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下肢截肢后糖尿病患者的生活方式调整:一项定性研究。

Lifestyle Adjustments in Diabetic Individuals Following Lower Extremity Amputations: A Qualitative Study.

作者信息

Atinga Ba-Etilayoo, Henyo Albert, Addah Graham, Ayamga Christiana A, Perekuu Tulukuu

机构信息

Anatomy and Nursing, University of Energy and Natural Resources, Sunyani, GHA.

Nursing, University of Energy and Natural Resources, Sunyani, GHA.

出版信息

Cureus. 2024 Dec 22;16(12):e76188. doi: 10.7759/cureus.76188. eCollection 2024 Dec.

DOI:10.7759/cureus.76188
PMID:39840155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749097/
Abstract

BACKGROUND

Diabetes mellitus (DM) often leads to lower extremity amputations when poorly managed. Managing DM in Ghana is difficult due to limited access to diabetic care, low public awareness, and a strong reliance on religious beliefs and traditional medicine.

AIM

This study examined the lifestyle changes of patients after lower limb amputation at Sunyani Teaching Hospital (STH) in Ghana, using the biopsychosocial model.

METHODS

Semi-structured interviews were conducted on eight diabetic individuals who had undergone amputations at STH, Ghana. The study was conducted from March 2024 to May 2024.

RESULTS

The results showed that diabetic individuals with lower limb amputation face various physical, psychological, social, and economic challenges after lower limb amputation, often depending on family support for emotional and practical help. When this support is weak, it can lead to further complications, including death.

CONCLUSION

The study concludes that improving the quality of life for diabetic patients with lower limb amputation in Ghana requires a comprehensive approach to post-amputation care, focusing on physical rehabilitation, emotional support, and social integration. Nurses and other healthcare professionals play a key role in this process by providing ongoing education and emotional support and working closely with patients' families and communities.

摘要

背景

糖尿病(DM)管理不善时往往会导致下肢截肢。在加纳,由于糖尿病护理服务获取有限、公众意识淡薄以及对宗教信仰和传统医学的严重依赖,糖尿病管理面临困难。

目的

本研究采用生物心理社会模型,调查了加纳苏尼亚尼教学医院(STH)下肢截肢患者术后的生活方式变化。

方法

对在加纳STH接受截肢手术的8名糖尿病患者进行了半结构化访谈。该研究于2024年3月至2024年5月进行。

结果

结果显示,下肢截肢的糖尿病患者在截肢后面临各种身体、心理、社会和经济挑战,往往依赖家庭提供情感和实际帮助。当这种支持薄弱时,可能会导致进一步的并发症,包括死亡。

结论

该研究得出结论,提高加纳下肢截肢糖尿病患者的生活质量需要采取全面的截肢后护理方法,重点是身体康复、情感支持和社会融入。护士和其他医疗保健专业人员通过提供持续教育和情感支持,并与患者家庭和社区密切合作,在这一过程中发挥关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/271e2f00a884/cureus-0016-00000076188-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/ed0e5770e9f4/cureus-0016-00000076188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/1a6320fa3dce/cureus-0016-00000076188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/271e2f00a884/cureus-0016-00000076188-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/ed0e5770e9f4/cureus-0016-00000076188-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/1a6320fa3dce/cureus-0016-00000076188-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97a7/11749097/271e2f00a884/cureus-0016-00000076188-i03.jpg

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Disabil Rehabil Assist Technol. 2025 Jan;20(1):201-210. doi: 10.1080/17483107.2024.2362248. Epub 2024 Jul 1.
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Experiences of persons with lower limb amputation after prosthetic rehabilitation in Ghana: A qualitative inquiry.加纳下肢截肢者在假肢康复后的体验:一项定性研究。
Prosthet Orthot Int. 2024 Jun 1;48(3):329-336. doi: 10.1097/PXR.0000000000000264. Epub 2023 Aug 23.
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Quality of Life and Life after Amputation among Amputees in Lagos, Nigeria.
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J West Afr Coll Surg. 2023 Jul-Sep;13(3):71-76. doi: 10.4103/jwas.jwas_28_23. Epub 2023 Jun 27.
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Factors influencing access to and participation in rehabilitation for people with lower limb amputation in East, South, and Southeast Asian developing countries: the perspective of rehabilitation professionals - a qualitative study.影响东亚、南亚和东南亚发展中国家下肢截肢者获得康复服务和参与康复的因素:康复专业人员的观点——一项定性研究。
Disabil Rehabil. 2024 May;46(10):2097-2116. doi: 10.1080/09638288.2023.2217383. Epub 2023 Jun 5.
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Int J Orthop Trauma Nurs. 2022 Jul;46:100958. doi: 10.1016/j.ijotn.2022.100958. Epub 2022 Jul 7.
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The lived experience of people with upper limb absence living in Uganda: A qualitative study.乌干达上肢缺失者的生活经历:一项定性研究。
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