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

Abstract

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.

Current status of self-management efficacy and its correlation with post-traumatic growth、resilience in nasopharyngeal carcinoma patients treated with radiotherapy:A cross-sectional study

“…Meanwhile, the results of this study showed that resilience was an in uential factor for the self-management e cacy of NPC radiotherapy patients (P < 0.01), and there was a positive correlation between the two, that is, the higher the level of resilience of NPC radiotherapy patients have, the better their self-management e cacy will be, which was similar to the results of the study by Kuang et al [32] . Resilience refers to the ability of patients to adapt and recover quickly in the face of negative events by using existing resources.…”

Predictive effect of resilience on self-efficacy during the COVID-19 pandemic: The moderating role of creativity

“…In a study of patients with diabetes-caused foot ulcers, factors such as self-efficacy were significantly higher for the high-resilience group than for the low-resilience group ( 117 ). Self-efficacy among college students enrolled in online courses was reflected in the completion of their courses, social and academic interactions with classmates, use of the course management system, and interaction with instructors ( 118 ). Resilience can be a key factor in the psychosocial care of patients ( 119 ), and college students who experience excessive negative emotions due to the COVID-19 pandemic can improve their self-efficacy through online learning platforms that promote adaptive development.…”

Health Related Quality of Life for Patients with Diabetic Foot Amputation

“…A total of 70 diabetic patients, 3 to 18 after amputation operation for follow up, were recruited using a purposive sample.y Data were collected using the following two tools: Tool I: Patients Structured interviewing questionnaire. This tool was developed by the investigator in simple Arabic language based on reviewing the related literatures (8,9) . It included three parts: A) Socio-demographic characteristics of patients: It was used to assess the patient's demographic characteristics including age, gender, marital status, education level, occupation status, monthly income and residence; B) Medical history of patients: It was used to assess patient's medical and family history including the following: duration of disease, type of DM, type of diabetic medication, period of hospitalization, main cause of current hospialization adimision, amputation site, complication at amputation site, history of chronic diseases, previous amputation surgery, family history of DM and amputation; C) Knowledge assessment questionnaire: This tool was adapted from Zubair et al (10) to assess the knowledge of patients regarding diabetes mellitus (7 items), diabetic foot care (21 items), and diabetic foot amputation (13 items).…”