Evaluation of the life quality in patients with diabetic foot syndrome before treatment and in the late period
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 2
Abstract
The aim — to study the life quality aspects in patients with diabetes mellitus complicated by diabetic foot syndrome, which affect both treatment and rehabilitation. Materials and methods. 198 patients with diabetes mellitus type 2, diabetic foot syndrome and post‑operative foot wounds were examined for purulent‑necrotic complications in the period from 2017 to 2018. There were 97 men (49 %) and 101 women (51 %). The average age of patients was 59.2 ± 2.7 years (39 — 76 years). The duration of diabetes mellitus was on average — 11.8 ± 2.7 years. The EuroQol EQ‑5D‑5L questionnaire based on the five components of the life quality, such as: mobility, self‑care, ordinary daily activities, pain and discomfort, anxiety and depression were used for health state assessment. Each question is divided into 5 levels depending on the degree of problem severity (no problem, minor problems, problem of moderate severity, significant problems, and big problems). A visual analogue scale for the subjective assessment of one’s own health was also determined. Results and discussion. A statistically significant decline in the life quality indicators, as well as the psychological component of the life quality, was revealed. Thanks to treatment and a critical attitude to one’s condition, the frequency of complaints decreased from 57.0 % (at the beginning of treatment) to 50.5 % after 12 months (p = 0.058). Improved adaptation was noted, which also was contributed to a complaints decreasing (p < 0.05). According to other indicators of life quality (general health, physical functioning, pain intensity, level of depression), a statistically significant decrease was found in both men and women. It is established that there was no correlation between the average score on a visual analogue scale and the result of EuroQol EQ‑5D‑5L self‑assessment. Conclusions. Most patients cannot independently objectively assess the severity of their condition, especially at the beginning of treatment. There is no clear relationship between the subjective clinical assessment of the state of health and the presence of individual complaints in patients. The pain and discomfort in the lower extremities has significantly subjectively reduced (from 46 to 26 %), as well as problems with movement (from 41 to 32 %) as a result of treatment. The reduction in the proportion of patients with anxiety and depression (from 53.0 % to 39.4 %) depended on symptomatic and pathogenetic treatment.
Authors and Affiliations
O. V. Marchenko, M. B. Gorobeiko, T. Yu. Yuzvenko, Z. G. Krushinska
Keywords
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- EP ID EP609771
- DOI 10.30978/SU2019-2-56
- Views 118
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