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14 - NECROSE EM PÉS DIABÉTICOS APÓS ATENDIMENTO PODOLÓGICO: SENTIMENTOS, ENFRENTAMENTOS E REPERCUSSÕES NA QUALIDADE DE VIDA

Doi: 10.47094/978-65-284-0495-7/174-187

PALAVRAS CHAVE: Necrose tecidual. Neuropatia periférica. Cirurgia vascular.

KEYWORDS: Tissue necrosis. Peripheral neuropathy. Vascular surgery.

ABSTRACT:
Objective: To analyze the feelings, coping strategies, and quality of life repercussions among diabetic patients who developed foot necrosis following podiatric interventions. Method: A qualitative phenomenological study conducted at a diabetic foot reference center in Northeastern Brazil between March and October 2025. Eighteen adults with type 2 diabetes mellitus who presented tissue necrosis after podiatric procedures participated. Data were collected through in-depth semi-structured interviews and analyzed using Braun and Clarke's reflexive thematic analysis. Results: Three thematic units emerged: (1) Biographical disruption and functional grief, characterized by guilt, anger directed at the professional, and hopelessness; (2) Coping strategies, ranging from initial denial to religious-spiritual support seeking and adaptive restructuring; (3) Multidimensional quality of life deterioration, encompassing physical, psychosocial, economic, and autonomy impairments. Participants reported loss of occupational identity, social isolation, and family dependence. Conclusion: Post-podiatric procedure necrosis constitutes a traumatic event that transcends the physical dimension, requiring an interdisciplinary approach centered on comprehensive care and iatrogeny prevention.

Autores

  • Andrea Almeida Zamorano

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