Objective: To explore the full-cycle foot care experiences and real needs of patients with high-risk diabetic feet based on patient journey maps, providing a reference for optimizing the entire preventive care model and delaying the onset and progression of diabetic foot. Methods: A phenomenological research method from qualitative research was employed. From September to December 2025, 15 patients with high-risk diabetic feet were selected as the study subjects. Longitudinal semi-structured interviews were conducted on the first day of admission, the day before discharge, three months after discharge, and six months after discharge. Content analysis was used to extract themes and construct and draw a foot care journey map for patients with high-risk diabetic feet. Results: The patients’ full-cycle care experiences were summarized into three stages: examination and diagnosis, hospitalization, and home care after discharge. A total of 21 themes were extracted, revealing significant stage-specific differences in care tasks, emotional states, distressing issues, and care needs across different treatment stages. Conclusion: Foot care for patients with high-risk diabetic feet spans the entire treatment process. Clinical healthcare professionals should establish a phased, continuous, and individualized foot preventive care system to effectively prevent and control the onset and progression of diabetic foot.
Yang X, 2023, Research on Risk Assessment of Adult Type 2 Diabetes Based on Dietary Patterns and Nutritional Metabolomics, thesis, China Medical University.
Zhu X, Ji X, 2025, Research on Influencing Factors of High-Risk Foot in Patients with Type 2 Diabetes of Different Ages and Its Correlation with the Controlled Nutritional Status Score. Chinese Journal of Diabetes, 33(8): 582–586.
Huang L, Liu C, Chen W, et al., 2026, Ultrasensitive Electrochemical Detection of Myo-Inositol in Gestational Diabetes Mellitus Urine Using Poly-Eriochrome Black T Modified Glassy Carbon Electrode. Journal of The Electrochemical Society, 173(7): 076501.
Zhu Y, Qin W, Miao F, et al., 2026, Expert Consensus on Foot Callus Care for Elderly Patients with Diabetes. Military Nursing, 43(2): 1–4.
Chang C, 2026, Education and Guidance on Foot Care for Patients with Diabetes. In: China Life Care Association. Proceedings of the Academic Seminar Series on Life Care and Smart Health Care of the “Caring for Life Lecture Hall” (Middle): Caring for Patients and Taking Care of Oneself: Special Topic on Clinical Psychological Support Skills and Medical Staff Psychological Resilience Building. Linzhang County Traditional Chinese Medicine Hospital, 579–580.
Albrecht S, Howell M, Balbierz A, et al., 2025, Healthy Eating among Postpartum Women with Gestational Diabetes—A Preliminary Analysis of Barriers and Facilitators Using Patient Journey Maps. Diabetes, 74(Suppl 1): 643-P.
Wu Y, Wang H, Chen Y, et al., 2025, Research on the Wound Management Journey Map for Elderly Patients with Diabetic Foot Ulcers. Journal of Nursing Science, 40(13): 99–105.
Liu J, Weng Y, Wei M, et al., 2026, Research on the Difficulties in the Medical Journey of Diabetic Foot Surgery Patients and Nursing Strategies. Chinese Journal of Nursing, 61(10): 1325–1333.
Zhu L, Wang T, Xiong F, et al., 2026, Research on the Health Management Journey Map for Patients with Triangular Fibrocartilage Complex Injuries. Practical Orthopaedics Journal, 32(3): 282–286.
Zhang B, Bai W, Ma H, 2025, Clinical Significance of Serum miR-124-3p and AXIN2 Expression Levels in the Diagnosis of COPD Complicated with Type 2 Diabetes Mellitus. Chinese Journal of Laboratory Medicine, 29(12): 1376–1381.
Cui X, 2025, The Application Value of Glycosylated Hemoglobin in the Evaluation of Elderly Patients with Type 2 Diabetes Mellitus. In: Ankang Health Management Association. Proceedings of the Third Academic Exchange Conference on Medical Health and Management. Longjing City Longmen Community Health Service Center, Jilin Province, 71–72.
Xu Y, 2024, Exploring the Risk Factors for High-Risk Complications After Pancreaticoduodenectomy Based on a Complication Grading System, thesis, Xinjiang Medical University.
Xu W, Wu B, Li Y, et al., 2026, Construction of a Post-Traumatic Growth Journey Map for Patients with Gastrointestinal Tumors. Military Nursing, 43(3): 9–12.
Zong X, Wu F, Huang Q, et al., 2024, A Review of the Application of Patient Journey Maps Based on Patient Experience in Patient Management. Chinese Hospital Management, 44(4): 61–65.
Kermansaravi M, Omar I, Finer N, et al., 2025, International Expert Consensus on Surgery for Type 2 Diabetes Mellitus. BMC Endocrine Disorders, 25(1): 151.
Wang B, Huang T, Li Q, et al., 2026, The Application Effect of a Method Combining Video Teaching Analysis and Desktop Rehearsal in Cultivating the Emergency Response Capability of Nursing Students for Treating Mass Casualties. Guangxi Medical Journal, 48(2): 295–300.
Zhang J, Tang S, 2022, Geriatric Health and Chronic Disease Nursing. Chemical Industry Press, 386.
He Q, Wang X, Yang C, et al., 2025, Prevalence of Sarcopenic Obesity and Assessment of the Consistency of Different Diagnostic Methods in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus in Beijing. Chinese Journal of Medical Frontiers (Electronic Edition), 17(1): 28–34 + 5.
Li S, Wang Q, Zheng Z, et al., 2022, Research on the Value of Left Ventricular Automatic Function Imaging in Assessing Cardiac Function in Newly Diagnosed Patients with Type 2 Diabetes Mellitus. Chinese Journal of Diabetes, 30(12): 902–905.
Alqurashi M, Coates M, Ghalili D, 2025, Technology Use and Hospitalization Risk in Older Adults with and without Diabetes. Innovation in Aging, 9(Suppl 2): igaf122.3852.
Ayako H, Aparecido E, Rubens H, et al., 2024, Nursing Clinical Assessment of Factors Associated with Depression in Older People with Type 2 Diabetes in Primary Care: A Cross-Sectional Research. The Open Nursing Journal, 18: e18744346344029.
Hasan F, Mahmood M, Selim D, et al., 2026, Predictive Value of the Triglyceride-Glucose Index (TyG Index) for Major Cardiac Events in Patients with Chronic Heart Failure and Type 2 Diabetes: A Prospective Observational Study. Cureus, 18(2): e103232.
Fan L, An J, Han S, et al., 2026, Construction and Application of a Dietary Management Plan for Home-Based Diabetic Foot Patients Based on the Dietary Therapy Theoretical Model of Family Nurses. Nursing Research, 40(6): 1023–1027.
Palmira B, Vittorio G, Gabriella B, et al., 2024, Telemedicine Home-Based Management in Patients with Chronic Heart Failure and Diabetes Type II: Study Protocol for a Randomized Controlled Trial. Trials, 25(1): 333.
Lu M, He L, Jiang L, et al., 2019, The Effect of Community Continuous Nursing on the Management of Home Insulin Injection Patients. Shanghai Medical Journal, 40(14): 29–31 + 51.