Management of diabetic foot disease and amputation in the Irish health system: a qualitative study of patients' attitudes and experiences with health services.

Hdl Handle:
http://hdl.handle.net/10147/559166
Title:
Management of diabetic foot disease and amputation in the Irish health system: a qualitative study of patients' attitudes and experiences with health services.
Authors:
Delea, Sarah; Buckley, Claire; Hanrahan, Andrew; McGreal, Gerald; Desmond, Deirdre; McHugh, Sheena
Citation:
Management of diabetic foot disease and amputation in the Irish health system: a qualitative study of patients' attitudes and experiences with health services. 2015, 15:251 BMC Health Serv Res
Publisher:
BMC health services research
Journal:
BMC health services research
Issue Date:
1-Jul-2015
URI:
http://hdl.handle.net/10147/559166
DOI:
10.1186/s12913-015-0926-9
PubMed ID:
26129712
Abstract:
Diabetes is an increasingly prevalent chronic illness that places a huge burden on the individual, the health system and society. Patients with active foot disease and lower limb amputations due to diabetes have a significant amount of interaction with the health care services. The purpose of this study was to explore the attitudes and experiences of foot care services in Ireland among people with diabetes and active foot disease or lower limb amputations.; A purposive sample of individuals who had either active foot disease or a lower limb amputation as a result of diabetes were recruited from the Prosthetic, Orthotic and Limb Absence Rehabilitation (POLAR) Unit of an Irish hospital. One-to-one interviews were conducted in the POLAR unit using a semi-structured topic guide. Thematic analysis was used to identify, analyse and describe patterns within the data.; Ten males participated in the study. Most participants expressed a need for emotional support alongside the medical management of their condition. There were substantial differences between participants with regard to the level of education and information they appeared to have received regarding their illness. There were also variations in levels of service received. Transport and medication costs were considered barriers. Having a medical card, which entitles the holder to free medical care, eased the burden of the patient's illness. A number of participants attributed some of the problems they faced with services to the health care system as a whole rather than health care professionals.; Results suggest that rehabilitation services should place a strong focus on psychological as well as physical adjustment to active foot disease or lower limb amputations. The delivery of services needs to be standardised to ensure equal access to medical care and supplies among people with or at risk of lower extremity amputations. The wider social circumstances of patients should be taken into consideration by health care professionals to provide effective support while patients adjust to this potentially life changing complication. The patient's perspective should also be used to inform health service managers and health professionals on ways to improve services.
Item Type:
Article
Language:
en
Description:
Diabetes is an increasingly prevalent chronic illness that places a huge burden on the individual, the health system and society. Patients with active foot disease and lower limb amputations due to diabetes have a significant amount of interaction with the health care services. The purpose of this study was to explore the attitudes and experiences of foot care services in Ireland among people with diabetes and active foot disease or lower limb amputations.
Keywords:
DIABETES MELLITUS; AMPUTATION; HEALTH SERVICES; PATIENT ATTITUDES
ISSN:
1472-6963

Full metadata record

DC FieldValue Language
dc.contributor.authorDelea, Sarahen
dc.contributor.authorBuckley, Claireen
dc.contributor.authorHanrahan, Andrewen
dc.contributor.authorMcGreal, Geralden
dc.contributor.authorDesmond, Deirdreen
dc.contributor.authorMcHugh, Sheenaen
dc.date.accessioned2015-07-07T14:45:36Zen
dc.date.available2015-07-07T14:45:36Zen
dc.date.issued2015-07-01en
dc.identifier.citationManagement of diabetic foot disease and amputation in the Irish health system: a qualitative study of patients' attitudes and experiences with health services. 2015, 15:251 BMC Health Serv Resen
dc.identifier.issn1472-6963en
dc.identifier.pmid26129712en
dc.identifier.doi10.1186/s12913-015-0926-9en
dc.identifier.urihttp://hdl.handle.net/10147/559166en
dc.descriptionDiabetes is an increasingly prevalent chronic illness that places a huge burden on the individual, the health system and society. Patients with active foot disease and lower limb amputations due to diabetes have a significant amount of interaction with the health care services. The purpose of this study was to explore the attitudes and experiences of foot care services in Ireland among people with diabetes and active foot disease or lower limb amputations.en
dc.description.abstractDiabetes is an increasingly prevalent chronic illness that places a huge burden on the individual, the health system and society. Patients with active foot disease and lower limb amputations due to diabetes have a significant amount of interaction with the health care services. The purpose of this study was to explore the attitudes and experiences of foot care services in Ireland among people with diabetes and active foot disease or lower limb amputations.en
dc.description.abstractA purposive sample of individuals who had either active foot disease or a lower limb amputation as a result of diabetes were recruited from the Prosthetic, Orthotic and Limb Absence Rehabilitation (POLAR) Unit of an Irish hospital. One-to-one interviews were conducted in the POLAR unit using a semi-structured topic guide. Thematic analysis was used to identify, analyse and describe patterns within the data.en
dc.description.abstractTen males participated in the study. Most participants expressed a need for emotional support alongside the medical management of their condition. There were substantial differences between participants with regard to the level of education and information they appeared to have received regarding their illness. There were also variations in levels of service received. Transport and medication costs were considered barriers. Having a medical card, which entitles the holder to free medical care, eased the burden of the patient's illness. A number of participants attributed some of the problems they faced with services to the health care system as a whole rather than health care professionals.en
dc.description.abstractResults suggest that rehabilitation services should place a strong focus on psychological as well as physical adjustment to active foot disease or lower limb amputations. The delivery of services needs to be standardised to ensure equal access to medical care and supplies among people with or at risk of lower extremity amputations. The wider social circumstances of patients should be taken into consideration by health care professionals to provide effective support while patients adjust to this potentially life changing complication. The patient's perspective should also be used to inform health service managers and health professionals on ways to improve services.en
dc.language.isoenen
dc.publisherBMC health services researchen
dc.rightsArchived with thanks to BMC health services researchen
dc.subjectDIABETES MELLITUSen
dc.subjectAMPUTATIONen
dc.subjectHEALTH SERVICESen
dc.subjectPATIENT ATTITUDESen
dc.titleManagement of diabetic foot disease and amputation in the Irish health system: a qualitative study of patients' attitudes and experiences with health services.en
dc.typeArticleen
dc.identifier.journalBMC health services researchen

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