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Diabetic persons with foot ulcers and their perceptions of hyperbaric oxygen chamber therapy
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- Hjelm, Katarina, 1958- (author)
- Växjö universitet,Institutionen för vårdvetenskap och socialt arbete,Department of Community Medicine, University of Lund, Lund, Sweden
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- Löndahl, Magnus (author)
- Lund University,Lunds universitet,Medicin, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diabetes - immunovirologi,Forskargrupper vid Lunds universitet,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Diabetes - Immunovirology,Lund University Research Groups,Department of Endocrinology and Diabetes, Lund University Hospital, Lund, Sweden
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- Katzman, Per (author)
- Lund University,Lunds universitet,Medicin, Lund,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Medicine, Lund,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Endocrinology and Diabetes, Lund University Hospital, Lund, Sweden
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- (creator_code:org_t)
- Malden, MA, USA : Blackwell Publishing, 2009
- 2009
- English.
- In: Journal of Clinical Nursing. - Malden, MA, USA : Blackwell Publishing. - 0962-1067 .- 1365-2702. ; 18:14, s. 1975-1985
- Journal article (peer-reviewed)
Abstract
Subject headings
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- To our knowledge there are no patients" evaluations of diabetes care in a high-technology area like the hyperbaric oxygen chamber. The burden on persons with diabetic foot complications might be increased if adjuvant therapy with hyperbaric oxygen therapy (HBOT) within a locked airtight vessel is given. Aim: To elucidate how diabetic patients with limb-threatening foot lesions perceive and evaluate content and organisation of treatment in a multi-place hyperbaric oxygen chamber. Design/participants: An explorative study. Participants were included in the HODFU study, a prospective randomised double-blind study, designed to evaluate whether HBOT heals more chronic foot ulcers than placebo treatment with hyperbaric air. Six females and 13 males, aged 44-83 years (Md 70), with diabetic foot ulcers, participated. Method: Focus-group interviews were held by an external evaluator. Results: Management was perceived as well-functioning with competent staff delivering quick treatment in a positive manner and in good co-operation. HBOT sessions, in groups, were described as unproblematic and pleasant, through sharing experiences with others, although time-consuming and tiring. Recognising the responsible physician and communication with other physicians in the health-care chain was perceived as problematic. Placebo treatment, when given, did not reveal any problems; many perceived HBOT as the last resort and respondents had a negative view of future health and expressed fears of new wounds and amputation. Conclusions and implications: From patients" perspective HBOT in the delivered health-care model was perceived as well-functioning, taking into consideration both technical and relational aspects of care in this high-technology environment. Communication with the patient and between different care givers, with a consistent message given and information about who is responsible and to whom one should turn, wherever treated, is the most crucial aspect of the model. Future fears need to be recognised and group interaction can be encouraged to share the burden of disease.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Keyword
- diabetes foot
- evaluation
- high-technology care
- hyperbaric oxygen therapy
- patient-centred care
- Nursing
- Omvårdnad
- Vårdvetenskap
- Caring Science
- evaluation
- high-technology care
- hyperbaric oxygen
- therapy
- patient-centred care
- patient-focused
- diabetes foot
Publication and Content Type
- ref (subject category)
- art (subject category)
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