Factors Affecting Healing Process of Patients with Diabetic Foot Ulcer | ||
| Egyptian Journal of Health Care | ||
| Article 47, Volume 10, Issue 1, March 2019, Pages 634-648 PDF (320.55 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2019.243151 | ||
| Authors | ||
| Hanan Salah Ead1; Howyda Ahmed Mohammed2; Amira Hidaya Morad3 | ||
| 1B.Sc., Faculty of Nursing- Port Said University | ||
| 2Assist Professor of Medical-Surgical Nursing - Faculty of Nursing -Ain Shams University | ||
| 3Lecturer of Medical-Surgical Nursing - Faculty of Nursing -Ain Shams University | ||
| Abstract | ||
| Background: Diabetic foot ulcer is a major medical, social, economic problem and a leading cause of morbidity and mortality. The most type of neuropathy affecting person with diabetes is sensory neuropathy this can lead to the loss of protective sensation in the lower extremity. The study Aims: to assess the factors affecting healing process of diabetic foot ulcer among diabetic patients. Research design: descriptive exploratory design was utilized. Setting: This study conducted in ICU and surgical department at ELArish General Hospital. Subjects: The study subject includes75patients with diabetic foot ulcer as result of diabetes. Tools of data collection:four tools were used for collection of data it included Patient interviewing questionnaire, questionnaire about patient's knowledge about diabetes mellitus and patients practice about foot care, Wagner classification system to assess wound grade, Thai stress test questionnaire. Results: The present study finding showed that one thirds of studied patients were old age, majority of studied patients had poor glycemic control, two thirds of studied patients had diabetes from ten years ago, more than half of them had high stress level and more than half of studied patients had unsatisfactory level of knowledge about diabetes mellitus, while more than half of studied patients had good practices about foot care. Factors that were significantly affect negatively ulcer healing were age, smoking, obesity, wound grade, infection, debridement, blood glucose level, lack uses offloading device and mental stress. Conclusion The study findings concluded that, the most factors which affect wound healing were age, wound grade, infection, debridement blood glucose, offloading device and mental stress. Recommendation Developing and dissminate a simplified and comprehensive booklet including basic information about caring of diabetes patient's. | ||
| Keywords | ||
| wound healing; foot ulcer | ||
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