Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers

Abstract

Background: Diabetic foot ulcer will cause a reduction in quality of life (QOL), high care burden, and even mortality. An assessment of QOL and associated factors in patients with diabetic foot ulcer is important to provide evidence for establishing a care plan program for such patients. However, up to the present, there is no evidence of a published study that investigates the QOL and its associated factors in patients with diabetic foot ulcer in Indonesia. Purpose: The purpose of this study was to investigate the QOL in patients with diabetic foot ulcer in each domain and investigate the factors associated with this condition. Methods: The design of this study was a cross-sectional study. The total sample for this study was 55 patients. The QOL data were collected using a Diabetic Foot Ulcer Scale questionnaire. Statistical analyses were conducted using Mann-Whitney U-test and Kruskal-Wallis test. Results: The result showed that the QOL in the domains of emotions, positive compliance, family life, and friend were high, while the QOL in the domains of daily activities, physical health, leisure, finances, positive attitude, and treatment ranged from low to average. Significant differences were found between income (p=0.004), grade of the wound (p=0.047), number of wounds (p=0.029), and blood glucose (p=0.013) with QOL of patients. Other variables did not have a significant relationship with QOL, but marital status had a significant correlation with the domain of leisure (p=0.004) and duration of the ulcer had a significant correlation with the domain of emotions (p=0.001) Conclusion: There is a correlation between income, grade of the wound, the number of wounds, and blood glucose with QOL of patients with a diabetic foot ulcer. This study recommends to take into account economic status, grade and number of wound, and blood glucose level in order to improve the QOL of patients for an effective patient care plan.

The Degree of Diabetic Wounds Affects Kidney Function Damage

“…Therefore, it is necessary to manage this disease comprehensively to make the patient's quality of life is optimal (Ghandour et al, 2018). The results of another study showed that the quality of life of patients with diabetes wounds is influenced by emotional factors, family, adherence, and friend support (Sari, Purnawan, Taufik, & Sumeru, 2018). Family empowerment affected family support in patients with type-2 DM.…”

Kadar Glukosa Darah Puasa dan Dihubungkan dengan Kualitas Hidup pada Pasien Ulkus Kaki Diabetik

“…Perawatan UKD memerlukan kontrol glikemik secara optimal, perawatan kaki, peningkatan pengetahuan tentang diagnosis UKD, dan pencegahan perkembangan UKD agar tidak bertambah berat, merupakan langkah penting untuk mencegah amputasi dan memperbaiki kualitas hidup (Marzoq et al, 2019). Faktor yang mempengaruhi kualitas hidup pasien UKD adalah kadar glukosa darah (hiperglikemia), jumlah pendapatan, grade atau stadium, dan jumlah ulkus (Sari et al, 2018).…”

“…Gejala penyakit kronis dan gangguan fisik memiliki dampak langsung pada semua aspek kualitas hidup (Borji, Otaghi, & Kazembeigi, 2017). Faktor yang mempengaruhi kualitas hidup pasien UKD adalah kadar glukosa darah, pendapatan, grade dan jumlah luka (Sari et al, 2018).…”

“…Kualitas hidup buruk pada pasien UKD, dapat dihubungan dengan faktor jenis kelamin perempuan, obesitas, penyakit arteri perifer, dan stress (Alrub et al, 2019). Selain itu, kadar glukosa darah (hiperglikemia), jumlah pendapat, grade atau stadium, dan jumlah ulkus juga mempengaruhi kualitas hidup pasien UKD (Sari et al, 2018).…”

Effects of Family Empowerment on Increasing Family Support in Patients with Type-2 Diabetes Mellitus

“…Due to their youth of being attacked by DM, the patients will experience a lengthy period of illness. To prevent arising complication, DM patients are strongly encouraged to take care of themselves (Sari, Purnawan, Sumeru, & Taufik, 2018;Suhanda, Afgani, & Feriandi, 2016). Self-care treatment for people with DM includes treatment of physical activity (exercise), treatment of diet regulation, control of the blood glucose level, medication treatment, and treatment of complication prevention (American Diabetes Association [ADA], 2018) For patients with DM, obeying a series of self-care routines which will last for a lifetime is a big challenge and not an easy thing to do.…”