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The influence of beliefs about health and illness on foot care in ugandan persons with diabetic foot ulcers
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
Mbarara University of Science and Technology (MUST), Uganda.
2013 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 7, no 1, 123-132 p.Article in journal (Refereed) Published
Abstract [en]

Diabetes mellitus is becoming pandemic, particularly affecting Sub-Saharan Africa, and the prevalence of complications is increasing. Diabetic foot disorders are a major source of morbidity and disability. Delay in the health care process due to patients' beliefs may have deleterious consequences for limb and life in persons with diabetic foot ulcers. No previous studies of beliefs about health and illness in persons with diabetic foot ulcers living in Africa have been found. The aim of the study was to explore beliefs about health and illness among Ugandans with diabetic foot ulcers that might affect self-care and care seeking behavior. In an explorative study with consecutive sample semi-structured interviews were held with 14 Ugandan men and women, aged 40-79, with diabetic foot ulcer. Knowledge was limited about causes, management and prevention of diabetic foot ulcers. Foot ulcers were often detected as painful sores, perceived to heal or improve, and led to stress and social isolation due to smell and reduced mobility. Most lacked awareness of the importance of complete daily foot care and seldom practiced self-care. Health was described as absence of disease and pain. Many feared future health and related it to contact with nurses in the professional sector from whom they sought information, blood tests and wound dressings and desired better organised diabetes clinics offering health education and more opening hours. Many have an under utilized potential for self-care and need education urgently, delivered in well-organised diabetes clinics working to raise awareness of the threat and prevent foot ulcers.

Place, publisher, year, edition, pages
2013. Vol. 7, no 1, 123-132 p.
Keyword [en]
Africans, Attitudes to health/illness, Beliefs about health/illness, Care-seeking behavior, Diabetes mellitus complications, Foot ulcer, Self-care
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-59348DOI: 10.2174/1874434601307010123Scopus ID: 2-s2.0-84884172592OAI: oai:DiVA.org:lnu-59348DiVA: diva2:1093563
Available from: 2017-05-08 Created: 2017-05-08 Last updated: 2017-05-09Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf