Cultura

Healthcare Professionals' Perspectives on Patient Anxiety and Supportive Interventions in a Rehabilitation Ward

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

Mashael Mushahhin Ali Almutairi, Hend Saleh Almutairi, Sultan Essa Almutairi, Taghreed hamed Alenizi, Fehaid Jufayn F Alaklabi, Bushra Rashed Almutairi, Ahlam Fares Salem Alsharari, Mariam Saleh Albalawi
Afaf Mohammed Wasli, Abdulrahman Mohammed RuShoud Almutlag, Amal muhesan almutairi, Abdulkarim Mutlaq Alotaibi, Njoud khalaf almoutiri, Ahmed Theyab Alsahli, Abdullah Mahmoud Alsenani

Abstract

This study explores healthcare professionals' perspectives on patient anxiety and supportive interventions in rehabilitation ward settings. Drawing on current research, including the WHO's recent data on depression prevalence, the study examines how anxiety manifests in rehabilitation patients, its impact on recovery outcomes, and current assessment and intervention practices. Healthcare professionals identify significant barriers to addressing patient anxiety, including organizational constraints, knowledge gaps, and patient-related factors such as communication difficulties and stigma. The bidirectional relationship between physical recovery and psychological wellbeing is highlighted, with evidence supporting Feng et al.'s (2023) concept of a "double-downward spiral" where anxiety and physical limitations mutually reinforce each other. The article reviews pharmacological, psychological, interpersonal, and environmental approaches to anxiety management, with particular emphasis on integrating psychological support into routine rehabilitation practice. Promising practices include interdisciplinary team models, embedded brief psychological interventions, and enhanced professional development. Future directions suggest the need for rehabilitation-specific psychological interventions, improved assessment tools for patients with cognitive impairments, and organizational structures that support holistic care. This comprehensive examination of healthcare professionals' perspectives contributes to a more integrated understanding of psychological support in rehabilitation settings and its critical role in optimizing recovery outcomes.

Keywords : .
Erin Saricilar
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