Self-care Experiences of Older adults with Diabetes Mellitus Following Limb Amputation Living in Rural Areas

Authors

  • Panida Yowapui Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • natthawut suriya Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Nutjariya Phimpha Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute
  • Keskanok Deeprom Srimahasarakham Nursing College, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Older adults, Diabetes mellitus disease, Self-care, Limb amputation

Abstract

This research article aimed to examine the self-care experiences of older adults with diabetes mellitus following limb amputation used a phenomenological qualitative research methodology. Key informants were twelve older adults with diabetes mellitus following lower limb amputation living in rural areas, Muang district, Maha Sarakham province. The period of data collection was February 2022–April 2022. Research instruments were an in-depth interview questionnaire, observations, field notes, and tape recordings. The Data were transcribed verbatim and analyzed by using thematic analysis.

The findings revealed that three primary themes emerged from key informants' definitions of self-care after limb amputation due to diabetes mellitus: 1) mental care, which included two subthemes: feeling of living with an incomplete organ and burdened by others; 2) physical part, which included two subthemes: losing one's ability to work and changing one's role in the family; and 3) stress coping strategies, which included three subthemes: self-consolation, limb amputation due to past karma, and dependence on others. Experiences of older adults with diabetes mellitus after limb amputation can serve as a basis information for preparing plans for their self-care after limb amputation to promote further appropriate treatment.

References

Fisher, L., Hessler, D., Polonsky, W., Strycker, L., Guzman, S., Bowyer, V., & Masharani, U. (2018). Emotion regulation contributes to the development of diabetes distress among adults with type 1 diabetes. Patient education and counseling, 101(1), 124-131. https://doi.org/10.1016/j.pec.2017.06.036

Health Data Center. (2021). KPI report NCD clinic plus: Percentage of controlled diabetes. https://hdcservice.moph.go.th/hdc/main/index.php

International Diabetes Federation. (2022, February 18). Diabetes Atlas 2022. https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html

Khanthacha, S., & Muktabhant, B. (2021). Association of self-care behaviors and beliefs about diabetes with glycemic control of type 2 diabetic patients in a multiethnicity area, Nakae district, Nakhonphanom province. Srinagarind Medical Journal, 36(1), 97 - 104. https://thaidj.org/index.php/smnj/article/view/9722

Kragh, N., M., Bergenholtz, H., & Madsen, U. R. (2022). Thoughts and experiences on leg amputation among patients with diabetic foot ulcers. International Journal of Qualitative Studies on Health and Well-being, 17(1), 2009202. https://doi.org/10.1080/17482631.2021.2009202

Liamputtong, P. (2020). Qualitative research methods. Oxford University Press.

Lincoln, Y.S., & Guba, E.G. (1985). Naturalistic inquiry. Sage Publications.

Norabin, N., Chanpen, U., & Sowat, C. (2020). The experience in controlling blood sugar levels for type 2 diabetic patients, Journal of Preventive Medicine Association of Thailand, 10(2), 351-365. https://he01.tci-thaijo.org/index.php/JPMAT/article/view/245006

Oba, N., & Chutipanyaporn, N. (2022). The successfully experiences of self-management for controlling plasma glucose among people with type 2 diabetes mellitus. The Journal of Faculty of Nursing Burapha University, 30(1), 1 - 13. https://he02.tci-thaijo.org/index.php/Nubuu/article/view/254417

Peerpuk, K., & Monsin, N. (2023, July 24). A study of stress and stress management of patients with diabetes, TambonChaichana Health Promoting Hospital. http://www.skko.moph.go.th/ dward/document_file/perdev/research_file_name/20131106133618_420299681.pdf

Siriniyomchai, C. (2022). Care Management of Elderly Patients with Diabetic Foot Ulcers who Have High Amputation Risk: A Case Study. Thai Journal of Nursing and Midwifery Practice, 9(2), 181 - 193. https://he02.tci-thaijo.org/index.php/apnj/article/view/258548

UdonSawai, P., & Chomnirat, W. (2021). Development of a self-management support system for patients at risk of diabetic foot ulcers at Health Promotion Hospital, Na Chan Subdistrict, Kalasin Province. Journal of Research and Health System Development, 14(3), 97 - 110. https://he02.tci-thaijo.org/index.php/RDHSJ/article/view/253096

Wandao, Y., Chinnawong, T., Chalothorn, U., & Tipwong, A. (2018). The Experience of Self-Management in Patients with Uncontrolled Type 2 Diabetes. Sadao Hospital, Sadao, Songkhla. Journal of Research in Nursing-Midwifery and Health Sciences, 38(3), 52 - 64. https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148311

Wongmuan, K., Thanaboonsutti, N., Ketpan, W., Uprarat, S., Lapinee, V., & Preechasuk, L. (2024). The Effect of Diabetes Self-management Education Provided by Certified Diabetes Educator Compared to Usual Diabetes Education on Glycemic Level and Stage of Behavior Change in Adult with Types 2 Diabetes Mellitus. Siriraj Medical Journal, 76(2), 61 – 68. https://doi.org/10.33192/smj.v76i2.266524

Zhu, X., Goh, L. J., Chew, E., Lee, M., Bartlam, B., & Dong, L. (2020). Struggling for normality: experiences of patients with diabetic lower extremity amputations and post-amputation wounds in primary care. Primary Health Care Research & Development, 21, e63. https://doi. org/10.1017/S146342362000064X.

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Published

2025-01-15

How to Cite

Yowapui, P., suriya, natthawut, Phimpha, N., & Deeprom, K. (2025). Self-care Experiences of Older adults with Diabetes Mellitus Following Limb Amputation Living in Rural Areas. Princess of Naradhiwas University Journal, 17(1), 268–285. retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/261668

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Section

Research Articles