Determinants of quality of life among older adults with recurrent diabetic foot ulcers.

Q3 Medicine

Medical Journal of Malaysia Pub Date : 2026-09-01

H Haryanto, P Ardhana, P A Wahab

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引用次数: 0

Abstract

Introduction: Diabetic foot ulcers (DFUs) are a serious complication of diabetes mellitus. DFUs have a profound impact on patients' health-related quality of life (HRQoL). This study aimed to evaluate age-related variations in HRQoL and to identify factors associated with physical and mental health among patients with recurrent DFUs.

Materials and methods: A cross-sectional study was conducted among 245 patients with type 2 diabetes mellitus. HRQoL was measured using the Indonesian version of the SF-36, whereas depression, diabetes distress, and self-care adherence were evaluated using the Beck Depression Inventory II (BDI-II), the Diabetes Distress Scale-17 (DDS-17), and the Summary of Diabetes Self-Care Activities (SDSCA), respectively. Data were analysed using bivariate tests and multivariate linear regression.

Results: Older adults (≥60 years) had significantly lower physical functioning and general health scores (p < 0.05). Depression (β = -0.48, p < 0.001) and diabetes distress (β = -0.25, p = 0.003) were independent predictors of poorer physical HRQoL, whereas higher self-care adherence improved HRQoL (β = 0.18, p = 0.014). Age was not a significant factor after adjustment. Physical HRQoL is poorer among older adults with recurrent DFUs, primarily mediated by psychosocial distress.

Conclusion: Our findings demonstrated that psychosocial conditions, especially depression and diabetes-related distress, significantly contribute to poor HRQoL. There is a relationship between depression, distress, and poor quality of life. Moreover, depression and distress independently predicted lower physical QoL, and better self-care is a predictor of QoL. Integrated management addressing psychological well-being and self-care behaviours may enhance the overall patient outcomes.

本刊更多论文

复发性糖尿病足溃疡老年人生活质量的决定因素。

糖尿病足溃疡（DFUs）是糖尿病的一种严重并发症。dfu对患者健康相关生活质量（HRQoL）有深远的影响。本研究旨在评估复发性DFUs患者HRQoL的年龄相关变化，并确定与身心健康相关的因素。材料与方法：对245例2型糖尿病患者进行横断面研究。HRQoL使用印尼版SF-36进行测量，而抑郁、糖尿病困扰和自我护理依从性分别使用贝克抑郁量表II （BDI-II）、糖尿病困扰量表-17 （DDS-17）和糖尿病自我护理活动摘要（SDSCA）进行评估。数据分析采用双变量检验和多元线性回归。结果：老年人（≥60岁）的身体功能和一般健康评分明显较低（p < 0.05）。抑郁（β = -0.48, p < 0.001）和糖尿病困扰（β = -0.25, p = 0.003）是较差HRQoL的独立预测因子，而较高的自我护理依从性可改善HRQoL （β = 0.18, p = 0.014）。调整后年龄不是显著因素。身体HRQoL在复发性DFUs的老年人中较差，主要由社会心理困扰介导。结论：我们的研究结果表明，心理社会状况，特别是抑郁症和糖尿病相关的痛苦，显著导致较差的HRQoL。抑郁、苦恼和生活质量差之间存在联系。此外，抑郁和痛苦独立预测较低的身体生活质量，更好的自我照顾是生活质量的预测因子。解决心理健康和自我保健行为的综合管理可以提高患者的整体结果。

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

Medical Journal of Malaysia Medicine-Medicine (all)

CiteScore

1.20

自引率

0.00%

发文量

165

期刊介绍： Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.