Patients with type 2 diabetes and surgical foot wounds: Overtrust in primary care physicians, isolation, and difficulties contemplating the future
Authors' conclusion
Education should emphasize the importance of prompt referral to a specialized structure after the onset of a wound. The lack of support from loved ones and social support appeared to be associated with patients' failure to plan for their future. We advocate for a psychological evaluation and support for all these patients.
Study context
- Population
- Patients hospitalized with diabetic foot conditions requiring surgical treatment (T2D)2 females · 11 males
- Participants
- 13 patients
- Outcome
- Discourse themes on access to healthcare and future self-projection
Methodological detailssemi-structured interviews, quantitative data on diabetes characteristics, social precariousness, anxiety and depression
- Semi-structured interviews
- Quantitative data on diabetes characteristics, social precariousness, anxiety and depression
Main finding
As reported in the abstract
- Heterogeneity in the care pathway, with systemic barriers, negligence or overtrust
- Relationship between social support and the ability to project oneself into the future
- Poverty of speech
- Most were socioeconomically deprived and/or isolated
Further findings
Surgical procedures
- Surgical debridement
- 5
- Toe amputation
- 6
- Mid-tarsal amputation
- 2
- Mean age
- 62.7 years
Original publication
Patients with type 2 diabetes and surgical foot wounds: Overtrust in primary care physicians, isolation, and difficulties contemplating the future. Diabetes Res Clin Pract. Published 18 October 2024. doi:10. 1016/ j. diabres. 2024. 111861
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