PMID- 32699658
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 12
IP  - 6
DP  - 2020 Jun 17
TI  - Factors Associated With Health-Related Quality of Life in Patients With Diabetic 
      Foot Ulcer: A Cross-Sectional Study From Saudi Arabia.
PG  - e8658
LID - 10.7759/cureus.8658 [doi]
LID - e8658
AB  - 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.
CI  - Copyright (c) 2020, Al Ayed et al.
FAU - Al Ayed, Mousab
AU  - Al Ayed M
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
FAU - Ababneh, Mutasem
AU  - Ababneh M
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
FAU - Alwin Robert, Asirvatham
AU  - Alwin Robert A
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
FAU - Al Misfer, Nasser
AU  - Al Misfer N
AD  - Department of Physical Therapy, Prince Sultan Military Medical City, Riyadh, SAU.
FAU - Cruz, Maria
AU  - Cruz M
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
FAU - Austria, Hesiel C
AU  - Austria HC
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
FAU - Al Dawish, Mohamed
AU  - Al Dawish M
AD  - Department of Endocrinology and Diabetes, Prince Sultan Military Medical City, 
      Riyadh, SAU.
LA  - eng
PT  - Journal Article
DEP - 20200617
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC7370698
OTO - NOTNLM
OT  - diabetic foot ulcer
OT  - emotional well-being
OT  - general health
OT  - quality of life
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/07/24 06:00
MHDA- 2020/07/24 06:01
PMCR- 2020/06/17
CRDT- 2020/07/24 06:00
PHST- 2020/07/24 06:00 [entrez]
PHST- 2020/07/24 06:00 [pubmed]
PHST- 2020/07/24 06:01 [medline]
PHST- 2020/06/17 00:00 [pmc-release]
AID - 10.7759/cureus.8658 [doi]
PST - epublish
SO  - Cureus. 2020 Jun 17;12(6):e8658. doi: 10.7759/cureus.8658.