Cent Eur J Nurs Midw 2023, 14(1):833-838 | DOI: 10.15452/cejnm.2022.13.0025

Quality of life in patients with recurrent diabetic foot ulcers

Haryanto Haryanto1, Lestari Makmuriana1, Hartono Hartono1, Desti Dwi Arini2, Sri Ariyanti3, Yunita Sari4, Mahin Ridlo Ronas2, Junaidi Junaidi5, Ledy Ervita5
1 Department of Medical Surgical, Wound Management and Critical Nursing, The Institute of Technology and Health of West Kalimantan, Indonesia
2 Department of Basic Sciences, The Institute of Technology and Health of West Kalimantan, Indonesia
3 Department of Management and Community Nursing, The Institute of Technology and Health of West Kalimantan, Indonesia
4 Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia
5 Department of Medical Surgical, Wound Management and Critical Nursing, The Institute of Technology and Health of West Kalimantan, Indonesia (Master Student)

Aim: The study aimed to evaluate the association between quality of life and wound severity in patients with recurrent diabetic foot ulcers (DFUs). Design: A cross-sectional study. Methods: The total sample comprised 86 DFU patients. The Diabetic Foot Ulcer Scale – Short Form scale was used to collect quality of life data, and Wagner grading was used to assess wound severity. Statistical analyses were conducted using the Mann-Whitney U-test and Kruskal-Wallis test. Results: The results showed that quality of life (QOL) in all domains was low. There were no significant differences between demographic and wound characteristics and QOL of patients. Significant differences were found between diabetes mellitus (DM) duration and Leisure / enjoying life (p = 0.020); Trigger and Worried about ulcers (p = 0.002); Trigger and Dependence / daily life (p = 0.006); Trigger and Negative emotions (p = 0.006); and Trigger and Bothered by ulcer care (p = 0.000). However, there were no significant differences between demographic and wound characteristics and physical health. Conclusion: The study showed that QOL of patients with recurrent diabetic ulcers was low. There was no correlation between quality of life or wound severity and recurrent DFUs. However, there was a correlation between DM duration and Leisure / enjoying life; Trigger and Worried about the ulcer; Trigger and Dependency / daily life; Trigger and Negative emotions; and Trigger and Bothered by ulcer care.

Keywords: DFS-SF scale, diabetic foot ulcers, quality of life, recurrent, wound severity

Received: April 7, 2022; Revised: September 26, 2022; Accepted: September 26, 2022; Prepublished online: February 18, 2023; Published: March 6, 2023  Show citation

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Haryanto H, Makmuriana L, Hartono H, Dwi Arini D, Ariyanti S, Sari Y, et al.. Quality of life in patients with recurrent diabetic foot ulcers. Central European Journal of Nursing and Midwifery. 2023;14(1):833-838. doi: 10.15452/cejnm.2022.13.0025.
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References

  1. Abetz, L., Sutton, M., Brady, L., McNulty, P., & Gagnon, D. D. (2002). The Diabetic Foot Ulcer Scale (DFS): a quality of life instrument for use in clinical trials. Practical Diabetes International, 19(6), 167-175. https://doi.org/10.1002/pdi.356 Go to original source...
  2. Alfaqih, M. R., Kusnanto, K., & Padoli, P. (2020). Systematic review a systematic review : the experience of patient with diabetic foot ulcers. Jurnal Ners, 15(2), 120-128. Go to original source...
  3. Alosaimi, F. D., Labani, R., Almasoud, N., Alhelali, N., Althawadi, L., & Aljahani, D. M. (2019). Associations of foot ulceration with quality of life and psychosocial determinants among patients with diabetes; a case-control study. Journal of Foot and Ankle Research, 12(1), 57. https://doi.org/10.1186/s13047-019-0367-5 Go to original source... Go to PubMed...
  4. Alrub, A. A., Hyassat, D., Khader, Y. S., Bani-Mustafa, R., Younes, N., & Ajlouni, K. (2019). Factors associated with health-related quality of life among Jordanian patients with diabetic foot ulcer. Journal of Diabetes Research, 2019, Article ID 4706720. https://doi.org/10.1155/2019/4706720 Go to original source... Go to PubMed...
  5. Alshayban, D., & Joseph, R. (2020). Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: a cross-sectional study. PLoS ONE, 15(1), e0227573. https://doi.org/10.1371/journal.pone.0227573 Go to original source... Go to PubMed...
  6. Bann, C. M., Fehnel, S. E., & Gagnon, D. D. (2003). Development and validation of the Diabetic Foot Ulcer Scale-short form (DFS-SF). Pharmaeconomics, 21(17), 1277-1290. https://doi.org/10.2165/00019053-200321170-00004 Go to original source... Go to PubMed...
  7. Coffey, L., Mahon, C., & Gallagher, P. (2019). Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: a qualitative meta-synthesis. International Wound Journal, 16(1), 183-210. https://doi.org/10.1111/iwj.13010 Go to original source... Go to PubMed...
  8. Crocker, R. M., Palmer, K. N. B., Marrero, D. G., & Tan, T-W. (2021). Patient perspectives on the physical, psycho-social, and financial impacts of diabetic foot ulceration and amputation. Journal of Diabetes and Its Complications, 35(8), 107960. https://doi.org/10.1016/j.jdiacomp.2021.107960 Go to original source... Go to PubMed...
  9. Dubskŭ, M., Jirkovská, A., Bem, R., Fejfarová, V., Skibová, J., Schaper, N. C., & Lipsky, B. A. (2013). Risk factors for recurrence of diabetic foot ulcers: prospective follow-up analysis in the Eurodiale subgroup. International Wound Journal, 10(5), 555-561. https://doi.org/10.1111/j.1742-481X.2012.01022.x Go to original source... Go to PubMed...
  10. Gilpin, H., & Lagan, K. (2008). Quality of life aspects associated with diabetic foot ulcers: a review. The Diabetic Foot Journal, 11(2), 56-62.
  11. Guo, S., & DiPietro, L. A. (2010). Factors affecting wound healing. Journal of Dental Research, 89(3), 219-229. https://doi.org/10.1177/0022034509359125 Go to original source... Go to PubMed...
  12. Harries, R. L., & Harding, K. G. (2015). Management of diabetic foot ulcers. Current Geriatrics Reports, 4(3), 265-276. https://doi.org/10.1007/s13670-015-0133-x Go to original source...
  13. Khunkaew, S., Fernandez, R., & Sim, J. (2019). Health-related quality of life among adults living with diabetic foot ulcers: a meta-analysis. Quality of Life Research, 28(6), 1413-1427. https://doi.org/10.1007/s11136-018-2082-2 Go to original source... Go to PubMed...
  14. Komaratat, C., Auemaneekul, N., & Kittipichai, W. (2021). Quality of life for type II diabetes mellitus patients in a suburban tertiary hospital in Thailand. Journal of Health Research, 35(1), 3-14. https://doi.org/10.1108/JHR-05-2019-0100 Go to original source...
  15. Mclntosh, C., Ivory, J. D., Gethin, G., & MacGilchrist, C. (2019). Optimising wellbeing in patients with diabetic foot ulcers. Journal of The European Wound Management Association, 20(1), 23-28. https://doi.org/10.35279/jewma201905.02 Go to original source...
  16. Registered Nurses' Association of Ontario. (2013). Assessment and management of foot ulcers for people with diabetes (2nd ed.). Registered Nurses' Association of Ontario. https://rnao.ca/sites/rnao-ca/files/Assessment_and_Management_of_Foot_Ulcers_for_People_with_Diabetes_Second_Edition1.pdf
  17. Sari, Y., Purnawan, I., Taufik, A., & Sumeru, A. (2018). Quality of life and associated factors in Indonesian diabetic patients with foot ulcers. Nurse Media Journal of Nursing, 8(1), 13-24. https://doi.org/10.14710/nmjn.v8i1.16815 Go to original source...
  18. Siersma, V., Thorsen, H., Holstein, P. E., Kars, M., Apelqvist, J., Jude, E. B., Piaggesi, A., Bakker, K., Edmonds, M., Jirkovská, A., Mauricio, D., Ragnarson Tennvall, G., Reike, H., Spraul, M., Uccioli, L., Urbancic, V., van Acker, K., van Baal, J., & Schaper, N. C. (2014). Health-related quality of life predicts major amputation and death, but not healing, in people with diabetes presenting with foot ulcers : The Eurodiale study. Diabetes Care, 37(3), 694-700. https://doi.org/10.2337/dc13-1212 Go to original source... Go to PubMed...
  19. Soewondo, P., Suyono, S., Sastrosuwignyo, M. K., Harahap, A. R., Sutrisna, B., & Makmun, L. H. (2017). Prediction of wound healing in diabetic foot ulcers: an observational study in tertiary hospital in Indonesia. Acta Medica Indonesiana, 49(1), 41-51. Go to PubMed...
  20. Sparring, V., Nystrom, L., Wahlstrom, R., Jonsson, P. M., Ostman, J., & Burstrom, K. (2013). Diabetes duration and health-related quality of life in individuals with onset of diabetes in the age group 15-34 years - a Swedish population - based study using EQ-5D. BMC Public Health, 13(377), 2-11. https://doi.org/10.1186/1471-2458-13-377 Go to original source... Go to PubMed...
  21. Syarif, H. (2013). Kualitas Hidup Pasien Ulkus Diabetik Di Poliklinik Endokrin Rsudza, Banda Aceh [Quality of life diabetic ulcers patients in the endocrine polyclinic of Rsudza, Banda Aceh]. Idea Nursing Journal, 4(1), 1-7.
  22. Upton, D., & South, F. (2011). The psychological consequences of wounds - a vicious circle that should not be overlooked. Wounds UK, 7(4), 136-138.
  23. Wagner, F. W. (1981). The Dysvascular foot: a system for diagnosis and treatment. Foot & Ankle International, 2(2), 64-122. https://doi.org/10.1177/107110078100200202 Go to original source... Go to PubMed...
  24. World Health Organization. (2012). Programme on mental health; WHOQOL user manual; WHO/HIS Rev.2012.03. https://www.who.int/publications/i/item/WHO-HIS-HSI-Rev.2012-3
  25. Yusuf, S., Okuwa, M., Irwan, M., Rassa, S., Laitung, B., Thalib, A., Kasim, S., Sanada, H., Nakatani, T., & Sugama, J. (2016). Prevalence and risk factor of diabetic foot ulcers in a regional hospital, Eastern Indonesia. Open Journal of Nursing, 6(1), 1-10. https://doi.org/10.4236/ojn.2016.61001 Go to original source...
  26. Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis. Annals of Medicine, 49(2), 106-116. https://doi.org/10.1080/07853890.2016.1231932 Go to original source... Go to PubMed...

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