Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, United States of America.
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, United States of America.
J Diabetes Complications. 2022 Jul;36(7):108222. doi: 10.1016/j.jdiacomp.2022.108222. Epub 2022 Jun 10.
To determine the degree patients with diabetic foot ulcers, Charcot neuroarthropathy and neuropathic fractures and dislocations fear complications (death, dialysis, heart attack, stroke, blindness, diabetic foot infection, minor and major lower extremity amputation [LEA]) that can occur and to assess if there is a difference between fears of patients with diabetic foot ulcers, Charcot neuroarthropathy and neuropathic fractures and dislocations and diabetic patients without these complications.
478 patients completed an eight question Likert scale survey. The study group was defined as non-infected foot ulcers, neuropathic fractures and Charcot neuroarthropathy.
Of the 478 patients, 121 (25.3 %) had diabetic foot ulcers, Charcot neuroarthropathy or neuropathic fractures and dislocations and 357 (74.7 %) did not. The study group had significantly higher odds of reporting extreme fear of foot infection (OR 2.8, 95 % CI 1.8-4.5), major LEA (OR 2.8, 95 % CI 1.8-4.4), minor LEA (OR 2.3, 95 % CI 1.5-3.5), blindness (OR 2.0, 95 % CI 1.3-3.2), dialysis (OR 2.0, 95 % CI 1.1-3.3), and death (OR 2.4, 95 % CI 1.4-4.2). In the study group highest rated fear measures were foot infection (3.71, SD 1.23), minor amputation (3.67, SD 1.45) and major amputation (3.63, SD 1.52). There were no significant differences in the mean fear of infection, minor amputation or major amputation.
Patients with diabetic foot ulcers, Charcot neuroarthropathy or neuropathic fractures and dislocations reported higher fear ratings of diabetes-related complications compared to those without these complications.
确定患有糖尿病足溃疡、夏科氏关节病和神经病理性骨折脱位的患者对可能发生的并发症（死亡、透析、心脏病发作、中风、失明、糖尿病足感染、下肢小截肢和大截肢）的恐惧程度，并评估这些并发症与糖尿病患者的恐惧程度是否存在差异。
478 名患者完成了一份包含 8 个问题的李克特量表调查。研究组定义为非感染性足部溃疡、神经病理性骨折脱位和夏科氏关节病。
在 478 名患者中，有 121 名（25.3%）患有糖尿病足溃疡、夏科氏关节病或神经病理性骨折脱位，357 名（74.7%）未患有这些疾病。研究组报告对足部感染（OR 2.8，95%CI 1.8-4.5）、大截肢（OR 2.8，95%CI 1.8-4.4）、小截肢（OR 2.3，95%CI 1.5-3.5）、失明（OR 2.0，95%CI 1.3-3.2）、透析（OR 2.0，95%CI 1.1-3.3）和死亡（OR 2.4，95%CI 1.4-4.2）的极度恐惧的可能性显著更高。在研究组中，恐惧评分最高的是足部感染（3.71，SD 1.23）、小截肢（3.67，SD 1.45）和大截肢（3.63，SD 1.52）。在感染、小截肢或大截肢的平均恐惧程度方面，没有显著差异。
患有糖尿病足溃疡、夏科氏关节病或神经病理性骨折脱位的患者对糖尿病相关并发症的恐惧程度高于没有这些并发症的患者。
