Development and validation of health related quality of life questionnaire (Indian scenario) in diabetic foot ulcer patients

Kateel, Ramya; Augustine, Alfred Joseph; Ullal, Sonali; Prabhu, Shivananda; Bhat, Rahul; Adhikari, Prabha

doi:10.1016/j.dsx.2017.04.020

Cited by 7 publications

(10 citation statements)

References 14 publications

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“…DFU is very difficult to be managed and treated, especially in patients with other serious comorbidities such as immunosuppression (14). Antibiotic therapy, DFU dressings, leg offloading and frequently used alternative treatments such as Vacuum Assisted Closure (VAC), growth factors, hyperbaric oxygen and fibroblast/keratinocyte therapies (5, 16, 17) can help to the management of a DFU (15, 16). These treatment methods are approved as additional therapies and are not included in the guidelines of the International Working Group on the Diabetic Foot (18).…”

Section: Discussionmentioning

confidence: 99%

“…DFU and diabetic nephropathy has been established as important risk factors for foot ulceration and lower-extremity amputation (3). It is well known that DFU consists a serious problem for the scientific community, since it is one of the most common and serious lower-extremity complications of Diabetes mellitus, and influences both patient’s quality of life and the economy of the health system in developed countries (4, 5).…”

Section: Introductionmentioning

confidence: 99%

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Marine Isopod Ceratothoa Oestroides Extract: a Novel Treatment for Diabetic Foot Ulcers? Case Report of an Immunosuppressed Patient

et al. 2019

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Introduction: Diabetic foot ulcer (DFU) is a common lower-extremity complication in patients with diabetes mellitus. A novel DFU treatment is tested by using an ointment containing as healing agent olive oil isopod Ceratothoa oestroidesextract. Case report: A 58 years old obese man,smoker, with a history of unregulated Type 2 Diabetes Mellitus, peripheral neuropathy and Hodgkin lymphoma was referred to Athens–Greece university hospital Laikon. The patient presented clinically with a lower extremity DFU and peripheral neuropathy with dysesthesia and disturbed sensation of hot and cold. He was treated with an ointment containing C. oestroides extract for five months, without any antimicrobial treatment. Therapy was evaluated by measurement of the transepidermal water loss, skin hydration, photo documentation and planimetry. At each patient’s visit, DFU presented a satisfactory healing process. Five months after treatment initiation the patient had complete healing of his DFU. Blood tests after treatment revealed a significant reduction of the levels of the inflammatory markers. Ulcer cultures did not reveal any microbial development neither before nor after treatment. Conclusion: The administration of the C. oestroides extract ointment proved to be effective in this case. Although these results should be further investigated, the reported case suggests a novel option for the management of neuropathic diabetic foot ulcers, especially in patients with severe co-morbidities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Marine Isopod Ceratothoa Oestroides Extract: a Novel Treatment for Diabetic Foot Ulcers? Case Report of an Immunosuppressed Patient

et al. 2019

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“…Diabetes mellitus (DM) has become the most important metabolic disease nowadays and there are over 400 million people with DM globally according to the report of the International Diabetes Federation in 2015 (1). It is expected that the number of diabetic patients will continue to increase over the coming decades (2). The blood sugar disorder of diabetic patients may induce injury of the blood vessels and peripheral nerves.…”

Section: Introductionmentioning

confidence: 99%

Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

Kuang¹,

Gu²,

Cao³

et al. 2021

Ann Palliat Med

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Background: Patients with diabetic foot ulcer (DFU) usually have a poor quality of life (QoL) and selfefficacy, which is affected by many risk factors. However, the role of psychological resilience in QoL and selfefficacy in DFU patients has remained unclear.Methods: This prospective cross-sectional study was performed in a single center from January 2018 to February 2020. A total of 98 DFU patients were enrolled in this study. Some demographic and clinical data were prospectively collected from participants. The psychological resilience of participants was assessed by Connor-Davidson resilience scale (CD-RISC). Self-efficacy was also assessed using the diabetes management self-efficacy scale (DMSES) and QoL was assessed by the 36-item short-form (SF-36) health survey. Univariable and multivariable linear regression were used to analyze the risk factors of self-efficacy and QoL. Then, logistic regression was used to analyze the predictors of psychological resilience among the participants.Results: A CD-RISC score of more than 85 points was defined as high psychological resilience in this study; there were 28 participants diagnosed with high psychological resilience and 70 patients with low psychological resilience. Those with high psychological resilience had significantly higher selfefficacy, general health, vitality, social functioning, role emotional, and mental health than those with low psychological resilience. According to multivariable linear regression, low psychological resilience and older age were identified as risk factors of self-efficacy. On the contrary, low psychological resilience, older age, lower perceived social support and higher level of glycated hemoglobin were identified as risk factors of QoL. Finally, males had lower psychological resilience than females and those receiving more social support had higher psychological resilience than participants receiving less social support.Conclusions: Some risk factors of QoL and self-efficacy were identified in this study and these results may provide some evidence for the improvement of QoL and self-efficacy in DFU patients. Being female and receiving higher social support were shown to have potential for improving psychological resilience in DFU patients.

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“…Diabetes mellitus (DM) has become the greatest common metabolic disorder, with over 400 million people around the world suffering from it, as per a 2015 report by the International Diabetes Federation [1]. The proportion of people with diabetes is predicted to grow in the upcoming years [2], according to the latest projections. Indonesia has the fourth highest prevalence of diabetes in the world [3].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Modified Diabetes Self-management Education and Support on Self-care and Quality of Life among Patients with Diabetic Foot Ulcers in Rural Area of Indonesia

Damhudi

Kertia

Effendy

2021

Open Access Maced J Med Sci

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BACKGROUND: Diabetes self-management education and support (DSMES) programs are patient-centered, holistic solution that enables it one of the best approaches for improving medication adherence enhanced coping, empowerment and self-efficacy, quality of life (QoL), and lower rates of depression, in people with type 2 diabetes mellitus (T2DM). In isolation, DSME strategies have not shown significant improvements to self-care and/or reduction of diabetic foot ulcer (DFU). AIM: This study sought to determine the effect of modified DSMES on self-care, DFU severity, and QoL in rural Indonesian patients with DFUs. METHODS: A quasi-experimental design with pre-test and post-test control group design, in Singkawang, West Kalimantan, Indonesia, with a total sample of 60 patients consisting of 30 patients in the intervention group and 30 patients in the control group. The DSMES has been adapted to cover 2 h of content for a period of 8 weeks and the eight-core components of DSMES. The curriculum was culturally adapted revised to incorporate culturally appropriate nature similarities, such as a prominent change to represent changes in glucose counts; to incorporate photos; to incorporate culturally relevant eating habits, such as fish and fruit; to communicate in detail the significance of medication adherence, with an emphasis on metformin’s organic, plant-based characteristics; and to emphasize engagement. Intention-to-treat analyses were conducted to determine the effect of modified DSMES on self-care, DFU severity, and QoL. RESULTS: The DSMES program improved outcomes in three of the three outcome indicators when compared to the control group at T1: In this study, (1) the DFU degree increased by 3.3% points (95% confidence interval [CI]: 0.018–0.194), (2) the diabetes foot self-care behavior score increased by a modest 8.8% points (95% CI: 0.021–0.203), and (3) the QoL increased by 32.7% points (95% CI: 00.075–0.689). The degree of DFU (difference-in-difference [DID] coef. 0.350, 95% CI 0.084–0.572), diabetes foot self-care behavior (DID coef. 0.085, 95% CI 0.065–0.405), and QoL (DID coef. 0.343, 95% CI 0.078–0.436) are all still significantly improved compared to the control at T2. CONCLUSION: The primary outcome analyses indicate that the adapted DSMES was more effective than standard care at improving self-care and QoL and decreasing DFU degree in this sample of Indonesians with DFU, both immediately after and 3 months after the intervention. As nurse educators, it is our responsibility to ensure that we evaluate all of the support options accessible to the patients in our care.

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Development and validation of health related quality of life questionnaire (Indian scenario) in diabetic foot ulcer patients

Cited by 7 publications

References 14 publications

Marine Isopod Ceratothoa Oestroides Extract: a Novel Treatment for Diabetic Foot Ulcers? Case Report of an Immunosuppressed Patient

Marine Isopod Ceratothoa Oestroides Extract: a Novel Treatment for Diabetic Foot Ulcers? Case Report of an Immunosuppressed Patient

Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

The Effect of Modified Diabetes Self-management Education and Support on Self-care and Quality of Life among Patients with Diabetic Foot Ulcers in Rural Area of Indonesia

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