A comparison of the health-related quality of life in patients with diabetic foot ulcers, with a diabetes group and a nondiabetes group from the general population
A comparison of the health-related quality of life in patients with diabetic foot ulcers, with a diabetes group and a nondiabetes group from the general population
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DOI：
10.1007/s11136-006-0031-y
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发表时间：
2007-03-01
影响因子：
3.5
通讯作者：
Rustoen, Tone
中科院分区：
文献类型：
--
作者：
Ribu, Lis;Hanestad, Berit Rokne;Rustoen, Tone
目的：通过对糖尿病足溃疡患者的健康相关生活质量(HRQL)与非糖尿病人群(普通人群)和糖尿病患者(糖尿病人群)的比较，了解糖尿病足溃疡患者的健康相关生活质量(HRQL)，并从社会人口学特征和生活方式因素两个方面比较不同组间的差异。设计和方法：从6家医院门诊招募的127名患有糖尿病足部溃疡的成年人进行横断面研究，挪威生活水平调查中归类为糖尿病人群的对照样本(n=221)和普通人群的样本(n=5903)。获得了有关社会人口学特征(性别、年龄、同居、教育和就业)、生活方式(体重指数[BMI]和吸烟状况)和HRQL(SF-36)的数据。结果：在SF-36各分量表和两个SF-36总量表中，糖尿病足溃疡患者的HRQL均显著低于糖尿病人群。最显著的差异是角色限制--身体(32.1vs.62.2，p<；0.001)、身体功能(57.5vs.77.3，p<；0.001)和角色限制(57.4vs.72.0，p<；0.001)。足部溃疡患者在所有量表上的生活质量明显低于普通人群，尤其是在角色限制方面--身体(32.1vs.74.3p<；0.001)、身体功能(57.5vs.85.2p<；0.001)和一般健康(50.1vs.74.3p<；0.001)。糖尿病足溃疡患者和糖尿病人群之间最重要的社会人口学特征是，显著更多的足部溃疡患者是独居的男性。足部溃疡患者与普通人群之间最大的区别是，足部溃疡患者中男性更多，年龄较大，独居，受教育程度较低，没有工作。糖尿病足溃疡患者、糖尿病患者和一般人群的BMI差异有统计学意义：足部溃疡患者BMI为28 kg/m(2)，糖尿病患者为27 kg/m(2)，一般人群为25 kg/m(2)。结论：糖尿病足溃疡患者的HRQL明显低于糖尿病人群和一般人群，尤其是在身体健康方面。足部溃疡患者更多的是独居男性，肥胖在足部溃疡患者和糖尿病人群中都是一个问题。
Objective: The aim of this study was to describe health-related quality-of-life (HRQL) in patients with diabetic foot ulcers by comparing their HRQL with that of a sample from the general population without diabetes (general population) and a subgroup with diabetes (diabetes population), and to examine the differences between groups by sociodemographic characteristics and lifestyle factors. Design and methods: A cross-sectional study was made of 127 adults with current diabetic foot ulcer, recruited from six hospital outpatient clinics, a control sample categorized as a diabetes population (n = 221) from the Norwegian Survey of Level of Living, and a sample from the general population (n = 5903). Data on sociodemographic characteristics (sex, age, cohabitation, education and employment) and lifestyle (body mass index [BMI] and smoking status) and HRQL (SF-36) were obtained. Results: In all the SF-36 subscales and in the two SF-36 summary scales, the patients with diabetic foot ulcer reported significantly poorer HRQL than the diabetes population. The most striking differences were for role limitation-physical (32.1 vs. 62.2, p < 0.001), physical functioning (57.5 vs. 77.3, p < 0.001) and role limitation-emotional (57.4 vs. 72.0, p < 0.001). The patients with foot ulcer had significantly lower HRQL than the general population on all scales, and in particular on role limitation-physical (32.1 vs. 74.3, p < 0.001), physical functioning (57.5 vs. 85.2, p < 0.001) and general health (50.1 vs. 74.3, p < 0.001). The most important sociodemographic characteristic that differed between the diabetic foot ulcer patients and the diabetes population was that significantly more of the foot ulcer patients were men living alone. The largest differences between the foot ulcer patients and the general population were that more of the foot ulcer patients were men, older, living alone, less well educated, and not working. The diabetic foot ulcer patients, the diabetes population and the general population differed in BMI: 28 kg/m(2) in the foot ulcer patients, 27 kg/m(2) in the diabetes population and 25 kg/m(2) in the general population. Conclusion: Diabetic foot ulcer patients had much worse HRQL compared with the diabetes population and the general population, especially in physical health. Foot ulcer patients were more often men living alone, and obesity was a problem in both the foot ulcer patients and the diabetes population.