Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers
Article Metrics: (Click on the Metric tab below to see the detail)
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.
- 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
- Aklima, A., Kritpracha, C., & Thaniwattananon, P. (2012). Development of family-based dietary self-management support program on dietary behaviors in patients with type 2 diabetes mellitus in Indonesia: A literature review. Nurse Media Journal of Nursing, 2,(2). Retrieved from https://ejournal.undip.ac.id/index.php/medianers/article/view/3969
- Aklima, A., Kritpracha, C., & Thaniwattananon, P. (2013). Dietary behaviors among patients with type 2 diabetes mellitus in Indonesia. Nurse Media Journal of Nursing, 3(1). https://doi.org/10.14710/nmjn.v3i1.4453
- Al-Rubeaan, K., Al Derwish, M., Ouizi, S., Youssef, A. M., Subhani, S. N., Ibrahim, H. M., & Alamri, B. N. (2015). Diabetic foot complications and their risk factors from a large retrospective cohort study. PloS One, 10(5), e0124446. https://doi.org/10.1371/journal.pone.0124446
- Almeida, S.A., Silveira, M. M., Santo, P.F.E., Pereira, R.C., & Salomé, G M. (2013). Assessment of the quality of life of patients with diabetes mellitus and foot ulcers. Rev Bras Cir Plást, 28(1), 142–146.
- Bann, C. M., Fehnel, S. E., & Gagnon, D. D. (2003). Development and validation of the diabetic foot ulcer scale-short form (DFS-SF). PharmacoEconomics, 21(17), 1277–1290.
- Bouhassira, D., Letanoux, M., & Hartemann, A. (2013). Chronic pain with neuropathic characteristics in diabetic patients: a French cross-sectional study. PloS One, 8(9), e74195. https://doi.org/10.1371/journal.pone.0074195
- de Jesus Pereira, M. T., Magela S. G., Guimaraes O. D., Cunha E. V. H., Almeida, S.A., & Masako F. L. (2014). Feelings of powerlessness in patients with diabetic foot ulcers. Wounds : A Compendium of Clinical Research and Practice, 26(6), 172–177.
- Deshpande, A.D., Harris-Hayes, M., & Schootman, M. (2008). Epidemiology of diabetes and diabetes-related complications. Physical Therapy, 88(11), 1254–1264. https://doi.org/10.2522/ptj.20080020
- Driver, V. R., Fabbi, M., Lavery, L.A., & Gibbons, G. (2010). The costs of diabetic foot: the economic case for the limb salvage team. Journal of Vascular Surgery, 52(3 Suppl), 17S–22S. https://doi.org/10.1016/j.jvs.2010.06.003
- Gilpin, H., & Lagan, K. (2008). Quality of life aspects associated with diabetic foot ulcers : A review. The Diabetic Foot Journal, 11(2), 56–62.
- Gonzalez de la Torre, H., Quintana-Lorenzo, M. L., Perdomo-Perez, E., & Verdu, J. (2017). Correlation between health-related quality of life and venous leg ulcer’s severity and characteristics: a cross-sectional study. International Wound Journal, 14(2), 360–368. https://doi.org/10.1111/iwj.12610
- Jin, J., Sklar, G.E., Oh, V.M.S., Li, S.C. (2008). Factors affecting therapeutic compliance: a review from the patient’s perspective. Therapeutics and Clinical Risk Management, 4(1). 269-286.
- Leon, B.M., & Maddox, T.M. (2015). Diabetes and cardiovascular disease: Epidemiology, biological mechanisms, treatment recommendations and future research. World Journal of Diabetes, 6(13), 1246–1258. https://doi.org/10.4239/wjd.v6.i13.1246
- Macioch, T., Sobol, E., Krakowiecki, A., Mrozikiewicz-Rakowska, B., Kasprowicz, M., & Hermanowski, T. (2017). Health-related quality of life in patients with diabetic foot ulceration - translation and Polish adaptation of diabetic foot ulcer scale-short form. Health and Quality of Life Outcomes, 15(1), 15. https://doi.org/10.1186/s12955-017-0587-y
- Mathur, R. K., Sahu, K., Saraf, S., Patheja, P., Khan, F., & Gupta, P. K. (2017). Low-level laser therapy as an adjunct to conventional therapy in the treatment of diabetic foot ulcers. Lasers in Medical Science, 32(2), 275–282. https://doi.org/10.1007/s10103-016-2109-2
- Prazeres, F., & Figueiredo, D. (2014). Measuring quality of life of old type 2 diabetic patients in primary care in Portugal: a cross-sectional study. Journal of Diabetes and Metabolic Disorders, 13, 68. https://doi.org/10.1186/2251-6581-13-68
- Primanda, Y., Kritpracha, C., & Thaniwattananon, P. (2011). Dietary behaviors among patients with type 2 diabetes mellitus in Yogyakarta, Indonesia. Nurse Media Journal of Nursing, 1(2). Retrieved from https://ejournal.undip.ac.id/index.php/medianers/article/view/975
- Ribu, L., Hanestad, B.R., Moum, T., Birkeland, K., & Rustoen, T. (2007). A comparison of the health-related quality of life in patients with diabetic foot ulcers, with a diabetes group and a nondiabetes group from the general population. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 16(2), 179–189. https://doi.org/10.1007/s11136-006-0031-y
- Salome, G.M., Blanes, L., & Ferreira, L.M. (2011). Assessment of depressive symptoms in people with diabetes mellitus and foot ulcers. Revista Do Colegio Brasileiro de Cirurgioes, 38(5), 327–333.
- Santos, I.C.R.V., Carvalho, E. F., Souza, W. V., & Albuquerque, E. C. (2015). Factors associated with diabetic foot amputations . Jornal Vascular Brasileiro, 14(1). 37-45. http://dx.doi.org/10.1590/1677-5449.20140049
- Sekhar, M. S., Thomas, R. R., Unnikrishnan, M. K., Vijayanarayana, K., & Rodrigues, G. S. (2015). Impact of diabetic foot ulcer on health-related quality of life: a cross-sectional study. Seminars in Vascular Surgery, 28(3), 165–171. https://doi.org/https://doi.org/10.1053/j.semvascsurg.2015.12.001
- Shaw, J. E., Sicree, R. A., & Zimmet, P. Z. (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Research and Clinical Practice, 87(1), 4–14. https://doi.org/10.1016/j.diabres.2009.10.007
- Spanos, K., Saleptsis, V., Athanasoulas, A., Karathanos, C., Bargiota, A., Chan, P., & Giannoukas, A. D. (2017). Factors associated with ulcer healing and quality of life in patients with diabetic foot ulcer. Angiology, 68(3), 242–250. https://doi.org/10.1177/0003319716651166
- Steel, A., Reece, J., & Daw, A.M. (2016). Understanding the relationship between depression and diabetic foot ulcers. Journal of Social Health and Diabetes, 4(1), 17–24. https://doi.org/10.4103/2321-0656.164792
- Syarif, H. (2013). Kualitas hidup pasien ulkus diabetes di poliklinik endokrin RSUD, Banda Aceh [The quality of life of patients with diabetic ulcers in endocrine polyclinic in RSUD Banda Aceh]. Idea Nursing Journal, IV(1), 1–7.
- Tuttolomondo, A., Maida, C., & Pinto, A. (2015). Diabetic foot syndrome as a possible cardiovascular marker in diabetic patients. Journal of Diabetes Research, 2015, 268390. https://doi.org/10.1155/2015/268390
- Valensi, P., Girod, I., Baron, F., Moreau-Defarges, T., & Guillon, P. (2005). Quality of life and clinical correlates in patients with diabetic foot ulcers. Diabetes & Metabolism, 31(3 Pt 1), 263–271.
- Vymětalová, R., & Zeleníková, R. (2016). Painful ulceration and QOL of patients with the diabetic foot syndrome. Cent Eur J Nurs Midw, 7(4), 512–517. https://doi.org/10.15452/CEJNM.2016.07.0023
- Wagner, F. W. J. (1981). The dysvascular foot: a system for diagnosis and treatment. Foot & Ankle, 2(2), 64–122.
- Yusuf, S., Okuwa, M., Irwan, M., Rassa, S., Laitung, B., Thalib, A., … Sugama, J. (2016). Prevalence and risk factor of diabetic foot ulcers in a regional hospital, Eastern Indonesia. Open Journal of Nursing, 6(January), 1–10. https://doi.org/10.4236/ojn.2016.61001
Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Diponegoro University as the publisher of this journal.
Copyright encompasses exclusive rights to reproduce and deliver the article in all forms and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any forms or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc., will be allowed only with a written permission from Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Diponegoro University.
Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Diponegoro University make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal. In any way, the contents of the articles and advertisements published in Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.
The Copyright Transfer Agreement Form can be downloaded by click this link Copyright Transfer Agreement Form. The copyright form should be filled with respect to article and be signed originally and sent to the Editorial Office in the form of original email, or scanned document file (softcopy) to:
Sri Padma Sari (Editor-in-Chief)
Department of Nursing, Faculty of Medicine, Diponegoro University
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: firstname.lastname@example.org or email@example.com (preferable)