{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:46:27Z","timestamp":1792601187222,"version":"4.5.0"},"reference-count":25,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,3,23]]},"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Diabetic foot ulcer (DFU) is a major complication of poorly managed diabetes mellitus. Home care of individuals with chronic wounds is often supported by family members. The study aims to determine the burden of caregivers of DFU patients and the factors influencing this burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive-correlational research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study sample consisted of caregivers of patients who applied to the Diabetic Foot Council between December 2022 and November 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>The study included 101 caregivers who were primarily responsible for the care of the DFU patient, had been caring for the patient for at least 2\u2009months, provided unpaid care and agreed to participate in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Data were collected using the Descriptive Characteristics Form and Zarit Caregiver Burden Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of the caregivers was 45.34\u00b112.62, and the mean age of the patients was 59.57\u00b19.18. The care burden of caregivers was 46.47\u00b111.39. The highest levels of care burden were observed in the economic and dependency subscales. When the relationship between the independent variables of the model and the dependent variable was examined, it was found that providing support to move the patient [\u03b2=0.97; p=0.001] and the need for training in patient care [\u03b2=0.51; p=0.012] were independent factors that increased the burden of the caregiver, while the patient\u2019s ability to follow his\/her own medication [\u03b2=\u22120.46; p=0.039] was the independent factor that decreased the burden of the caregiver.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Based on these findings, further research is required to assess the effectiveness of professional healthcare services, self-care interventions and support strategies aimed at alleviating caregiver burden and enhancing care quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-092676","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T04:25:14Z","timestamp":1749097514000},"page":"e092676","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Burden of caregivers of diabetic foot ulcers: a single-centre, descriptive correlational study in T\u00fcrkiye"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-1543","authenticated-orcid":false,"given":"Eylem","family":"To\u011fluk Yi\u011fito\u011flu","sequence":"first","affiliation":[{"name":"Nursing Faculty, \u0130stanbul University, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6mer","family":"Kaygu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, \u0130stanbul University-Cerrahpasa, \u0130stanbul, T\u00fcrkiye"},{"name":"\u0130nstitute Of Health Sciences, Ariel University, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ne\u015fe","family":"Salto\u011flu","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, \u0130stanbul University-Cerrahpasa, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130lker \u0130nan\u00e7","family":"Balkan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, \u0130stanbul University-Cerrahpasa, \u0130stanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"2025121514271115000_15.6.e092676.1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.2337\/dci22-0043","article-title":"Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers","volume":"46","author":"McDermott","year":"2023","journal-title":"Diabetes Care"},{"key":"2025121514271115000_15.6.e092676.2","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3267","article-title":"Standards for the development and methodology of the 2019 international working group on the diabetic foot guidelines","volume":"36 Suppl 1","author":"Bus","year":"2020","journal-title":"Diabetes Metab Res Rev"},{"key":"2025121514271115000_15.6.e092676.3","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1177\/15347346211036530","article-title":"Burden of diabetic foot patients\u2019 caregivers and affecting factors: a cross-sectional study","volume":"22","author":"Han\u00e7erlio\u011flu","year":"2023","journal-title":"Int J Low Extrem Wounds"},{"key":"2025121514271115000_15.6.e092676.4","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1089\/wound.2018.0873","article-title":"Investigation on the status and determinants of caregiver burden on caring for patients with chronic wound","volume":"8","author":"Huang","year":"2019","journal-title":"Adv Wound Care (New Rochelle)"},{"key":"2025121514271115000_15.6.e092676.5","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1007\/s13300-019-00694-z","article-title":"Is there a role for informal caregivers in the management of diabetic foot ulcers? 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