The care process of diabetic foot ulcer patients: a qualitative study in Iran

Abstract

Background: The Purpose of this study is to clarify the care process for Iranian diabetic patients with diabetic foot ulcer condition.

Methods: The main question of this research was "How is the care process for diabetic foot ulcer patients and how do patients experience it?" This study was within the Grounded Theory method. Data collection was carried out until data saturation was achieved. Saturation was achieved after interviewing 11 patients, 4 physicians, one head nurse and one nurse.

Results: Three main themes emerged from this study, including: "disease management, disease experience and continuity of care". Each of these themes is consisted of different sub-themes.

Conclusions: This is the first study to describe the care process in Iranian diabetic patients with diabetic foot ulcer disease. Knowing patients' experience and the manner of dealing with them once faced with foot ulcer condition could facilitate a comprehensive decision making by therapists and better recovery of diabetic patients.

Figure 1

The relationship between experience, awareness, attitude, disease management and ulcer.

Figure 2

The relationship between continuity of care, disease management and patient experiences.

Figure 3

The relationship between experiences of illness, disease management, continuity of care with wound healing.