Self-management in patients with diabetic foot ulcer: A concept analysis

Abstract

Objective: This paper presents an analysis of the concept of patient outcomes. Methods: The present study conducted searches on various databases, including Wanfang, Sinomed, CNKI, PubMed, Cochrane Library, Embase, Web of Science, and Ovid. The paper followed the Walker and Avant concept-analysis approach. Results: Initially, 899 pieces of literature were identified through the search process, and after screening, 41 of them were ultimately included in the analysis. The identified attributes of the concept included (1) capability, (2) decision making, and (3) action. These antecedents were shaped by factors such as illness perception, self-efficacy, and family and social. The consequences included (1) physiological effects, (2) psychological effects, and (3) social influence. Conclusions: The concept analysis of self-management in patients with diabetic foot ulcers (DFUs) not only aids in clinical practice and supports interventions, but also contributes to the development of self-management theory. The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability, making correct self-management decisions, and enhancing self-management behavior.