Journals / Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi / 2020 / Cilt: 33 - Sayı: 2

Quality of life after lower extremity amputation due to diabetic foot ulcer: the role of prosthesis-related factors, body image, self-esteem, and coping styles

Pages
109–119
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Factors associated with better quality of life after the amputation were investigated in this study, which may support future development of post-amputation rehabilitation strategies for lower limb amputees.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:ABSTRACT Objective: The purpose of this study was to identify clinical and psychosocial factors that predict an individual’s subjective quality of life after having undergone a lower limb amputation secondary to diabetic foot ulcer.
📊
Key Findings & Data:Method: The study sample comprised 65 patients who underwent amputation because of an infected diabetic foot ulcer.
💡
Conclusion & Impact:Factors associated with better quality of life after the amputation were investigated in this study, which may support future development of post-amputation rehabilitation strategies for lower limb amputees.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

ABSTRACT Objective: The purpose of this study was to identify clinical and psychosocial factors that predict an individual’s subjective quality of life after having undergone a lower limb amputation secondary to diabetic foot ulcer. Method: The study sample comprised 65 patients who underwent amputation because of an infected diabetic foot ulcer. Short Form 36, The Trinity Amputation and Prosthesis Experience Scale, Coping Attitudes Evaluation Scale, Multidimensional Scale of Perceived Social Support, Rosenberg Self-Esteem Scale, and Amputee Body Image Scale were administered as questionnaires. Stepwise linear regression analysis was conducted to assess the factors predicting quality of life. Results: Quality of life was negatively correlated with depression, anxiety, body image, activity limitation, and dysfunctional coping strategies and positively correlated with perceived social support, satisfaction with prosthesis, self-esteem, and problem-focused coping style. Regression analysis showed satisfaction with prosthesis and body perception, problem-focused coping strategies, dysfunctional coping strategies, and self-esteem to be the factors with the highest predictive power for the physical component of quality of life, while body perception, problem-focused, and dysfunctional coping strategies were the strongest predictors for the mental component of quality of life. Conclusion: Impaired body image and self-esteem, less usage of problem-focused and high usage of dysfunctional coping strategies, in addition to low satisfaction with the prosthesis were the strongest predictors for poor quality of life. Factors associated with better quality of life after the amputation were investigated in this study, which may support future development of post-amputation rehabilitation strategies for lower limb amputees.

🔖

Cite This Article

KİZİLKURT, O. K., KİZİLKURT, T., GULEC, M. Y., GİYNAS, F. E., POLAT, G., KİLİCOGLU, O. I., GÜLEÇ, H. (2020). Quality of life after lower extremity amputation due to diabetic foot ulcer: the role of prosthesis-related factors, body image, self-esteem, and coping styles. Düşünen Adam - Psikiyatri ve Nörolojik Bilimler Dergisi, Cilt: 33 - Sayı: 2, 109–119. https://ajindex.com/articles/149143

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Ragnarson Tennvall G, Apelqvist J. Health-related quality of life in patients with diabetes mellitus and foot ulcers. J Diabetes Complications 2000; 14:235-241
  2. Carrington AL, Mawdsley SK, Morley M, Kincey J, Boulton AJ. Psychological status of diabetic people with or without lower limb disability. Diabetes Res Clin Pract 1996; 32:19-25
  3. Willrich A, Pinzur M, McNeil M, Juknelis D, Lavery L. Health related quality of life, cognitive function, and depression in diabetic patients with foot ulcer or amputation. A preliminary study. Foot Ankle Int 2005; 26:128-134
  4. Boutoille D, Féraille A, Maulaz D, Krempf M. Quality of life with diabetes-associated foot complications: comparison between lower-limb amputation and chronic foot ulceration. Foot Ankle Int 2008; 29:1074-1078
  5. Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int 2008; 32:231-243
  6. Horgan O, MacLachlan M. Psychosocial adjustment to lowerlimb amputation: a review. Disabil Rehabil 2004; 26:837-850
  7. Grossman EF. The Gestalt approach to people with amputations. J Appl Rehabil Couns 1990; 21:16-19
  8. Rybarczyk B, Nyenhuis D, Nicholas JJ, Cash SM, Kaiser J. Body image, perceived social stigma, and the prediction of psychosocial adjustment to leg amputation. Rehabil Psychol 1995; 40:95-110
  9. Holzer LA, Sevelda F, Fraberger G, Bluder O, Kickinger W, Holzer G. Body image and self-esteem in lower-limb amputees. PLoS One 2014; 9:e92943
  10. Dunn DS. Well-being following amputation: Salutary effects of positive meaning, optimism, and control. Rehabil Psychol 1996; 41:285-302
  11. Livneh H, Antonak RF, Gerhardt J. Psychosocial adaptation to amputation: the role of sociodemographic variables, disabilityrelated factors and coping strategies. Int J Rehabil Res 1999; 22:21-31
  12. Daabiss M. American Society of Anaesthesiologists physical status classification. Indian J Anaesth 2011; 55:111-115
  13. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30:473-483
  14. Ware JE, Jr, Kosinski MA, Keller SD. SF-36 physical and mental health summary scales: a User’s Manual. Fifth ed., Boston: MA Health Assessment Lab, New England Medical Center, 1994
  15. Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976) 2000; 25:3130-3139
  16. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis AK. Reliability and validity of the Short Fo