Öz
Amaç: Diyabetik ayak hastalarında yaşam kalitesi düzeylerinin ve etkileyen faktörlerin değerlendirilmesidir.
Gereç ve Yöntem: Çalışmanın verileri Ocak – Mart 2020 tarihleri arasında üniversite hastanesinin diyabetik ayak konseyine başvuran 171 hastadan toplanmıştır. Verilerin toplanmasında birey tanıtım formu ve Diyabetik Ayak Ölçeği – Kısa Formu kullanılmıştır. Bu ölçekte alt boyutlar ve ölçek toplam puanı 0-100 aralığında değerler almakta olup yüksek puan ortalaması yüksek yaşam kalitesini, düşük puan ortalaması düşük yaşam kalitesini göstermektedir. Araştırmanın verileri IBM SPSS 25.0 paket programı ile analiz edilmiştir.
Bulgular: Çalışmada yer alan hastaların %67,3’ünün erkek, %84,8’inin evli ve ortalama yaşı 61,57±10,03 yıl olarak saptanmıştır. Kadınların (p=0,009), insülin tedavisi alanların (p=0,004), sigara kullanmayan (p=0,027), alkol tüketimi olmayan (p=0,030) ve diyabete eşlik eden kronik hastalığı olmayan bireylerin (p=0,003) yaşam kalitesi puan ortalamalarının daha yüksek düzeyde olduğu saptanmıştır. Regresyon tahminlemesinde insülin tedavisi almanın (β=-0,23, p=0,024) ve eşlik eden kronik bir hastalığı olmamasının (β=-0,17, p=0,037) yaşam kalitesini olumlu yönde etkilediği saptanmıştır.
Sonuç: Sonuç olarak diyabetik ayak hastalarında yaşam kalitesinin orta düzeyde olduğu cinsiyet, tedavi türü, sigara kullanımı, alkol kullanımı ve eşlik eden kronik hastalık varlığı bakımından gruplar arasında farklılık olduğu gözlemlenmiştir. Diyabetik ayak hastalarında tedavi türü ve eşlik eden kronik hastalık varlığının yaşam kalitesi üzerine anlamlı etkisi olduğu saptanmıştır.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- Saeedi P, Petersohn I, Salpea, P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract 2019; 157: 107843.
- Satman İ, Grubu TIÇ. TURDEP-II Sonuçları. Türk Endokronoloji ve Metabolizma Derneği [Updated: 2011 Cited: 23.03.2020]. Avaible from: http://www.turkendokrin.org/files/file/TURDEP_ II_2011.pdf Son Erişim Tarihi: 23.03.2020.
- Al-Rubeaan K, Al Derwish M, Ouizi S, et al. Diabetic foot complications and their risk factors from a large retrospective cohort study. PLoS One 2015; 10 (5): e0124446.
- Nather A, Bee CS, Huak CY, et al. Epidemiology of diabetic foot problems and predictive factors for limb loss. J Diabetes Complications 2008; 22 (2): 77-82.
- Bann CM, Fehnel SE, Gagnon DD. Development and validation of the Diabetic Foot Ulcer Scale-short form (DFS-SF). Pharmacoeconomics 2013; 21 (17): 1277-90.
- Toygar İ, Hançerlioğlu S, Gül S, Utku T, Yıldırım Şimşir I, Çetinkalp Ş. Turkish Adaptation of Diabetic Foot Ulcer Scale – Short Form. International Journal of Lower Extremity Wounds The International Journal of Lower Extremity Wounds. 2020; 19 (3): 269-274.
- PrasannaKumar HR, Mahesh MG, Menon VB, Srinath KM, Shashidhara KC, Ashok P. Patient Self-reported quality of life assessment in Type 2 diabetes mellitus: A pilot study. Niger J Clin Pract 2018; 21: 343-9.
- Levterova B, Levterov G, Dragova E. Quality of life in patients with type 2 diabetes mellitus in Bulgaria: a cross-sectional study. European Journal of Preventive Medicine 2016; 4 (1): 7-12.
- Vatandaş C. Toplumsal Cinsiyet ve Cinsiyet Rollerinin Algılanışı. Sosyoloji Konferansları, 2007; (35): 29-56.
- Nikolaev B. Does higher education increase hedonic and eudaimonic happiness?. J Happiness Stud 2018; 19 (2): 483-504.
- Zack MM, Centers for Disease Control and Prevention (CDC). Health-related quality of life—United States, 2006 and 2010. MMWR Surveill Summ 2013; 62 (Suppl 3): 105-11.
- Rezaei S, Matin BK, Karyani AK, et al. Impact of smoking on health-related quality of life: a general population survey in West Iran. Asian Pac J Cancer Prev 2017; 18 (11): 3179-85.
- Beccaria F, Rolando S, Ascani P. Alcohol consumption and quality of life among young adults: a comparison among three European countries. Substance use misuse 2012; 47 (11): 1214-23.
- Kaplan MS, Huguet N, Feeny D, et al. Alcohol use patterns and trajectories of health-related quality of life in middle-aged and older adults: a 14-year population-based study. J Stud Alcohol Drugs 2012; 73 (4): 581-90.
- Schrieks IC, Wei MY, Rimm EB, et al. Bidirectional associations between alcohol consumption and health‐related quality of life amongst young and middle‐aged women. J Intern Med 2016; 279 (4): 376-87.
- Pouwer F, Hermanns N. Insulin therapy and quality of life. A review. Diabetes Metab Res Rev 2009; 25 (Suppl 1): 4-10.
- Emanuelli T, Burgeiro A, Carvalho E. Effects of insulin on the skin: possible healing benefits for diabetic foot ulcers. Arch Dermatol Res 2016; 308 (10): 677-94.
- Yekta Z, Pourali R, Ghasemi-rad M. Comparison of demographic and clinical characteristics influencing health-related quality of life in patients with diabetic foot ulcers and those without foot ulcers. Diabetes Metab Syndr Obes 2011; 4: 393-9.
- Javanbakht M, Abolhasani F, Mashayekhi A, Baradaran HR. Health related quality of life in patients with type 2 diabetes mellitus in Iran: a national survey. PloS one 2012; 7 (8): e4452
- Spasić A, Radovanović RV, Đorđević AC, Stefanović N, Cvetković T. Quality of life in type 2 diabetic patients. Acta Fac Med 2014; 31 (3): 193-200.
Öz
Aim: To evaluate the quality of life of diabetic foot patients and affecting factors.
Materials and Methods: The data of the study were collected from 171 patients who applied to the diabetic foot council of a university hospital between January - March 2020. For the collection of the data, the individual identification form, and the Diabetic Foot Scale - Short Form were used. In this scale, the sub-dimensions’ and scale total scores are range from 0 to 100, and the high mean score indicates a high quality of life, the low mean of score indicates a low quality of life. Research data were analyzed with IBM SPSS 25.0 software package.
Results: Of the patients, 67.3% were male, 84.8% were married, and the mean age was 61.57 ± 10.03 years. The quality of life scores of women (p = 0.009), those receiving insulin therapy (p = 0.004), non-smokers (p = 0.027), those who do not consume alcohol (p = 0.030), and individuals who do not have any concomitant chronic disease (p = 0.003) was found to be at a high level. In regression estimation, it was found that receiving insulin therapy (β = -0.23, p = 0.024) and not having any concomitant chronic disease (β = -0.17, p = 0.037) positively affected the quality of life.
Conclusion: As a result, it was observed that the quality of life of diabetic foot patients was at a moderate level, and there was a difference between the groups in terms of gender, type of treatment, smoking, alcohol consumption and accompanying chronic disease. It was determined that the type of treatment and accompanying chronic disease have a significant effect on the quality of life in diabetic foot patients.
Anahtar Kelimeler
Proje Numarası
-
Kaynakça
- Saeedi P, Petersohn I, Salpea, P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract 2019; 157: 107843.
- Satman İ, Grubu TIÇ. TURDEP-II Sonuçları. Türk Endokronoloji ve Metabolizma Derneği [Updated: 2011 Cited: 23.03.2020]. Avaible from: http://www.turkendokrin.org/files/file/TURDEP_ II_2011.pdf Son Erişim Tarihi: 23.03.2020.
- Al-Rubeaan K, Al Derwish M, Ouizi S, et al. Diabetic foot complications and their risk factors from a large retrospective cohort study. PLoS One 2015; 10 (5): e0124446.
- Nather A, Bee CS, Huak CY, et al. Epidemiology of diabetic foot problems and predictive factors for limb loss. J Diabetes Complications 2008; 22 (2): 77-82.
- Bann CM, Fehnel SE, Gagnon DD. Development and validation of the Diabetic Foot Ulcer Scale-short form (DFS-SF). Pharmacoeconomics 2013; 21 (17): 1277-90.
- Toygar İ, Hançerlioğlu S, Gül S, Utku T, Yıldırım Şimşir I, Çetinkalp Ş. Turkish Adaptation of Diabetic Foot Ulcer Scale – Short Form. International Journal of Lower Extremity Wounds The International Journal of Lower Extremity Wounds. 2020; 19 (3): 269-274.
- PrasannaKumar HR, Mahesh MG, Menon VB, Srinath KM, Shashidhara KC, Ashok P. Patient Self-reported quality of life assessment in Type 2 diabetes mellitus: A pilot study. Niger J Clin Pract 2018; 21: 343-9.
- Levterova B, Levterov G, Dragova E. Quality of life in patients with type 2 diabetes mellitus in Bulgaria: a cross-sectional study. European Journal of Preventive Medicine 2016; 4 (1): 7-12.
- Vatandaş C. Toplumsal Cinsiyet ve Cinsiyet Rollerinin Algılanışı. Sosyoloji Konferansları, 2007; (35): 29-56.
- Nikolaev B. Does higher education increase hedonic and eudaimonic happiness?. J Happiness Stud 2018; 19 (2): 483-504.
- Zack MM, Centers for Disease Control and Prevention (CDC). Health-related quality of life—United States, 2006 and 2010. MMWR Surveill Summ 2013; 62 (Suppl 3): 105-11.
- Rezaei S, Matin BK, Karyani AK, et al. Impact of smoking on health-related quality of life: a general population survey in West Iran. Asian Pac J Cancer Prev 2017; 18 (11): 3179-85.
- Beccaria F, Rolando S, Ascani P. Alcohol consumption and quality of life among young adults: a comparison among three European countries. Substance use misuse 2012; 47 (11): 1214-23.
- Kaplan MS, Huguet N, Feeny D, et al. Alcohol use patterns and trajectories of health-related quality of life in middle-aged and older adults: a 14-year population-based study. J Stud Alcohol Drugs 2012; 73 (4): 581-90.
- Schrieks IC, Wei MY, Rimm EB, et al. Bidirectional associations between alcohol consumption and health‐related quality of life amongst young and middle‐aged women. J Intern Med 2016; 279 (4): 376-87.
- Pouwer F, Hermanns N. Insulin therapy and quality of life. A review. Diabetes Metab Res Rev 2009; 25 (Suppl 1): 4-10.
- Emanuelli T, Burgeiro A, Carvalho E. Effects of insulin on the skin: possible healing benefits for diabetic foot ulcers. Arch Dermatol Res 2016; 308 (10): 677-94.
- Yekta Z, Pourali R, Ghasemi-rad M. Comparison of demographic and clinical characteristics influencing health-related quality of life in patients with diabetic foot ulcers and those without foot ulcers. Diabetes Metab Syndr Obes 2011; 4: 393-9.
- Javanbakht M, Abolhasani F, Mashayekhi A, Baradaran HR. Health related quality of life in patients with type 2 diabetes mellitus in Iran: a national survey. PloS one 2012; 7 (8): e4452
- Spasić A, Radovanović RV, Đorđević AC, Stefanović N, Cvetković T. Quality of life in type 2 diabetic patients. Acta Fac Med 2014; 31 (3): 193-200.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | - |
| Yayımlanma Tarihi | 30 Aralık 2020 |
| Gönderilme Tarihi | 21 Nisan 2020 |
| Yayımlandığı Sayı | Yıl 2020Cilt: 59 Sayı: 4 |
Cited By
Diyabetik Yara Polikliniğine Başvuran Hastaların Öz Bakım Gücünün Ayak Bakım Davranışlarına Etkisi
Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi
https://doi.org/10.56061/fbujohs.1400794
