Pregnant Women's Perceptions Of Culturally Sensitive Comprehensive Care In Nursing
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Doris León Mejía, Luz Enith Velásquez Restrepo
Abstract
Culturally sensitive holistic care in nursing is a determining element to modernize the experience and health outcomes of pregnant women from diverse communities that bring great cultural riches to their innate care. The objective of the study was to understand the perceptions of pregnant women regarding the integration of nursing care with their cultural beliefs and practices. The methodology was qualitative, with a focus on the principles of hermeneutical phenomenology, which allowed for an in-depth exploration of the experiences of pregnant women who cohabit in culturally diverse contexts.
Results: Pregnant women value that professional care recognizes their worldviews, practices and principles, as well as care from the construction of a relationship of trust and respect for rituals.
Discussion: The implementation of an approach based on the theories and models of Leininger, Afaf Meleis and Purnell can lead to the adaptation of culturally consistent interventions, promoting compliance with care and improving the perceived quality of care.
Keywords :
pregnant woman, multiculturalism, holistic nursing..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty