Psychology Research Centre (CIPsi), University of Minho, Braga, Portugal.
School of Psychology, Department of Applied Psychology, University of Minho, Campus de Gualtar, Braga, 4710-057, Portugal.
J Foot Ankle Res. 2023 Feb 6;16(1):3. doi: 10.1186/s13047-022-00592-x.
The present study aimed to assess the perceptions of patients with chronic diabetic foot ulcers (DFUs) and their family caregivers regarding the impact of two stress reduction interventions on DFU and psychological wellbeing. The intervention included progressive muscle relaxation and hypnosis sessions.
This study used a qualitative exploratory design and included individual interviews with eight patients with chronic DFUs and six family caregivers, using a semi-structured interview guide. Transcript analysis employed thematic content analysis.
Four key themes common to patients and their caregivers were found: 1) perspectives regarding the intervention; 2) intervention effectiveness; 3) perceived importance of psychology in the DFU treatment; and 4) emotional consequences associated with DFUs. Although themes were common to both intervention groups, sub-themes from the last two themes differed for patients that received muscle relaxation versus those who received hypnosis.
Patients and caregivers reported perceived benefits from both interventions, regarding DFU healing and emotional wellbeing. Patients who received hypnosis and their caregivers also reported lasting effects. Participants suggested that psychological interventions such as stress reduction interventions could be included in the DFU standard treatment as an adjuvant to the clinical protocol for DFU treatment, preferably offered early on, when patients begin treatment at the diabetic foot consultation.
本研究旨在评估慢性糖尿病足溃疡（DFU）患者及其家属照顾者对两种减压干预措施对 DFU 和心理福祉影响的看法。干预措施包括渐进性肌肉放松和催眠课程。
本研究采用定性探索性设计，对 8 名慢性 DFU 患者和 6 名家庭照顾者进行了个体访谈，使用半结构化访谈指南。转录分析采用主题内容分析。
发现了患者及其照顾者共有的四个关键主题：1）对干预的看法；2）干预效果；3）心理在 DFU 治疗中的重要性；4）与 DFU 相关的情绪后果。尽管两个干预组都有共同的主题，但接受肌肉放松的患者和接受催眠的患者的后两个主题的子主题有所不同。
患者和照顾者报告称，两种干预措施都对 DFU 愈合和情绪健康有明显益处。接受催眠的患者及其照顾者也报告了持久的效果。参与者建议，减压干预等心理干预措施可以作为 DFU 治疗临床方案的辅助手段纳入 DFU 标准治疗中，最好在患者开始在糖尿病足咨询处接受治疗时尽早提供。
