Abstract

To assess knowledge about diabetic foot, care measures, and the importance attached to serial treatment in a group of high-risk diabetic foot patients. This is a cross-sectional study, carried out in a tertiary hospital, with 25 patients undergoing serial treatment for diabetic foot. The tabulation of the data occurred through the use of three methodological figures: core idea, key expressions, and the collective subject discourse. It became evident that even among high-risk patients with diabetic foot, there is no complete knowledge about the definition of the disease. Despite this, all participants reported practicing daily care measures, including frequent inspection of the feet, food care, and attention to footwear. Regarding the importance of serial treatment, there was unanimous recognition of the relevance of this practice, which improves self-care discipline, optimizes the understanding of the disease, and helps to prevent progression. Authentic speeches in the context of a pathology of considerable prevalence manifested, in an unprecedented way, with conceptions about its definition, care measures, and importance of serial treatment in a high-risk group.

Highlights

  • Diabetic foot is one of the most devastating chronic complications of diabetes mellitus due to the large number of cases that evolve to amputation[1]

  • In possession of the key expressions (KEs) and after reading each one, we identified the core ideas (CI), which describe in the most concise and accurate way possible the meaning of each one of the discourses analyzed and of each homogenous set of KEs, which will later make up the collective subject discourse (CSD)

  • The core ideas (CI), keywords and collective subject discourse for the first approach (In your opinion, what is the concept of diabetic foot?) are listed below: CI: Vulnerability to injury and amputation - 40% CSD: “Situation in which any ‘small blister’ becomes a wound; the wounds evolve and quickly lead to amputation; the wounds under the foot are the ones you have to look out for; well, based on the amputation I had on my foot, it is a condition that causes amputations’’

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Summary

Introduction

Diabetic foot is one of the most devastating chronic complications of diabetes mellitus due to the large number of cases that evolve to amputation[1]. For the individual, it brings repercussions in their personal life, affecting their self-image, self-esteem, and role in their family and in society, and, if there are physical limitations, it can cause social isolation and depression2.3. The World Health Organization[4] defines therapeutic education as the training of patients and family members in the skills for the management of treatment or for special adjustments and for the prevention of complications from the disease.

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