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Diabetic persons with foot ulcers and their perceptions of hyperbaric oxygen chamber therapy

Hjelm, Katarina; Löndahl, Magnus LU ; Katzman, Per LU and Apelqvist, Jan LU (2009) In Journal of Clinical Nursing 18(14). p.1975-1985
Abstract
To elucidate how diabetic patients with limb-threatening foot lesions perceive and evaluate content and organisation of treatment in a multi-place hyperbaric oxygen chamber. To our knowledge there are no patients' evaluations of diabetes care in a high-technology area like the hyperbaric oxygen chamber. The burden on persons with diabetic foot complications might be increased if adjuvant therapy with hyperbaric oxygen therapy (HBOT) within a locked airtight vessel is given. Explorative study. Participants were included in the HODFU study, a prospective randomised double-blind study, designed to evaluate whether HBOT heals more chronic foot ulcers than placebo treatment with hyperbaric air. Six females and 13 males, aged 44-83 years (median... (More)
To elucidate how diabetic patients with limb-threatening foot lesions perceive and evaluate content and organisation of treatment in a multi-place hyperbaric oxygen chamber. To our knowledge there are no patients' evaluations of diabetes care in a high-technology area like the hyperbaric oxygen chamber. The burden on persons with diabetic foot complications might be increased if adjuvant therapy with hyperbaric oxygen therapy (HBOT) within a locked airtight vessel is given. Explorative study. Participants were included in the HODFU study, a prospective randomised double-blind study, designed to evaluate whether HBOT heals more chronic foot ulcers than placebo treatment with hyperbaric air. Six females and 13 males, aged 44-83 years (median 70), with diabetic foot ulcers, participated. Focus-group interviews by an external evaluator. Management was perceived as well-functioning with competent staff delivering quick treatment in a positive manner and in good co-operation. HBOT sessions, in groups, were described as unproblematic and pleasant, through sharing experiences with others, although time-consuming and tiring. Recognising the responsible physician and communication with other physicians in the health-care chain was perceived as problematic. Placebo treatment, when given, did not reveal any problems; many perceived HBOT as the last resort and respondents had a negative view of future health and expressed fears of new wounds and amputation. From patients' perspective HBOT in the delivered health-care model was perceived as well-functioning, taking into consideration both technical and relational aspects of care in this high-technology environment. Communication with the patient and between different care givers, with a consistent message given and information about who is responsible and to whom one should turn, wherever treated, is the most crucial aspect of the model. Future fears need to be recognised and group interaction can be encouraged to share the burden of disease. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
evaluation, high-technology care, hyperbaric oxygen, therapy, patient-centred care, patient-focused, diabetes foot
in
Journal of Clinical Nursing
volume
18
issue
14
pages
1975 - 1985
publisher
Wiley-Blackwell
external identifiers
  • wos:000266708400003
  • pmid:19638057
  • scopus:66749146761
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2008.02769.x
language
English
LU publication?
yes
id
f37e2f12-ed57-4727-b16b-5292edf3306e (old id 1443597)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19638057?dopt=Abstract
date added to LUP
2009-07-17 12:33:04
date last changed
2017-08-27 03:50:53
@article{f37e2f12-ed57-4727-b16b-5292edf3306e,
  abstract     = {To elucidate how diabetic patients with limb-threatening foot lesions perceive and evaluate content and organisation of treatment in a multi-place hyperbaric oxygen chamber. To our knowledge there are no patients' evaluations of diabetes care in a high-technology area like the hyperbaric oxygen chamber. The burden on persons with diabetic foot complications might be increased if adjuvant therapy with hyperbaric oxygen therapy (HBOT) within a locked airtight vessel is given. Explorative study. Participants were included in the HODFU study, a prospective randomised double-blind study, designed to evaluate whether HBOT heals more chronic foot ulcers than placebo treatment with hyperbaric air. Six females and 13 males, aged 44-83 years (median 70), with diabetic foot ulcers, participated. Focus-group interviews by an external evaluator. Management was perceived as well-functioning with competent staff delivering quick treatment in a positive manner and in good co-operation. HBOT sessions, in groups, were described as unproblematic and pleasant, through sharing experiences with others, although time-consuming and tiring. Recognising the responsible physician and communication with other physicians in the health-care chain was perceived as problematic. Placebo treatment, when given, did not reveal any problems; many perceived HBOT as the last resort and respondents had a negative view of future health and expressed fears of new wounds and amputation. From patients' perspective HBOT in the delivered health-care model was perceived as well-functioning, taking into consideration both technical and relational aspects of care in this high-technology environment. Communication with the patient and between different care givers, with a consistent message given and information about who is responsible and to whom one should turn, wherever treated, is the most crucial aspect of the model. Future fears need to be recognised and group interaction can be encouraged to share the burden of disease.},
  author       = {Hjelm, Katarina and Löndahl, Magnus and Katzman, Per and Apelqvist, Jan},
  issn         = {1365-2702},
  keyword      = {evaluation,high-technology care,hyperbaric oxygen,therapy,patient-centred care,patient-focused,diabetes foot},
  language     = {eng},
  number       = {14},
  pages        = {1975--1985},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {Diabetic persons with foot ulcers and their perceptions of hyperbaric oxygen chamber therapy},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2008.02769.x},
  volume       = {18},
  year         = {2009},
}