcer Care: A Directed Qualitative Content Analysis of Patient and Nurse Perspectives.Patient preference and adherence · 2026Article
- Correlation of anxiety and depression with pain in patients with diabetic foot ulcers and analysis of risk factors.World journal of psychiatry · 2025Article
- Delayed treatment of diabetic foot ulcer in patients with type 2 diabetes and its prediction model.World journal of diabetes · 2024Article
- Psychosocial markers of pre-hospital delay in patients with diabetic foot: A cross-sectional survey.Nursing open · 2024Article
- Development and Validation of the Healthcare-Seeking Intention Questionnaire in Patients with Diabetic High-Risk Foot.Patient preference and adherence · 2024Article
- Using the National Institute on Minority Health and Health Disparities framework to better understand disparities in major amputations.Seminars in vascular surgery · 2023Review
- A vicious cycle: employment challenges associated with diabetes foot ulcers in an economically marginalized Southwest US sample.Frontiers in clinical diabetes and healthcare · 2023Article
- A qualitative study of barriers to care-seeking for diabetic foot ulceration across multiple levels of the healthcare system.Journal of foot and ankle research · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
aimsDiabetic foot ulceration can contribute to lowered life expectancy and quality of life for people with diabetes, and yet, scant attention has been given to improving preventive and educational measures. This article uses a phenomenological approach to explore individuals' lived experiences of diabetic foot ulcerations to explore factors that can be harnessed to achieve improved outcomes.
designThis was a qualitative study using semi-structured interviews grounded in a phenomenological framework to explore how patients perceive and understand their foot problems.
methodsStudy participants were recruited from February 2020 to February 2021 from a tertiary referral centre that treats foot problems in persons with diabetes. A total of 15 Hispanic, Native American and White patients participated in the study. We conducted in-depth semi-structured interviews which were audio recorded with the participant's consent. Interview data were transcribed and analysed with Dedoose data management software.
resultsAnalysis revealed findings in two primary domains: (1) how patients perceive foot ulceration, with themes around limited understandings of foot ulceration, close sensory observation of foot problems and barriers to ulcer perception and (2) how patients experience the timing of foot ulceration, with themes on how time perceptions shifted as foot problems became more serious, which correlated closely to how patients responded to their foot problems.
conclusionDespite the close sensory observation of their feet, people with diabetes face an array of barriers to recognizing and understanding the implications of diabetic foot ulceration, which can lead to delayed care seeking. Nurses can play a critical role in promoting patient education and improving patient self-management of foot ulcers. IMPACT: This phenomenological study offers important lessons to guide nurses and other providers in enhancing patient self-management of DFUs and improving care outcomes by expanding an understanding of DFU early warning signs, the imperative to seek medical care quickly, and addressing possible barriers.
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