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PubMed Publications| Keyword search (4,163 papers available) |  |
"Kirwan E" Authored Publications:
| Title | Authors | PubMed ID | |
|---|---|---|---|
| 1 | Beyond the wound: A scoping review of the psychosocial impact of diabetes-related foot ulcers | Hanlon M; McGuire BE; MacGilchrist C; Kirwan E; Neachtain DN; Dhatariya K; Blanchette V; Durand H; Dragomir A; McIntosh C; | 41721498 SOH |
| Title: | Beyond the wound: A scoping review of the psychosocial impact of diabetes-related foot ulcers | ||||
| Authors: | Hanlon M, McGuire BE, MacGilchrist C, Kirwan E, Neachtain DN, Dhatariya K, Blanchette V, Durand H, Dragomir A, McIntosh C | ||||
| Link: | https://pubmed.ncbi.nlm.nih.gov/41721498/ | ||||
| DOI: | 10.1111/dme.70243 | ||||
| Publication: | Diabetic medicine : a journal of the British Diabetic Association | ||||
| Keywords: | behaviour change; diabetes‐; related foot ulcer; health literacy; person‐; centred education; psychosocial factors; self care; | ||||
| PMID: | 41721498 | Category: | Date Added: | 2026-02-21 | |
| Dept Affiliation: |
SOH
1 School of Psychology & Centre for Pain Research, University of Galway, Galway, Ireland. 2 Discipline of Podiatric Medicine, School of Health Sciences, University of Galway, Galway, Ireland. 3 Alliance for Research and Innovation in Wounds, College of Medicine, Nursing & Health Sciences, University of Galway, Galway, Ireland. 4 Research Services, James Hardiman Library, University of Galway, Galway, Ireland. 5 Independent PPI Representative, Galway, Ireland. 6 Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK. 7 Norwich Medical School, University of East Anglia, Norwich, UK. 8 Department of Human Kinetics and Podiatric Medicine, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada. 9 Division of Psychology, Faculty of Natural Sciences, University of Stirling, Scotland, UK. 10 Montreal Behavioural Medicine Centre, Concordia University, Montréal, Québec, Canada. |
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Description: |
Objectives: To explore the emotional consequences of diabetes-related foot ulcers (DFUs) and examine the psychosocial factors that influence their progression, management and self care behaviours. Methods: A systematic scoping review was conducted following Arksey and O'Malley's six-stage framework and the Joanna Briggs Institute guidelines, and reported in accordance with PRISMA-ScR standards. Studies were eligible if they examined emotional or psychosocial experiences of adults living with DFUs. Results: Forty-nine studies were included: 28 cross sectional, 13 qualitative, 5 prospective, 2 randomized controlled trials and 1 case study. Individuals with DFUs experienced heightened emotional distress and substantially reduced health-related quality of life (HRQOL), largely due to physical limitations, challenges in diabetes self management and fear of future complications. Key psychosocial influences included low self-efficacy, feelings of powerlessness, loss of independence and perceived burdensomeness. Disparities related to gender, socio-economic status and cultural background further shaped emotional outcomes and self care behaviours. Conclusions: Psychosocial factors substantially influence emotional well-being, treatment adherence and wound healing in people living with DFUs. Integrating psychosocial assessment, tailored education and emotional support into standard care may improve outcomes. Practice implications: Routine psychological screening, health literacy-sensitive education and multidisciplinary counselling should be incorporated into DFU management to enhance self care and quality of life. |
