Quality of life of Czech patients with diabetic foot ulcers

Abstract

The aim of this study was to assess the quality of life of patients with diabetic foot ulcers, and its dependence on the duration of ulceration, the use of insulin therapy, smoking and Body Mass Index. Design: Cross-sectional study. Methods: A standardized questionnaire, the Diabetic Foot Ulcer Scale, was used for data collection. A quantitative study included 247 adults with diabetic foot ulcers. Data collection was performed between April 2014 and December 2014 in 18 podiatric outpatient and chronic wound outpatient clinics spread out over the entire Czech Republic. Results: The study found that the highest average index of quality of life was in the domain of noncompliance (84.6), while the lowest was in the domain of leisure (49.2). The duration of diabetic foot ulcer has significant influence on three domains of quality of life: physical health (p = 0.022), noncompliance (p = 0.044) and positive attitude (p = 0.018). The use of insulin therapy has an important influence on three domains of quality of life: physical health (p = 0.002), daily activities (p = 0.012) and emotions (p = 0.029). Statistically significant differences in quality of life scores have been found between smokers and non-smokers in two domains: noncompliance (p < 0.0001) and positive attitude (p = 0.003). Conclusions: In our sample it was demonstrated that quality of life is dependent on the duration of diabetic foot ulcers-the longer the duration, the lower the quality of life. The dependence was revealed in three domains: physical health, noncompliance and positive attitude. The use of insulin therapy as well as smoking proved to have an impact on the quality of life of patients with diabetic foot ulcers. The use of insulin therapy as well as smoking proved to have an impact on the quality of life of patients with diabetic foot ulcers. Prevention, early detection and monitoring of diabetic foot ulcers is necessary in order to prevent continuing deterioration of quality of life of diabetic patients.

Demographic factors associated with quality of life in Iraqis people with diabetic foot ulcers

“…Our study showed that the wound's grade and the Diabetic duration are statistically significant and have a relationship related to the quality of life, it was similar to a study conducted in Indonesian (Sari et al, 2018). This study showed that the history of diabetic foot ulcers has no Significant with quality of life Contrary to what was reported in Another study also showed that Patients with a longer history of ulceration had a lower quality of life (Vymětalová and Zeleníková, 2019).…”

Predictors of Foot Care Behavior in Adults with Type-2 Diabetes: Self-Efficacy and Quality of Life

“…Another study found that level of quality of life in patients with diabetes was related to the duration of diabetic foot ulcers -the longer the duration, the lower the quality of life (Vymětalová & Zeleníková, 2019). Considering the present study's findings, it can be said that maintaining foot health improves the quality of life of individuals and ensures the continuity of walking ability, which means that providing training to diabetic patients on diabetes management and foot self-care behaviors can have a positive effect on their quality of life.…”

“…(Altınok et al, 2016;Trikkalinou et al, 2017). In the relevant literature, the importance of foot care behavior is emphasized in the prevention of the complications of diabetes, especially the diabetic foot, which negatively affects the quality of life (Sothornwit et al, 2018;Vymětalová, & Zeleníková 2019). Khunkaew et al (2019), in their study, identified a relationship between quality of life and foot selfcare, showing that personal foot self-care training, including personal care management practices, helped to improve diabetic patients' quality of life.…”