Vascular Surgery Division, Department of Surgery, Psychiatry Unit, Faculty of Medicine, Mohammad Hussein Al-Amoudi Chair for Diabetic Foot Research, Medical College, King Abdulaziz University (KAU), P.O. Box 80215, Jidda, 21589, Saudi Arabia.
J Relig Health. 2013 Sep;52(3):840-50. doi: 10.1007/s10943-011-9529-x.
Religious connectedness is common phenomenon in Saudi Arabia and adjacent Gulf countries. An observational case control study was designed, enrolling 180 adult patients to report the association between religious connectedness and health-related quality of life (HRQL) in people with and without diabetes and foot ulcers. Sixty diabetic patients with foot ulcers (Group I) were compared with sixty diabetic patients without foot ulcer (Group II) and sixty healthy subjects (Group III) for assessment of their HRQL by using SF-36 questionnaire. The effect of religious connectedness was assessed using intrinsic/extrinsic religious connectedness scale. HRQL was found to be significantly lower in Group I compared with Group II and III as well as in group II compared with group III (P<0.001). Group I patients showed a poorer HRQL with increased severity, duration and multiplicity of foot ulcers. There was a strong positive relationship between religious connectedness and HRQL as indicated by a positive correlation between religious connectedness scale and mental, physical component summary scores (r=0.66 and 0.59 respectively and P<0.001). While quality of life is generally poor in people with diabetic foot ulcers, there exists a strong positive relationship between religious connectedness and higher HRQL. These findings may have implications on improving outcomes.
宗教联系在沙特阿拉伯和相邻的海湾国家是一种常见现象。本研究采用观察性病例对照设计，纳入 180 例成年患者，旨在报告宗教联系与糖尿病和足部溃疡患者及无糖尿病和足部溃疡患者的健康相关生活质量（HRQL）之间的关系。将 60 例伴有足部溃疡的糖尿病患者（I 组）与 60 例无足部溃疡的糖尿病患者（II 组）和 60 例健康受试者（III 组）进行比较，采用 SF-36 问卷评估他们的 HRQL。使用内在/外在宗教联系量表评估宗教联系的效果。结果显示，与 II 组和 III 组相比，I 组的 HRQL 明显更低，与 II 组相比，III 组的 HRQL 也更低（P<0.001）。I 组患者的足部溃疡严重程度、持续时间和多发性越高，HRQL 越差。宗教联系与 HRQL 之间存在很强的正相关关系，宗教联系量表与精神、躯体成分综合评分之间呈正相关（r 分别为 0.66 和 0.59，P<0.001）。尽管糖尿病足溃疡患者的生活质量普遍较差，但宗教联系与更高的 HRQL 之间存在很强的正相关关系。这些发现可能对改善预后具有重要意义。
