Menu

Javascript is not activated in your browser. This website needs javascript activated to work properly.
You are here

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

Author:
  • Katarina Hjelm
  • Magnus Löndahl
  • Per Katzman
  • Jan Apelqvist
Publishing year: 2009
Language: English
Pages: 1975-1985
Publication/Series: Journal of Clinical Nursing
Volume: 18
Issue: 14
Document type: Journal article
Publisher: Wiley-Blackwell

Abstract english

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.

Keywords

  • Endocrinology and Diabetes
  • evaluation
  • high-technology care
  • hyperbaric oxygen
  • therapy
  • patient-centred care
  • patient-focused
  • diabetes foot

Other

Published
  • Diabetes - Cellular Autoimmunity
  • Genomics, Diabetes and Endocrinology
  • ISSN: 1365-2702
E-mail: jan [dot] apelqvist [at] med [dot] lu [dot] se

Physician

Genomics, Diabetes and Endocrinology

+46 40 33 23 84

+46 74 025 81 66

33

Lund University Diabetes Centre, CRC, SUS Malmö, Jan Waldenströms gata 35, House 91:12. SE-214 28 Malmö. Telephone: +46 40 39 10 00