医学
心理干预
血糖性
焦虑
糖尿病足
慢性疼痛
糖尿病
物理疗法
生活质量(医疗保健)
截肢
伤口护理
注意
社会心理的
重症监护医学
精神科
临床心理学
护理部
内分泌学
作者
Isadora Pombeiro,José Moura,M. Graça Pereira,Eugénia Carvalho
出处
期刊:Current Diabetes Reviews
[Bentham Science]
日期:2022-03-01
卷期号:18 (3)
被引量:9
标识
DOI:10.2174/1573399817666210806112813
摘要
Background: Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus and a leading cause of lower limb amputation. Interventions to reduce psychological stress may have the potential to improve self-care and greatly reduce the morbidity and mortality associated with DFU. This review is focused on the consequences of psychological stress in wound healing and reflects on the effects of currently used psychological stress-reducing interventions in patients with DFU, proposing new applications for currently used stress-reduction interventions. Results: Stress is a natural and fundamental survival mechanism that becomes harmful when chronic. DFU is associated with high levels of anxiety and chronic psychological stress. Chronic stressinduced cortisol and adrenaline release impair wound healing, independently of the stressor. Psychological stress-reducing interventions, such as relaxation with guided imagery, biofeedback-assisted relaxation, mindfulness-based strategies, and hypnosis, can lead to a reduction in perceived stress and improve wound healing by reducing wound inflammation and pain while improving glycemic control. All stress reduction interventions also lead to pain relief and improved patient’s quality of life. Conclusion: Psychological stress-reducing interventions are promising adjuvant therapies for DFU. Their clinical application can improve self-care by tackling patient’s expectations, anxieties, and fears. They can also help patients manage stress and pain while reducing wound inflammation and improving wound healing.
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