Fejfarová Vladimíra, Jirkovská Alexandra, Dragomirecká Eva, Game Frances, Bém Robert, Dubský Michal, Wosková Veronika, Křížová Marta, Skibová Jelena, Wu Stephanie
Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.
Department of Social Work, Faculty of Arts, Charles University, 116 42 Prague, Czech Republic.
J Diabetes Res. 2014;2014:371938. doi: 10.1155/2014/371938. Epub 2014 Mar 25.
The aim of our case-control study was to compare selected psychological and social characteristics between diabetic patients with and without the DF (controls).
104 patients with and 48 without DF were included into our study. Both study groups were compared in terms of selected psychosocial characteristics.
Compared to controls, patients with DF had a significantly worse quality of life in the area of health and standard of living as shown by lower physical health domain (12.7 ± 2.8 versus 14.7 ± 2.5; P < 0.001) and environment domain (14.1 ± 2.2 versus 15 ± 1.8; P < 0.01) that negatively correlated with diabetes duration (r = -0.061; P = 0.003). Patients with DF subjectively felt more depressed in contrast to controls (24.5 versus 7.3%; P < 0.05); however, the depressive tuning was objectively proven in higher percentage in both study groups (83.2 versus 89.6; NS). We observed a significantly lower level of achieved education (P < 0.01), more patients with disability pensions (P < 0.01), and low self-support (P < 0.001) in patients with the DF compared to controls. In the subgroup of patients with a previous major amputation and DF (n = 6), there were significantly worse outcomes as in the environment domain (P < 0.01), employment status, and stress readaptation (P < 0.01) in contrast to the main study groups.
Patients with DF had a predominantly worse standard of living. In contrast to our expectations, patients with DF appeared to have good stress tolerability and mental health (with the exception of patients with previous major amputation) and did not reveal severe forms of depression or any associated consequences.
我们病例对照研究的目的是比较患有和未患有糖尿病足（对照组）的糖尿病患者之间选定的心理和社会特征。
104例患有糖尿病足的患者和48例未患糖尿病足的患者纳入我们的研究。对两个研究组的选定心理社会特征进行比较。
与对照组相比，糖尿病足患者在健康和生活水平方面的生活质量明显更差，表现为较低的身体健康领域得分（12.7±2.8对14.7±2.5；P<0.001）和环境领域得分（14.1±2.2对15±1.8；P<0.01），这与糖尿病病程呈负相关（r=-0.061；P=0.003）。与对照组相比，糖尿病足患者主观上感觉更抑郁（24.5%对7.3%；P<0.05）；然而，在两个研究组中，客观上抑郁倾向的比例更高（83.2对89.6；无显著性差异）。与对照组相比，我们观察到糖尿病足患者的受教育程度显著较低（P<0.01），领取残疾抚恤金的患者更多（P<0.01），以及自我支持能力较低（P<0.001）。在既往有大截肢史且患有糖尿病足的患者亚组（n=6）中，与主要研究组相比，在环境领域（P<0.01）、就业状况和压力再适应方面（P<0.01）的结果明显更差。
糖尿病足患者的生活水平总体上较差。与我们的预期相反，糖尿病足患者似乎具有良好的压力耐受性和心理健康（既往有大截肢史的患者除外），未表现出严重的抑郁形式或任何相关后果。
