Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems
- PMID: 34219610
- PMCID: PMC8259813
- DOI: 10.1080/17482631.2021.1945206
Qualitative exploration into reasons for delay in seeking medical help with diabetic foot problems
Abstract
Purpose: Delay in reporting foot symptoms in patients with diabetes to health-care professionals is said to be responsible for limb amputation. While reasons for these delays have been investigated elsewhere, they are not well documented in Nigeria. This study explored the causes of delayed presentation in a Nigerian sample of patients with diabetic foot ulcers.
Method: The study followed an explorative qualitative design in which the lived experience of eight participants with diabetes were explored. The participants completed in-depth interviews which were digitally audio-recorded and transcribed verbatim. Data were analysed thematically using deductive reasoning.
Results: The study identified four themes which included knowledge and awareness of foot challenges, risk perception, health seeking triggers and behaviours and competing priority as the factors responsible for delay in presentation of diabetic foot complications.
Conclusions: Limited knowledge and awareness and negative health seeking behaviours including self-management and consultation of traditionalists were the major reasons for delays.
Keywords: Diabetes; amputation; delay; foot; healthcare.
Conflict of interest statement
No potential conflict of interest was reported by the author(s).
Similar articles
-
The patient's perspective of diabetic foot ulceration: A phenomenological exploration of causes, detection and care seeking.J Adv Nurs. 2022 Aug;78(8):2482-2494. doi: 10.1111/jan.15192. Epub 2022 Mar 14. J Adv Nurs. 2022. PMID: 35285035 Free PMC article.
-
"When nothing happens, nobody is afraid!" beliefs and perceptions around self-care and health-seeking behaviours: Voices of patients living with diabetic lower extremity amputation in primary care.Int Wound J. 2021 Dec;18(6):850-861. doi: 10.1111/iwj.13587. Epub 2021 May 6. Int Wound J. 2021. PMID: 33955156 Free PMC article.
-
Barriers to foot care in patients with diabetes as identified by healthcare professionals.Diabet Med. 2018 Aug;35(8):1072-1077. doi: 10.1111/dme.13653. Epub 2018 May 14. Diabet Med. 2018. PMID: 29696678
-
A systematic review investigating the identification, causes, and outcomes of delays in the management of chronic limb-threatening ischemia and diabetic foot ulceration.J Vasc Surg. 2020 Feb;71(2):669-681.e2. doi: 10.1016/j.jvs.2019.08.229. Epub 2019 Oct 31. J Vasc Surg. 2020. PMID: 31676182
-
When a diabetic foot ulcer results in amputation: a qualitative study of the lived experience of 15 patients.Ostomy Wound Manage. 2014 Nov;60(11):16-22. Ostomy Wound Manage. 2014. PMID: 25380097 Review.
Cited by
-
Topical Biological Agents as Adjuncts to Improve Wound Healing in Chronic Diabetic Wounds: A Systematic Review of Clinical Evidence and Future Directions.Cureus. 2022 Jul 23;14(7):e27180. doi: 10.7759/cureus.27180. eCollection 2022 Jul. Cureus. 2022. PMID: 36035037 Free PMC article. Review.
-
Prioritizing the Prevention of Diabetic Foot Disease: We Each Have a Role to Play.Can J Nurs Res. 2024 Mar;56(1):61-68. doi: 10.1177/08445621231206982. Epub 2023 Oct 10. Can J Nurs Res. 2024. PMID: 37817510 Free PMC article.
-
From Control to Cure: Insights into the Synergy of Glycemic and Antibiotic Management in Modulating the Severity and Outcomes of Diabetic Foot Ulcers.Int J Mol Sci. 2025 Jul 18;26(14):6909. doi: 10.3390/ijms26146909. Int J Mol Sci. 2025. PMID: 40725154 Free PMC article. Review.
-
Reasons, experiences and expectations of women with delayed medical care for ectopic pregnancies in Chinese urban edges: a qualitative study.BMJ Open. 2024 Mar 29;14(3):e076035. doi: 10.1136/bmjopen-2023-076035. BMJ Open. 2024. PMID: 38553063 Free PMC article.
-
Development and Validation of the Healthcare-Seeking Intention Questionnaire in Patients with Diabetic High-Risk Foot.Patient Prefer Adherence. 2024 Sep 12;18:1873-1883. doi: 10.2147/PPA.S479644. eCollection 2024. Patient Prefer Adherence. 2024. PMID: 39286515 Free PMC article.
References
-
- Abbas, Z. G. (2016). Diabetic Foot - An African Perspective. JSM Foot Ankle, 1(1), 1005.
-
- Abdulghani, H. M., AlRajeh, A. S., AlSalman, B. H., AlTurki, L. S., AlNajashi, N. S., Irshad, M., Alharbi, K. H., AlBalawi, Y. E., AlSuliman, Y. A., & Ahmad, T. (2018). Prevalence of diabetic comorbidities and knowledge and practices of foot care among diabetic patients: A cross-sectional study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2018(11), 417–7. 10.2147/DMSO.S171526 - DOI - PMC - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical