Depression in Diabetic Foot Amputated Patients in the Medical Department？of the University Hospital Center？H？pital du Mali

Depression is a common mental disorder, it is characterized by the presence of a mood or a lasting loss of the ability to experience pleasure or interest in the person himself or in life. Diabetes is a chronic hyperglycemia linked to a deficiency in insulin secretion, and/or insulin action. It can lead to complications that can lead to amputation, we thought that this physical-psychological ordeal, without psychological support, can lead to depression. This study aimed to study depression in diabetic foot amputated patients in the medicine and endocrinology department of the Mali Hospital. This was a cross-sectional study from June 2022 to July 2023. Based on the observation of the onset of depression in patients. We included 45 patients who agreed to participate in the study. Women and men were equal in onset with a sex ratio = 1. The average age was 60.83 ± 11.88 years, with extremes of 35 years and 80 years. The non-schooled represented 50%. General practitioners provided psychological preparation for 92.5% of the patients. More than 70% of the patients were depressed. The type of amputation had a statistically significant relationship on depression (p = 0.015). This work highlighted that limb amputation leads to permanent depression during hospitalization. It is, therefore, necessary and imperative to increase the psychological preparation of patients in this service.