Diana Cecilia Tapia-Pancardo1* , Lucia Velázquez-Hernández2, Rafael Villalobos-Molina1

1 Graduate and Research Division, Biomedicine Unit, Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, Tlalnepantla, Mexico

2 National Autonomous University of Mexico, Tlalnepantla, Mexico

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How to cite this paper: Tapia-Pancardo,D.C., Velázquez-Hernández, L. and Villalobos-Molina, R. (2022) Perception of Losses Experienced by the Diabetic Patient. Open Journal of Nursing, 12, 571-580.

https://doi.org/10.4236/ojn.2022.129039

Received: August 21, 2022

Accepted: September 18, 2022

Published: September 21, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc.This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

Abstract: A person living with diabetes mellitus is conscious that this pathology will not cause its death in the short term, but they face losses and experience grief on multiple occasions along with the chronicity of the disease. In most cases, the partner or close relative also experiences a great impact since they become a family caregiver. The goal of this study was: to analyze the perception of losses experienced by the diabetic patient along with the chronicity of the illness.

Method: This was qualitative research, with a phenomenological method under the philosophical view of Husserl and the theoretical support of Kübler-Ross with a descriptive design. Four diabetic patients aged 18 to 75 years old of both genders participated; they asked for hospital attention due to complications of the disease. Selection of participants was by convenience up to reach saturation. Data were collected through semi-structured interviews, field notes and observation. The setting of the first contact was in a third-level hospital in Mexico City; the second one was through programmed home visits. These occurred by a chronogram agreed upon by the participants, and a room was selected with conditions of privacy to conduct the interviews; respect was always observed. Participants signed informed consent.Data analysis was according to Miles and Huberman, by means of three tasks: information acquisition, data transcription and codification, and conclusions.

Results: After the qualitative analysis four categories emerged, as well as sub-categories, as follows:

Category 1: Self-losses perceived by the patient, sub-categories 1.1 Beginning the mourn step: Negation; 1.2 Silent illness that produces severe damage; 1.3 Complicated/chronic mourn.

Category 2: Emotions along the disease chronicity, sub-categories 2.1 Negation of emotions/distortion of natural emotions; 2.2 Decisions taken based on feelings. 

Category 3: Changes in the diabetic patient’s nutrition, sub-categories 3.1 Culture: positive reinforcement from childhood; 3.2 Constant mourn; 3.3 Pleasure by forbidden foods. Category 4: Benefits in the diabetic patient,sub-categories 4.1 Need to be in a support net; 4.2 Bonding ties and love by relatives.

Conclusion: Self, relational, material, and extensive losses that add to the diabetes mellitus chronicity accompany the patient with long-term negative emotions, but to accomplish the goals of care and limit the damage nourish its positive emotions; the starting point is from the perception of the first news knowing the diagnostic, if this reality is accompanied by thanatology counsel to diminish the negation and anger steps, when realizing the change in health, then a positive perception for this first mourn and more to come along time, will appear in the patient. Thanatology or health counsel will favor the patient to undertake illness control to have a better life quality.

Keywords

Diabetes, Patient Physical and Emotional Losses, Thanatology

冯亚高1* ，惠连旺1 ，杨小冬1 ，刘鸿舒2

1 巴克医院，创面治疗科，河北 唐山 2 鸿舒诊所，河北 唐山

收稿日期：2022年6月10日；录用日期：2022年7月20日；发布日期：2022年7月28日

摘 要

目的：观察应用玉夫膏在足部外伤难愈合创面修复中的临床效果。方法：足部难愈合创面15例，其中足背皮肤缺损肌腱外露6例，足跟部3例，跟腱外露3例，第一跖趾关节外露1例，趾蹼间创面1例，前足外侧创面伴第五跖趾关节外露1例。对15例足部难愈合创面均应用玉夫膏进行局部换药，每日更换1次，直至愈合。结果：15例足部难愈合创面经玉夫膏换药全部愈合，愈合时间最短11天，最长127天。经随访6个月~24个月，平均11个月，所有创面愈合良好，外观平整，不臃肿，局部无明显疼痛和增生性瘢痕，愈合皮肤柔软，有弹性，色素沉着不明显。结论：应用玉夫膏局部换药是修复足部外伤难愈合创面的一种简单、有效的方法。

关键词：足，玉服膏，创面，修复，创伤

Application of Yufu Cream in the Repair of Refractory Wounds of Foot Trauma Yagao Feng1*, Lianwang Hui1, Xiaodong Yang1, Hongshu Liu2

1 Department of Wound Treatment, Barke Hospital, Tangshan Hebei 2 Hongshu Clinic, Tangshan Hebei

Received: Jun. 10th, 2022; accepted: Jul. 20th, 2022; published: Jul. 28th, 2022

Abstract

Objective: To observe the clinical effect of Yufu cream on repair of refractory wounds in foot. Methods: 15 cases with refractory wounds in foot after trauma, including 6 cases of dorsal skin defect tendon exposure, 3 cases of heel tendon exposure, 1 case of first metaltarsal joint exposure, 1 case of interweb wound, 1 case of lateral anterior foot wound with fifth metatarsal joint exposure .all wounds were treated with Yufu cream for local dressing change 1 times every day until they healed.

Results: All 15 cases of wounds were healed. The shortest healing time was 11 days and the longest time was 127 days. After follow-up for 6 months to 24 months (mean 11 months), all the wounds healed well, the appearance was smooth, not bloated, there was no obvious pain and hypertrophic scar, the regenerated skin was soft, elastic and the pigmentation was not evident.

Conclusion: Local dressing change with Yufu cream is a simple and effective method for repairing refractory wound of foot trauma.

Keywords: Foot, Yufu Cream, Wound, Repair, Trauma

张 悦1，王献珍2*

1 青海大学研究生院，青海 西宁 2 青海大学附属医院烧伤整形外科，青海 西宁

收稿日期：2022年6月4日；录用日期：2022年6月28日；发布日期：2022年7月5日

摘 要

感染对伤口愈合的影响是多方面的，导致伤口愈合的每个阶段都受到干扰，伤口感染对患者的后果可能包括住院时间延长、心理压力增加、疼痛、甚至会导致脓毒血症的出现，危及患者的生命安全。本文考虑了伤口愈合的四个阶段，概述了感染对伤口愈合的影响。

关键词

伤口感染，愈合阶段，细菌，影响

Stages and Effects of Infection on Wound Healing

Yue Zhang1, Xianzhen Wang2*

1 Graduate School of Qinghai University, Xining Qinghai

2 Burn and Plastic Surgery, The Affiliated Hospital of Qinghai University, Xining Qinghai Received: Jun. 4th, 2022; accepted: Jun. 28th, 2022; published: Jul. 5th, 2022

Abstract

The impact of infection on wound healing is multifaceted, leading to disruption of each stage of wound healing. The consequences of wound infection for patients may include prolonged hospital stay, increased psychological stress, pain, and even the appearance of sepsis, endanger the lives of patients. This article considers the four stages of wound healing and outlines the impact of infection on wound healing.

文章引用: 张悦, 王献珍. 感染对伤口愈合的阶段和影响[J]. 临床医学进展, 2022, 12(7): 6039-6044. DOI: 10.12677/acm.2022.127872

Keywords

Wound Infection, Healing Stage, Bacteria, Impact

Copyright © 2022 by author(s) and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/

Lamine Issaga Traore1*, Sidy Sangare1, Gaoussou Sogoba1, Mamaye Kouyate2, Abdoulaye Cisse3, Bakary Skeita4, Sadio Dembele5, Lassina Goita5, Adama Sdiakité6, Mariam Sanogo7, Moussa Camara8, Drissa Traore8

1 Department of General Surgery of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

2 Department of Pediatric Surgery of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

3 Department of Dermatology and Venereology of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

4 Infectious Diseases Unit of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

5 Department of Anesthesia and Intensive Care of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

6 Departmenturology of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

7 Department of Social of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

8 Department of General Surgery of the Hospital CHU du Point “G”, Kayes, Mali

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How to cite this paper: Traore, L.I., Sangare, S., Sogoba, G., Kouyate, M., Cisse, A., Skeita, B., Dembele, S., Goita, L., Sdiakité, A., Sanogo, M., Camara, M. and Traore, D. (2022) Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali. Surgical Science,13, 280-287. https://doi.org/10.4236/ss.2022.136035

Received: April 13, 2022

Accepted: June 21, 2022

Published: June 24, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc.

This work is licensed under the Creative Commons Attribution International

License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

Abstract

The issue of wound care has always played an important role in the practice of medicine. This is evidenced by Ambroise Paré’s decision to publish his first work on this subject, “La manière de traiter les Plaies” (The Way of Treating Wounds) in 1545.

Objective: To evaluate the therapeutic m ethods we practice and to describe the impact of the pathology on socio-economic and professional development.

Patients and Method: This was a retrospective study carried out at the Fousseyni Daou Hospital in Kayes from January 1, 2018, to December 31, 2020. We included all patients with an ulcero-necrotic wound on immunocompetent terrain hospitalized in the department. Patients with ulcerative necrotic wounds of diabetes, HIV, or cancerous origin were not included. The parameters studied were: etiologies, local care, sequelae, and socio-economic and professional aspects.

Results: We collected 57 patients of whom 43 were men and 14 were women, i.e. a sex ratio of 3. The mean age was 40.7 years with a standard deviation of 8.4 with extremes (7 years and 80 years). The average consultation time was 25.1 days. The most represented socio-professional stratum was agropastoralism in 37 cases (65%). The predominant etiological factor was neglected traumatic wounds in 34 cases (59.6%). The site was the lower limb in 39 cases (68.5%). The germ found was Staphylococcus aureus in 21 cases (36.8%). The particularity during local care was the use of table sugar in 9 cases (15.7%) and maggot therapy in 2 cases (3.5%). Hyperthermia was the clinical sign of aggravation in 22 cases (38.6%) and we diagnosed 2 cases (3.5%) of tetanus. The mortality rate was 15.7% (9 cases) and 30 cases (52.7%) of sequelae after recovery. The average length of hospitalization was 38 days. Hospital care was provided by the social welfare service in 35 cases (61.4%). Nineteen (19) patients (39.5%) were unable to resume their socio-professional activity.

Conclusion: Ulcero-necrotic wounds are complex to manage and can have a lifelong influence on the socio-professional and economic activity of patients.

Keywords

Ulcero-Necrotic Wound, Surgery, Disability, Socio-Economic