Goodridge Donna, Trepman Elly, Sloan Jeff, Guse Lorna, Strain Laurel A, McIntyre John, Embil John M
College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan.
Foot Ankle Int. 2006 Apr;27(4):274-80. doi: 10.1177/107110070602700408.
Diabetic foot ulcers cause major treatment morbidity and cost of care. This study evaluated quality of life in patients with unhealed and healed diabetic foot ulcers.
This was a cross-sectional study of adult diabetic patients (age 45 years or older) treated in a tertiary care foot clinic who had foot ulcers within the preceding 2 years. Patients with other diabetic complications or conditions that would potentially affect quality of life were excluded. Two patient groups of comparable age, gender distribution, and duration of diabetes were studied: 57 patients with unhealed ulcers (minimum duration, 6 months) and 47 patients with healed ulcers. Telephone interviews were done using the Short Form 12 (SF-12) (both groups) and a Cardiff Wound Impact Scale (CWIS) (unhealed ulcer group).
The mean SF-12 Physical Component Summary score was significantly lower for the group with unhealed ulcers (unhealed, 35 +/- 8 points; healed, 39 +/- 10 points; p = 0.04); these scores for both groups were significantly lower than published Short Form 36 (SF-36) scores for general, diabetic, and hypertensive populations. The mean SF-12 Mental Component Summary scores of the groups did not differ significantly from each other or from published population scores. CWIS responses showed that patients with unhealed ulcers were frustrated with healing and had anxiety about the wounds, resulting in marked negative impact on the average Well-being Component Score (35 +/- 6 points).
Individuals with diabetic foot ulcers experience profound compromise of physical quality of life, which is worse in those with unhealed ulcers.
糖尿病足溃疡导致了主要的治疗发病率和护理成本。本研究评估了未愈合和已愈合糖尿病足溃疡患者的生活质量。
这是一项横断面研究，研究对象为在三级护理足部诊所接受治疗的成年糖尿病患者（年龄45岁及以上），这些患者在过去2年内患有足部溃疡。排除患有其他可能影响生活质量的糖尿病并发症或疾病的患者。研究了两组年龄、性别分布和糖尿病病程相当的患者：57例未愈合溃疡患者（最短病程6个月）和47例已愈合溃疡患者。使用简短健康调查问卷12项（SF - 12）（两组均用）和加的夫伤口影响量表（CWIS）（未愈合溃疡组）进行电话访谈。
未愈合溃疡组的平均SF - 12身体成分总结得分显著更低（未愈合组，35±8分；已愈合组，39±10分；p = 0.04）；两组的这些得分均显著低于已发表的一般人群、糖尿病患者和高血压患者的简短健康调查问卷36项（SF - 36）得分。两组的平均SF - 12心理成分总结得分彼此之间以及与已发表的人群得分均无显著差异。CWIS的回答显示，未愈合溃疡患者对愈合感到沮丧，对伤口感到焦虑，这对平均幸福感成分得分产生了显著负面影响（35±6分）。
糖尿病足溃疡患者的身体生活质量受到严重影响，未愈合溃疡患者的情况更糟。
