Polikandrioti Maria, Vasilopoulos Georgios, Dousis Evangelos, Gerogianni Georgia, Panoutsopoulos Georgios, Dedes Vasileios, Koutelekos Ioannis
Department of Nursing, School of Health and Caring Sciences, University of West Attica, Athens, Greece.
Department of Nursing, Faculty of Health Sciences, University of Peloponnese, Tripoli, Greece.
J Caring Sci. 2021 Sep 25;10(4):184-190. doi: 10.34172/jcs.2021.031. eCollection 2021 Nov.
Diabetic foot ulcer (DFU) is a common complication of diabetes mellitus associated with increased morbidity and mortality and diminished quality of life (QoL). This study aimed to explore the effect of gender differences on QoL and adherence to self-care activities. In this cross-sectional study, we enrolled 135 male and 135 female patients with DFU. Data was collected using the Short Form Health Survey (SF-36) and a questionnaire that measured self-care activities (Diet, Exercise, Blood Examination, and Foot Check). Data analysis was performed using SPSS version 20. In terms of QoL, male participants had moderate to high levels in the categories of energy/fatigue, emotional well-being, social functioning, and bodily pain, whereas they had low levels in physical functioning, physical role, and emotional role. Female patients had moderate QoL in the categories of energy/fatigue and social functioning, whereas they had low QoL in physical functioning, physical role, emotional role, emotional well-being, and bodily pain. Finally, regarding general health, male participants had moderate QoL and females had moderate to low QoL. Both males and females had low adherence to exercise and high in blood-examinations. For both genders, adherence to exercise had a statistically significant association with all sub-categories of QoL apart from those of role (physical and emotional). It is essential for health care professionals to provide gender-specific approaches in treatment of ulceration.
糖尿病足溃疡（DFU）是糖尿病的一种常见并发症，与发病率和死亡率增加以及生活质量（QoL）下降相关。本研究旨在探讨性别差异对生活质量和自我护理活动依从性的影响。在这项横断面研究中，我们纳入了135名男性和135名女性糖尿病足溃疡患者。使用简短健康调查问卷（SF - 36）和一份测量自我护理活动（饮食、运动、血液检查和足部检查）的问卷收集数据。使用SPSS 20版进行数据分析。在生活质量方面，男性参与者在精力/疲劳、情绪健康、社会功能和身体疼痛类别中处于中度到高度水平，而在身体功能、身体角色和情绪角色方面处于低水平。女性患者在精力/疲劳和社会功能类别中生活质量中等，而在身体功能、身体角色、情绪角色、情绪健康和身体疼痛方面生活质量较低。最后，关于总体健康，男性参与者生活质量中等，女性生活质量中等至低等。男性和女性对运动的依从性都较低，对血液检查的依从性较高。对于两性而言，除了角色（身体和情绪）类别外，运动依从性与生活质量的所有子类别均存在统计学上的显著关联。医疗保健专业人员在溃疡治疗中提供针对性别的方法至关重要。
