Federal Medical Centre, Abeokuta, Nigeria.
College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1945206. doi: 10.1080/17482631.2021.1945206.
Delay in reporting foot symptoms in patients with diabetes to health-care professionals is said to be responsible for limb amputation. While reasons for these delays have been investigated elsewhere, they are not well documented in Nigeria. This study explored the causes of delayed presentation in a Nigerian sample of patients with diabetic foot ulcers.
The study followed an explorative qualitative design in which the lived experience of eight participants with diabetes were explored. The participants completed in-depth interviews which were digitally audio-recorded and transcribed verbatim. Data were analysed thematically using deductive reasoning.
The study identified four themes which included knowledge and awareness of foot challenges, risk perception, health seeking triggers and behaviours and competing priority as the factors responsible for delay in presentation of diabetic foot complications.
Limited knowledge and awareness and negative health seeking behaviours including self-management and consultation of traditionalists were the major reasons for delays.
据称，糖尿病患者向医疗保健专业人员报告足部症状的延迟是导致截肢的原因。虽然其他地方已经研究了这些延迟的原因，但在尼日利亚，这些原因并没有很好地记录下来。本研究探讨了尼日利亚糖尿病足溃疡患者样本中延迟出现的原因。
该研究采用探索性定性设计，探讨了 8 名糖尿病患者的生活体验。参与者完成了深入的访谈，这些访谈被数字录音并逐字转录。使用演绎推理对数据进行主题分析。
该研究确定了四个主题，包括对足部挑战的知识和意识、风险感知、寻求医疗的触发因素和行为以及竞争优先级，这些是导致糖尿病足并发症出现延迟的因素。
有限的知识和意识以及包括自我管理和传统主义者咨询在内的消极健康寻求行为是导致延迟的主要原因。
