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

Yunita Sari; Iwan Purnawan; Agis Taufik; Annas Sumeru

doi:10.14710/nmjn.v8i1.16815

DOI: https://doi.org/10.14710/nmjn.v8i1.16815

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

*Yunita Sari - Nursing Program, Faculty of Health Science, Jenderal Soedirman University, Indonesia

Iwan Purnawan - Faculty of Health Science, Jenderal Soedirman University, Indonesia

Agis Taufik - Faculty of Health Science, Jenderal Soedirman University, Indonesia

Annas Sumeru - Faculty of Health Science, Jenderal Soedirman University, Indonesia

BibTex Citation Data :

@article{NMJN16815,
    author = {Yunita Sari and Iwan Purnawan and Agis Taufik and Annas Sumeru},
    title = {Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers},
    journal = {Nurse Media Journal of Nursing},
  volume = {8},
    number = {1},
    year = {2018},
    keywords = {Diabetic; foot ulcer; quality of life},
    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.  Result  s : 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. },
   issn = {2406-8799},   pages = {13--24}  doi = {10.14710/nmjn.v8i1.16815},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/16815}
}

Citation Format:

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.

Note: This article has supplementary file(s).

Fulltext View|Download | common.other

English editing service from native speaker

Subject	editing, english
Type	Other
	Download (237KB) Indexing metadata

Keywords: Diabetic; foot ulcer; quality of life

Funding: -

Article Metrics:

Article Info

Section: Articles

Language : EN

In Vol 8, No 1 (2018): (JUNE 2018)

Recent articles

Patient Safety Goals’ Level of Attainment in Selected Tertiary Hospitals in Manila, Philippines: A Preliminary Study Nursing Students’ Attitudes towards Caring for Dying Patients Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers Editorial Front Matter Editorial Back Matter More recent articles

Most cited articles

A Review of the Quality Improvement in Discharge Planning through Coaching in Nursing A Systematic Review of the Selected Evidences on the Effectiveness of Inter-professional Education (IPE) in Developing Interprofessional Learning Environment Self-Efficacy Affects Cancer Patients in Solving Problems, Seeking Support and Avoiding Problems as Coping Mechanisms Case Study: Evidence-Based Interventions Enhancing Diabetic Foot Care Behaviors among Hospitalized DM Patients Review: Anxiety and Quality of life in Patients with Myocardial Infarction More cited articles

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

Last update:

Quality of life in patients with recurrent diabetic foot ulcers
Haryanto Haryanto, Lestari Makmuriana, Hartono Hartono, Desti Dwi Arini, Sri Ariyanti, Yunita Sari, Mahin Ridlo Ronas, Junaidi Junaidi, Ledy Ervita. Central European Journal of Nursing and Midwifery, 14 (1), 2023. doi: 10.15452/cejnm.2022.13.0025
INDIFURUTO: A novel tool for assessing diabetic foot recurrence risk in type 2 diabetes
Haryanto Haryanto, Syahid Amrullah, Suriadi Jais, Supriadi Supriadi, Imran Imran, Yunita Sari. Journal of Medicine and Life, 16 (10), 2023. doi: 10.25122/jml-2023-0058
Topical ozonated virgin coconut oil improves wound healing and increases HSP90α, VEGF-A, EGF, bFGF and CD34 in diabetic ulcer mouse model of wound healing
Renni Yuniati, Prasetyowati Subchan, Wibi Riawan, Matthew Brian Khrisna, Maryam Restiwijaya, Niken Safitri Dyan Kusumaningrum, Muhammad Nur. F1000Research, 9 , 2021. doi: 10.12688/f1000research.22525.2
H2O2-PLA-(Alg)2Ca Hydrogel Enriched in Matrigel® Promotes Diabetic Wound Healing
Alexandra Cătălina Bîrcă, Cristina Chircov, Adelina Gabriela Niculescu, Herman Hildegard, Cornel Baltă, Marcel Roșu, Bianca Mladin, Oana Gherasim, Dan Eduard Mihaiescu, Bogdan Ștefan Vasile, Alexandru Mihai Grumezescu, Ecaterina Andronescu, Anca Oana Hermenean. Pharmaceutics, 15 (3), 2023. doi: 10.3390/pharmaceutics15030857
Self-management Effectiveness on the Quality of Life of Type 2 Diabetes Mellitus Patients during the COVID-19 Pandemic in Aceh, Indonesia
Fithria Fithria, Cut Husna, Ahyana Ahyana, Irfanita Nurhidayah, Syarifah Rauzatul Jannah. Open Access Macedonian Journal of Medical Sciences, 10 (G), 2022. doi: 10.3889/oamjms.2022.9634
Family Coping Strategies and Quality of Life of Patients with Type-2 Diabetes Mellitus in Primary Health Care in Indonesia
Setyoadi Setyoadi, Ferry Efendi, Joni Haryanto, Fitri Rosyidawati, Niko Dima Kristianingrum, Yati Srihayati, Dina Dewi Sartika Lestari Ismail. Nurse Media Journal of Nursing, 13 (3), 2023. doi: 10.14710/nmjn.v13i3.56700
Patient-Reported Outcome Measures of Quality of Life in People Affected by Diabetic Foot: A Psychometric Systematic Review
Àngel Romero-Collado, Elvira Hernández-Martínez-Esparza, Edurne Zabaleta-del-Olmo, Ana-María Urpí-Fernández, Rosalía Santesmases-Masana. Value in Health, 25 (9), 2022. doi: 10.1016/j.jval.2022.04.1737
Topical ozonated virgin coconut oil improves wound healing and increases HSP90α, VEGF-A, EGF, bFGF, and CD34 in diabetic ulcer mouse model of wound healing
Renni Yuniati, Prasetyowati Subchan, Wibi Riawan, Matthew Brian Khrisna, Maryam Restiwijaya, Niken Safitri Dyan Kusumaningrum, Muhammad Nur. F1000Research, 9 , 2021. doi: 10.12688/f1000research.22525.3

Last update: 2024-11-20 14:32:34

No citation recorded.

Journal Author(s) Rights

In order for the Department of Nursing, Faculty of Medicine, Universitas Diponegoro to publish and disseminate research articles, we need non-exclusive publishing rights (transferred from the author(s) to the publisher). This is determined by a publishing agreement between the author(s) and the Department of Nursing, Faculty of Medicine, Universitas Diponegoro. This agreement involves the transfer or licensing of the copyright for publishing to the publisher, while authors still retain significant rights to use and share their own published articles. The Department of Nursing, Faculty of Medicine, Universitas Diponegoro supports the need for authors to share, disseminate, and maximize the impact of their research through these rights in any databases.

As the author(s), you have rights to a wide range of uses of your article, including use by your employing institution or company. These author rights can be exercised without the need to obtain specific permission. Authors publishing in the Nurse Media Journal of Nursing have extensive rights to use their works for teaching and scholarly purposes without needing to seek permission, including:

use for classroom teaching by the author or the author’s institution and presentation at a meeting or conference, including distributing copies to attendees;
use for internal training by the author’s company;
distribution to colleagues for their research use;
use in a subsequent compilation of the author’s works;
inclusion in a thesis or dissertation;
reuse of portions or extracts from the article in other works (with full acknowledgment of the final article);
preparation of derivative works (other than for commercial purposes) (with full acknowledgment of the final article);
voluntary posting on open websites operated by the author or the author’s institution for scholarly purposes;

following the open access license of the Creative Commons CC BY-SA License.

Authors, readers, and third parties can copy and redistribute the material in any medium or format, as well as remix, transform, and build upon the material for any purpose, even commercially, but they must give appropriate credit (including the name of the creator and attribution parties, detailed information about the authors, a copyright notice, an open access license notice, a disclaimer notice, and a link to the material), provide a link to the license, and indicate if changes were made. The publisher will indicate any modification of the material (if any) and retain an indication of previous modifications using a CrossMark Policy and information about Erratum-Corrigendum notifications.

Authors, readers, and third parties can read, print, and download, redistribute or republish the article (e.g., display it in a repository), translate the article, download it for text and data mining purposes, reuse portions or extracts from the article in other works, sell or reuse it for commercial purposes, remix, transform, or build upon the material. They must distribute their contributions under the same license as the original Creative Commons Attribution-ShareAlike (CC BY-SA).

Copyright Transfer Agreement for Publishing (Publishing Right)

The Authors submitting a manuscript do so on the understanding that if accepted for publication, non-exclusive right for publishing (publishing right) of the article shall be assigned/transferred to Publisher of the Nurse Media Journal of Nursing (Department of Nursing, Faculty of Medicine, Universitas Diponegoro).

Upon acceptance of an article, authors will be asked to complete a 'Copyright Transfer Agreement for Publishing (CTAP)'. An e-mail will be sent to the Corresponding Author confirming receipt of the manuscript together with a 'Copyright Transfer Agreement for Publishing' form by online version of this agreement.

Nurse Media Journal of Nursing and Department of Nursing, Faculty of Medicine, Universitas Diponegoro, the Editors and the Editorial Board 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 the Nurse Media Journal of Nursing are sole and exclusive responsibility of their respective authors and advertisers.

Please note that even though we ask for a transfer of copyright for publishing (CTAP), our journal Author(s) retain (or are granted back) significant scholarly rights as mentioned before.

The Copyright Transfer Agreement for Publishing (CTAP) Form can be downloaded here: [Copyright Transfer Agreement for Publishing (CTAP) Form NMJN 2024]

The copyright form should be signed electronically and send to the Editorial Office in the form of original e-mail below:

Dr. Meira Erawati (Editor-in-Chief)
Editorial Office of Nurse Media Journal of Nursing
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Jl. Prof. Soedarto, Tembalang, Semarang, Central Java, Indonesia 50275
Telp.: +62-24-76480919; Fax.: +62-24-76486849
E-mail: media_ners@live.undip.ac.id

(This policy statements has been updated at 24th January 2024)

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

Journal Author(s) Rights

Copyright Transfer Agreement for Publishing (Publishing Right)

OFFICE INFORMATION