Painful diabetic neuropathy (PDN): an internet survey to the determine healthcare priorities of people with PDN.
DOI:
https://doi.org/10.59210/g17gd012Abstract
Aims
To determine the healthcare priorities of people with painful diabetic neuropathy (PDN) for managing the impacts of this condition.
Methods
An internet survey incorporating impacts of PDN developed from previous qualitative research, was distributed via diabetes support groups and on social media forum platforms. The survey asked respondents how frequently they experienced 58 impacts of PDN, how these impacts affected their quality of life, and the impacts they prioritised for better clinical management.
Results
The survey had 62 eligible and complete responses. The impacts with high frequency related to emotions, foot health and walking. The impacts with the greatest affect on quality of life related to psychological distress, social world, functional ability and sensory experiences. The impacts prioritised for better clinical management were: sleep, worry, functional ability and depression.
Conclusions
This study identified the top healthcare priorities of people with PDN, the topmost being help with sleep disturbance. There are existing evidence-based approaches, such as cognitive behavioural therapy for insomnia, which could help manage some of these priorities, but not all. These priorities could be used to develop a PDN-specific pain management programme.
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Copyright (c) 2022 Dr Ben Davies, Prof Fiona Cramp, Jeremy Gauntlett-Gilbert, Prof Candida S Mccabe (Author)
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