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Reasons for (non-)adherence to self-care in people with a diabetic foot ulcer.

08:00 EDT 20th May 2019 | BioPortfolio

Summary of "Reasons for (non-)adherence to self-care in people with a diabetic foot ulcer."

We aimed to explore reasons for (non-)adherence to self-care among people with diabetic foot ulcers, as well as barriers and solutions to improving their self-care adherence. We performed a qualitative study, recruiting people with a diabetic foot ulcer from a community diabetic foot clinic. Semi-structured interviews were held with participants. Data saturation occurred after 9 and was confirmed after 11 participant interviews. Interviews were audio-taped, transcribed verbatim and analysed using the framework approach. Findings were mapped and the World Health Organisation's (WHO) adherence dimensions were applied to themes identified. The key themes identified were: 1) participants performed recommended practices in self-care; 2) participants relied heavily on care support; 3) motivations for self-care came from "staying well"; and 4) there was a disparity between self-care knowledge and understanding. Barriers identified included poor mobility and visibility, difficulty wearing offloading devices or using wound dressings, and frustration with lack of progress. Solutions to improve adherence included integrating self-care as routine, improved education, more external help and improving visibility. All five WHO adherence dimensions played a role in (non-)adherence to diabetic foot ulcer self-care. We conclude that adherence to recommended diabetic foot ulcer self-care was limited at best, and reasons for non-adherence were multidimensional. Based on the factors related to (non-)adherence and the barriers and solutions described, we suggest clinicians obtain a broad view of a person's situation when aiming to improve self-care adherence. This article is protected by copyright. All rights reserved.

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This article was published in the following journal.

Name: Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
ISSN: 1524-475X
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