Diabetes complications

Patients with type 2 diabetes and surgical foot wounds: Overtrust in primary care physicians, isolation, and difficulties contemplating the future

Diabetes Res Clin PractPublished Qualitative study

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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