Evidence map›Paper›PMID 41913179›Full record

ArticleBMC nursing2026

Multilevel influences on family caregiver burden in diabetic foot ulcer care: a qualitative study.

Yue Li, Huiren Zhuang, Yili Gao, Qiaoyun Yan, Lin Du, Yanni Hu, Zhifang Zhao, Ruohan Lin, Caiya Liang, Yina Xiao and 2 more

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yue Li *Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Huiren Zhuang *Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Yili GaoShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Qiaoyun YanShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Lin DuShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Yanni HuShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Zhifang ZhaoLi Qi Dressing Room, Shanghai Second People's Hospital, Shanghai, China.
Ruohan LinWound Clinic, Shanghai Yangsi Hospital, Shanghai, China.
Caiya LiangDepartment of Endocrinology, Hainan General Hospital, Hainan, China.
Yina XiaoDepartment of Nursing, Jinyang Community Health Service Center, Pudong New Area, Shanghai, China.
Zheng GuanSchool of Medicine, Tongji University, Shanghai, China.
Haiping YuDepartment of Nursing, Pudong Gongli Hospital, Shanghai University of Medicine & Health Sciences, Shanghai, China. pingping670@sina.com.

Funding

Academic Leaders Training Program of Shanghai Pudong New Area Health Commission Grant No.PWRd2022-16Health Science and Technology Project of Pudong New Area Health Commission Grant No.PW2023A-09Shanghai East Hospital Angel Program DFTS-2247
6 · The paper itself

Abstract

aimTo explore multilevel determinants of caregiver burden in the care of people with diabetic foot ulcers in China and guide culturally relevant support in non-Western settings.

methodsSixteen family caregivers of patients with diabetic foot ulcers were purposively recruited from four medical institutions in Shanghai. Data were collected through semi-structured interviews and analyzed using hybrid thematic analysis framed by the Social Ecological Model. Reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ).

resultsFour themes and twelve subthemes were identified: (1) Individual Capacities and Internal Struggles; (2) Interpersonal Strain and Social Support Challenges; (3) Health System Deficiencies and Access Barriers; (4) Policy Limitations and Cultural Burden .

conclusionsCaregiver burden in care of patients with diabetic foot ulcers is influenced by personal, family, institutional, and cultural factors. Context-sensitive approaches that integrate system reforms, community support, and cultural norms are needed, with insights from China informing care strategies in other non-Western settings. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Care burdenCaregivers, familyDiabetic foot ulcerqualitative researchsocial determinants of health

Identifiers

PMID41913179
PMCPMC13289486

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