Características y experiencias del paciente con pie diabético y amputación. Prácticas enfermeras relacionales durante la hospitalización

Identificador:  TDX:2441

Handle: https://hdl.handle.net/20.500.11797/TDX2441

Autors:  Font Jiménez, María Isabel

Resum:
Objectives: (1) Determine the prevalence of non-traumatic amputations in Tarragona (Spain) during the period 2007-2013. (2) Recognize experiences, meanings and needs of patients who are amputees during their hospital stay, and (3) Identify relational practices and nursing care to patients with diabetic foot, admitted to the hospital, and are amputees as part of their treatment. Methodology: Mixed methodology, consisting of three studies complement each other. First in an epidemiological study. The second and thirds are phenomenological qualitative studies, both the instruments used were interview to patients with diabetic foot have been amputees, and nurses from hospitals in Catalonia and Madrid. These interviews are recorded and transcribed, coded and categorized in meta-categories. Results: First study show an increase in total amputation rate, a decrease of major amputations, reamputation a rate of 30%. In the second the patients identify the meaning of amputation, describe changes that occur in their new situation and experience of the adaptation process. And the last study show that the nurses identify the needs of these patients, adapting their care to them, describes what and how they care nurses. Conclusions: Amputation is a serious consequence in diabetic foot syndrome with high incidence rate and recidivism. Amputation causes a breakdown of the patient's world, which requires an adaptation. In this transition period, the nurse provides care, which helps the person: to manage their daily activities, to cope with their new image, and to reorganize roles and relationships; from a supportive relationship and cooperation.