Mental Health Status and Quality of Life in Lower-Limb Amputees With Diabetes.

IF 1.5 4区医学 Q3 DERMATOLOGY

International Journal of Lower Extremity Wounds Pub Date : 2025-03-01 Epub Date: 2023-07-11 DOI:10.1177/15347346231187185

Annelise Camilleri, Alfred Gatt, Nikolaos Papanas, Cynthia Formosa

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Abstract

Aim: To compare mental health status and quality of life in lower-limb amputees versus nonamputees among participants with diabetes mellitus.

Methods: We included 38 participants with prior minor amputation (group 1) and 38 participants without amputation /history of amputation (group 2). These were interviewed twice using 2 questionnaires to screen for mental health status and quality of life (Self Reporting Questionnaire 20-SRQ20 and EQ-5D-5L). Interviews were carried out 1 week and 6 months after amputation.

Results: The mean SRQ20 score for group 1 at 1 week postamputation was 8.50 (diagnostic of a mental health disorder), while it was 1.34 for group 2. At 6 months, mean SRQ20 for group 1 decreased to 5.42, indicating a decrease in psychological distress. A significant difference in the mean values for each dimension of the EQ-5D-5L between groups 1 and 2 indicated that amputees had a poorer quality of life at 1 week and at 6 months.

Conclusion: Mental health and quality of life are negatively affected at 1 week after minor lower-limb amputation in diabetes. At 6 months, some improvement in mental health distress was seen, indicating that these individuals had adapted to the disability.

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糖尿病下肢截肢者的心理健康状况与生活质量

目的:比较糖尿病患者中下肢截肢者与非截肢者的心理健康状况和生活质量。方法:选取有轻微截肢史的38例受试者(第一组)和无截肢史的38例受试者(第二组)，采用2份问卷(自我报告问卷20-SRQ20和EQ-5D-5L)对其进行心理健康状况和生活质量的筛查。随访分别于截肢后1周和6个月进行。结果:组1截肢后1周SRQ20平均评分为8.50分(诊断为精神健康障碍)，组2为1.34分。6个月时，第一组的平均SRQ20降至5.42，表明心理困扰有所减轻。1组和2组之间EQ-5D-5L各维度的平均值有显著差异，表明截肢者在1周和6个月时的生活质量较差。结论:糖尿病患者下肢轻微截肢后1周的心理健康和生活质量受到负面影响。6个月时，精神健康困扰有所改善，表明这些人已经适应了残疾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).