Feelings of Powerlessness in Patients with Diabetic Foot Ulcers

Feelings of Powerlessness in Patients with Diabetic Foot Ulcers

Author Jesus Pereira, Maria Teresa de Google Scholar
Salome, Geraldo Magela Google Scholar
Openheimer, Diego Guimaraes Google Scholar
Cunha Esposito, Vitoria Helena Google Scholar
Almeida, Sergio Aguinaldo de Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Sapucai Valley Univ UNIVAS
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract The purpose of this study was to assess feelings of powerlessness in patients with diabetic foot ulcers. Chronic wounds affect the emotional state of patients, who may experience negative emotions including a sense of loss and powerlessness. The assessment of these feeling should contribute to the planning of interventions aimed at minimizing the impact of diabetic foot ulcers on the daily lives of these patients. Methods. Fifty patients 18 years of age with type 1 or type 2 diabetes and foot ulcers were selected from 2 outpatient wound-care clinics to participate in the study. Of these patients, 50% were 61-70 years old, 72% were women, 74% were smokers, 10% were alcoholics, 40% had a diabetic foot ulcer for 3-6 years, and 22% for 7-10 years. Wound odor and exudate were present in 82% of patients. Individuals who were unable to respond to a questionnaire due to physical or cognitive deficit were excluded. All participants responded to the Powerlessness Assessment Tool for adult patients (PAT), with scores ranging from 12-60, with higher scores corresponding to feelings of more intense powerlessness. Results. Total PAT scores ranged from 31-40 for 5 (10%) patients, 51-60 for 28 (56%) patients and from 4150 for 17 (34%) patients. All patients reported total and subscale PAT scores 34 (moderate to high scores), with a mean total score of 50.12. The maximum PAT score of 60 was reported on the self-perception of decision-making capacity domain. Conclusion. These results indicate that patients with diabetic foot ulcers had strong feelings of powerlessness.
Keywords mental health
diabetes mellitus
diabetic foot
powerlessness assessment tool
Language English
Date 2014-06-01
Published in Wounds-a Compendium Of Clinical Research And Practice. Malvern: H M P Communications, v. 26, n. 6, p. 172-177, 2014.
ISSN 1044-7946 (Sherpa/Romeo, impact factor)
Publisher H M P Communications
Extent 172-177
Origin http://www.woundsresearch.com/article/feelings-powerlessness-patients-diabetic-foot-ulcers
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000337923100004
URI http://repositorio.unifesp.br/11600/45758

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