Al Ayed Mousab, Ababneh Mutasem, Alwin Robert Asirvatham, Al Misfer Nasser, Cruz Maria, Austria Hesiel C, Al Dawish Mohamed
Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, Riyadh, SAU.
Department of Physical Therapy, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus. 2020 Jun 17;12(6):e8658. doi: 10.7759/cureus.8658.
Background and objective Diabetic foot ulcers (DFU) have been shown to have a high impact on the patients' perceived health-related quality of life (HRQOL). The aim of this study was to estimate the HRQOL and its related risk factors in patients with foot ulcers associated with type 2 diabetes mellitus (T2DM). Methods This cross-sectional study was performed on 81 patients with DFU, from January 2019 to July 2019 at the Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia. The study population was purposively and conveniently chosen based on patients' availability during their regular and customary outpatient clinic visits. Using the Arabic version of the Short-Form 36-Item Survey (SF-36), these patients were interviewed and their HRQOL scores were was assessed. The SF-36 covered eight aspects of health such as physical functioning, body pain, limitations in the roles induced by physical health problems, limitations in the roles caused by personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Results It was evident that age, gender, education, occupation, smoking, duration of diabetes, hypertension, dyslipidemia, body mass index (BMI), and the number of diabetes-associated complications, hypertension, and dyslipidemia significantly affected the patients' physical functions. The physical health of the patient was strongly influenced by gender, education, occupation, income, BMI, and the number of complications. The emotional health of the patient was affected by dyslipidemia, deformity, prior amputations, as well as BMI and glycosylated hemoglobin (HbA1c). The social standing of the patient was influenced by age, income, education, and occupation. The degree of pain experienced by the patient varied with age and the number of complications, as well as notable differences in their general health. The factors of age, education, occupation, income, and the number of diabetic complications induced several health changes in varying degrees. The patients with DFU revealed overall lower HRQOL relating to all the eight aspects of the SF-36. Conclusion The patients with DFU in Saudi Arabia generally revealed lower HRQOL. However, prospective and large-scale studies are required in the future to support these findings.
背景与目的 糖尿病足溃疡（DFU）已被证明对患者的健康相关生活质量（HRQOL）有很大影响。本研究的目的是评估2型糖尿病（T2DM）相关足部溃疡患者的HRQOL及其相关危险因素。方法 本横断面研究于2019年1月至2019年7月在沙特阿拉伯利雅得的苏丹王子军事医疗城（PSMMC）对81例DFU患者进行。研究人群是根据患者在常规门诊就诊时的可及性有目的地、方便地选取的。使用阿拉伯语版的简短36项调查问卷（SF-36）对这些患者进行访谈，并评估他们的HRQOL得分。SF-36涵盖了健康的八个方面，如身体功能、身体疼痛、身体健康问题导致的角色限制、个人或情感问题导致的角色限制、情绪健康、社会功能、精力/疲劳和总体健康感知。结果 显然，年龄、性别、教育程度、职业、吸烟、糖尿病病程、高血压、血脂异常、体重指数（BMI）以及糖尿病相关并发症、高血压和血脂异常的数量显著影响患者的身体功能。患者的身体健康受到性别、教育程度、职业、收入、BMI和并发症数量的强烈影响。患者的情绪健康受到血脂异常、畸形、既往截肢以及BMI和糖化血红蛋白（HbA1c）的影响。患者的社会地位受到年龄、收入、教育程度和职业的影响。患者经历的疼痛程度随年龄和并发症数量而变化，他们的总体健康也存在显著差异。年龄、教育程度、职业、收入和糖尿病并发症数量等因素在不同程度上引起了多种健康变化。DFU患者在SF-36的所有八个方面的HRQOL总体较低。结论 沙特阿拉伯的DFU患者总体上HRQOL较低。然而，未来需要进行前瞻性和大规模研究来支持这些发现。
