Data was collected between April 2014 and December 2014 in 18 podiatric and chronic wound outpatient clinics throughout the Czech Republic. The intensity of pain in diabetic ulcers was measured using a visual analogue scale (VAS) from 0 (no pain) to 10 (maximum pain). The sample consisted of 247 patients with diabetic foot syndrome. Methods: Quality of life was assessed using a Czech version of the Diabetic Foot Ulcer Scale (DFS), a standardized questionnaire. Evidence-based interventions to improve the HRQOL in this group of people is needed.Īim: The aim of this study was to evaluate the influence of pain on quality of life of patients with diabetic foot syndrome. This review has provided evidence indicating that people with DFUs have a significantly lower HRQOL. In addition, presence of pain, high levels of C-reactive protein (> 10 mg/L), ulcer size > 5 cm², Ankle Brachial Index 25 kg/m² were associated with poorer HRQOL in people with DFUs. Overall, the HRQOL of participants in the studies was poor on four of eight subscales in the SF-36: physical functioning (mean = 42.75, SE 1.5) role physical (mean = 20.61, SE 3.4) general health (mean = 39.52, SE 1.7) and vitality (mean = 45.73, SE 2.8).
All analyses were performed using random-effects models and heterogeneity was quantified.Ī total of 12 studies were included in the review. Data analysis was conducted using the Comprehensive Meta-analysis software. The methodological quality of each study was assessed independently by all authors using the Joanna Briggs Institute checklist. To undertake a systematic review of the literature to investigate the HRQOL among adults living with DFUs.Ī systematic search of the medical and nursing/health content databases including MEDLINE, CINAHL, and PsycINFO was conducted up to November 2018. Use of the Wound-QoL questionnaire proved particularly effective. Conclusion: Although the results of the two models are similar in certain respects, there are also differences, explained by the fact that two different conceptions of measuring quality of life, with different scoring systems, were involved. Whereas, according to the Wound-QoL, the main negative predictors of quality of life are: 1) DM treatment 2) pain intensity 3) size of the wound 4) age and 5) use of crutches. Based on the values of beta coefficients, we can state that according to the SF-36, the main negative predictors of quality of life are: 1) DM treatment 2) pain intensity 3) age 4) wound etiology and 5) use of wheelchair. Results: Of the patients who participated in this study, 68% were men and 32% women, their average age was 65 years, and the length of DM treatment was 19 years, with variations in DM treatment, UADF intensity, etiology, and size and degree of UADF, according to Wagner classification. The model was realized using the ENTER method. Exploratory Regression analysis was used during the study as a descriptive technique.
The data were acquired using the SF-36 and Wound-QoL questionnaires.
Methods: A cross-sectional study was conducted on 167 patients with UADF. Aim: To ascertain quality of life in patients with ulcer affected diabetic foot (UADF), and to establish whether there was a relationship between respondentsʼ gender, age, duration and type of treatment for DM, duration of treatment for and etiology of wound, intensity of pain, degree of UADF, method of off-loading pressure on the foot, and quality of life.