Idevania G. Costa, PhD, RN, NSWOC, School of Nursing, Lakehead University, Thunder Bay, Ontario, Canada.
Deborah Tregunno, PhD, RN, School of Nursing, Queen's University, Kingston, Ontario, Canada.
J Wound Ostomy Continence Nurs. 2022;49(5):481-487. doi: 10.1097/WON.0000000000000913.
The purpose of this study was to explore patients' perception of reasons contributing to delay in seeking help and referral to a wound care specialist at the onset of a diabetic foot ulcer (DFU).
Constructivist grounded theory study.
The sample comprised 30 individuals with active DFU attending a wound care clinic in southeastern Ontario, Canada.
Participants were selected through purposive and theoretical sampling. Semistructured interviews were conducted with participants until no new properties of the patterns emerged. All interviews were transcribed, coded, and analyzed using methods informed by constructivist grounded theory.
The reasons contributing to delay to seek help and referral to a wound care specialist were (1) limited knowledge about foot care, (2) unaware of diabetic foot problems, (3) underestimation of ulcer presentation, (4) I thought I could fix it myself, (5) inaccurate diagnosis, and (6) trial and error approach by a nonspecialized wound care provider.
Study findings suggest that patients and primary healthcare providers need additional education regarding the management of diabetic foot disease and DFU.
本研究旨在探讨患者在糖尿病足溃疡（DFU）发病时延迟寻求帮助和转介至伤口护理专家的原因。
建构主义扎根理论研究。
样本包括 30 名在加拿大安大略省东南部的伤口护理诊所就诊的活动性 DFU 患者。
通过目的性和理论性抽样选择参与者。对参与者进行半结构化访谈，直到模式中没有出现新的属性。使用建构主义扎根理论方法对所有访谈进行转录、编码和分析。
导致延迟寻求帮助和转介至伤口护理专家的原因包括：（1）足部护理知识有限，（2）对糖尿病足问题缺乏认识，（3）低估溃疡表现，（4）我以为自己可以自行处理，（5）不准确的诊断，以及（6）非专业伤口护理提供者的尝试错误方法。
研究结果表明，患者和初级保健提供者需要接受更多关于糖尿病足疾病和 DFU 管理的教育。
