Mazlina M, Shamsul A S, Jeffery F A Saini
University Malaya, Department of Rehabilitation Medicine, Faculty of Medicine, Jalan Universiti, Kuala Lumpur, Wilayah Persekutuan 50603, Malaysia.
Med J Malaysia. 2011 Aug;66(3):234-8.
This study aimed to evaluate the impact of foot problems on health-related quality of life (HRQoL) in patients with diabetes in Malaysia. Short-Form 36 (SF-36) questionnaire was used to assess the HRQoL of 140 diabetic patients with foot problems attending outpatient diabetic foot clinic in a tertiary hospital, University Malaya Medical Centre. Their HRQoL were compared with 134 diabetic patients without foot problems attending the same clinic. The median score of all the eight SF-36 domains differed significantly between the two groups, where patients with foot problems having statistically significant lower scores. The two domains that were most severely compromised were components of the physical health: Physical Functioning and Role Physical domains. The SF-36 scale scores in diabetic patients with foot problems were also lower than those of the SF-36 norms for the Malaysian population. In conclusion, the results showed that diabetic foot problems negatively affect the patients' HRQoL in both physical and mental health aspects based on the SF-36.
本研究旨在评估足部问题对马来西亚糖尿病患者健康相关生活质量（HRQoL）的影响。采用简明健康状况调查问卷（SF-36）对140名在马来西亚大学医学中心这所三级医院的门诊糖尿病足诊所就诊的有足部问题的糖尿病患者的健康相关生活质量进行评估。将他们的健康相关生活质量与134名在同一诊所就诊的无足部问题的糖尿病患者进行比较。两组患者在SF-36所有八个领域的中位数得分存在显著差异，有足部问题的患者得分在统计学上显著更低。受影响最严重的两个领域是身体健康的组成部分：身体功能和身体角色领域。有足部问题的糖尿病患者的SF-36量表得分也低于马来西亚人群的SF-36常模。总之，结果表明，基于SF-36，糖尿病足部问题在身体和心理健康方面均对患者的健康相关生活质量产生负面影响。
