Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care
Diabetes mellitus (DM) is a serious threat to global health and diabetic foot ulcers (DFU) remains one of the most common complications of DM1 affecting around 20 million people annually.2 DFUs are complex to treat, take months or years to heal, and the recurrence rates remain high up to 40% within...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Language: | English |
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2023
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| Online Access: | https://hdl.handle.net/10356/169091 |
| _version_ | 1824454238781046784 |
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| author | Zhu, Xiaoli Lee, Eng Sing Lim, Phoebe X. H. Chen, Yee Chui Chan, Frederick H. F. Griva, Konstadina |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Zhu, Xiaoli Lee, Eng Sing Lim, Phoebe X. H. Chen, Yee Chui Chan, Frederick H. F. Griva, Konstadina |
| author_sort | Zhu, Xiaoli |
| collection | NTU |
| description | Diabetes mellitus (DM) is a serious threat to global health and diabetic foot ulcers (DFU) remains one of the most common complications of DM1 affecting around 20 million people annually.2 DFUs are complex to treat, take months or years to heal, and the recurrence rates remain high up to 40% within 1 year of healing.3 People with DFUs are at risk of prolonged healing times and hospitalisation, reduced quality of life4, 5 and higher five-year mortality rates.3 Moreover, DFU is a causal factor for up to 85% of patients with diabetes who subsequently undergo lower extremity amputation3, 6 and is a leading cause of global disability.2 Singapore has the highest rate of diabetic lower extremity amputation (DLEA) in the world7 because of DFU and the trend is increasing.8 Additionally, DFU is a substantial clinical and economic burden to health systems in Singapore with escalating healthcare costs corresponding to more proximal amputation levels and high re-admission rates.9 Thus, understanding barriers to managing DFU is vital for improving patient care. |
| first_indexed | 2025-02-19T03:19:08Z |
| format | Journal Article |
| id | ntu-10356/169091 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2025-02-19T03:19:08Z |
| publishDate | 2023 |
| record_format | dspace |
| spelling | ntu-10356/1690912023-07-02T15:37:25Z Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care Zhu, Xiaoli Lee, Eng Sing Lim, Phoebe X. H. Chen, Yee Chui Chan, Frederick H. F. Griva, Konstadina Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Diabetic Foot Ulcers Self-Management Diabetes mellitus (DM) is a serious threat to global health and diabetic foot ulcers (DFU) remains one of the most common complications of DM1 affecting around 20 million people annually.2 DFUs are complex to treat, take months or years to heal, and the recurrence rates remain high up to 40% within 1 year of healing.3 People with DFUs are at risk of prolonged healing times and hospitalisation, reduced quality of life4, 5 and higher five-year mortality rates.3 Moreover, DFU is a causal factor for up to 85% of patients with diabetes who subsequently undergo lower extremity amputation3, 6 and is a leading cause of global disability.2 Singapore has the highest rate of diabetic lower extremity amputation (DLEA) in the world7 because of DFU and the trend is increasing.8 Additionally, DFU is a substantial clinical and economic burden to health systems in Singapore with escalating healthcare costs corresponding to more proximal amputation levels and high re-admission rates.9 Thus, understanding barriers to managing DFU is vital for improving patient care. Nanyang Technological University Published version Centre for Primary Health Care Research and Innovation,a partnership between the Lee Kong Chian School ofMedicine, Nanyang Technological University Singapore,and the National Healthcare Group Singapore, Grant/Award Number: Ref No. 7.1/008. 2023-06-28T08:35:55Z 2023-06-28T08:35:55Z 2023 Journal Article Zhu, X., Lee, E. S., Lim, P. X. H., Chen, Y. C., Chan, F. H. F. & Griva, K. (2023). Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care. International Wound Journal. https://dx.doi.org/10.1111/iwj.14153 1742-4801 https://hdl.handle.net/10356/169091 10.1111/iwj.14153 36970982 2-s2.0-85150939472 en 7.1/008 International Wound Journal © 2023 The Authors. International Wound Journal published by Medical helplines.com Inc and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. application/pdf |
| spellingShingle | Science::Medicine Diabetic Foot Ulcers Self-Management Zhu, Xiaoli Lee, Eng Sing Lim, Phoebe X. H. Chen, Yee Chui Chan, Frederick H. F. Griva, Konstadina Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title | Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title_full | Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title_fullStr | Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title_full_unstemmed | Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title_short | Exploring barriers and enablers of self-management behaviours in patients with diabetic foot ulcers: A qualitative study from the perceptions of patients, caregivers, and healthcare professionals in primary care |
| title_sort | exploring barriers and enablers of self management behaviours in patients with diabetic foot ulcers a qualitative study from the perceptions of patients caregivers and healthcare professionals in primary care |
| topic | Science::Medicine Diabetic Foot Ulcers Self-Management |
| url | https://hdl.handle.net/10356/169091 |
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