Diabetes and infected foot ulcer: a survey of patients’ perceptions of care during the preoperative and postoperative periods


  • Lejla Mehica
  • Magdalena Annersten Gershater
  • Carin Alm Roijer




chronic care, diabetes, foot ulcers, infection, information, nursing, pain management; preoperative care, postoperative care, surgery



Diabetic foot ulcer is a serious threat to the extremities and to the individual’s survival. The most common risk factors for amputation are deep infection, plantar ulcer and gangrene.

The aim of this study was to measure inpatients’ perception of health care quality, and to identify the health care needs of people with diabetes and infected foot ulcers during the preoperative and postoperative periods.

The study design was empirical with a quantitative approach. The short form of the Quality of care from the Patient’s Perspective (Mini QPP) was used.

The results are described in four categories related to the Mini QPP model: medical technology; physical-technical conditions; identity-oriented approach; and socio-cultural atmosphere. The study participants (n=30) expressed a need for continuous information, a secure and comfortable physical environment, shared decision making, and better quality of pain management.

More research about how to improve information, the environment, shared decision making, and pain control would be desirable.


Download data is not yet available.


International Consensus on the Diabetic Foot and Practical Guidelines on the Management and the Prevention of the Diabetic Foot Amsterdam: International Working Group on the Diabetic Foot, 2011.

Pelzang K Time to learn: understanding patient-centred care. Br J Nurs 2010;19(14): 12–7.

Labott S, et al. Health psychology clinical experi-ences. Department of Psychiatry, University of Illinois at Chicago, 2010.

Brener ZR. Preventing postoperative com-plications. Nurse Manag 2000;31 (12):17–22.

Westerdahl E, et aL Deepbreathing exercises reduces atelectasis and improve pulmonary function after coronary artery bypass sur-gery. Chest 2005;128 (5) :3482–8.

Larsen JW, et al. Guidelines for the diagnosis, treatment and prevention of postoperative infections. Infect Dis Obstet Gynecol 2003; 11(1):65–70.

Vucic N, et al. Therapy and prevention of deep venous thrombosis and pulmonary embolism in gynaecology and obstetrics. Ada Med Croatica 2003;57(2):123–30.

Domini LM, et al. Nutritional status and evo-lution of pressure sores in geriatric patients. J Nutr Health Aging 2005;9(6):446–54.

Desneves KJ, et al. Treatment with supple-mentary arginine, vitamin C and zinc in patients with pressure ulcers: A randomised controlled trial. Chn Nutr 2005;24(6): 979–87.

Patel GK. The role of nutrition in the man-agement of lower extremity wounds. Int J Low Extrem Wounds 2005;4(1):12–22.

Braga M, Gianotti L Preoperative immunonu-trition: Cost-benefit analysis. JPEN J Parenter Enteral Nutr 2005;29 (1 Suppl):S57–S61.

Jansson I, et al. Obtaining a foundation for nursing care at the time of patient admis-sion: a grounded theory study. Open Nurs J 2009;3:56–64.

Gershater M, et al. Complexity of factors related to outcome of neuropathic and neuroischaemic/ischaemic diabetic foot ulcers: a cohort study. Diabetologia 2009; 52(3):398–407.

Williams SJ, Calnan M. Key determinants of consumer satisfaction with general practice. Fam Prad 1991;8(3):237–42.

Wilde Larsson B, Larsson G. Quality of care from the Patient's Perspective Questionnaire (QPP). In Commissioned Reviews of 250 Psychological Tests. Maltby J, et al. (eds). Lampeter, Wales: Edwin Mellen Press, 2000; 113–6.

Krippendorff K. Content analysis: an introduc-tion to its methodology. Thousand Oaks, CA: Sage, 2004.

Caumo W, et al. Risk factors for postopera-tive anxiety in adults. Anaesthesia 2001;56(8): 720–8.

De Rond M, et al. The implementation of a pain monitoring programme for nurses in daily clinical practice: results of a follow-up study in five hospitals. J Adv Nurs 2001; 35(4):590–8.




How to Cite

Mehica, L., Gershater, M. A., & Roijer, C. A. (2013). Diabetes and infected foot ulcer: a survey of patients’ perceptions of care during the preoperative and postoperative periods. International Diabetes Nursing, 10(3), 91–95. https://doi.org/10.1002/edn.235



Research Article