Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome

Sylwia Krzemińska, Anna Kostka Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Sylwia KrzemińskaDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, Wroclaw, 51-618, PolandEmail sylwia...

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Autores principales:	Krzemińska S, Kostka A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	diabetes diabetic foot syndrome quality of life amputation disease acceptance emotional state Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/d043b6ccbeed4a1b9081dad85be59065
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spelling	oai:doaj.org-article:d043b6ccbeed4a1b9081dad85be590652021-12-02T13:17:44ZInfluence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome1178-7007https://doaj.org/article/d043b6ccbeed4a1b9081dad85be590652021-03-01T00:00:00Zhttps://www.dovepress.com/influence-of-pain-on-the-quality-of-life-and-disease-acceptance-in-pat-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Sylwia Krzemińska, Anna Kostka Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Sylwia KrzemińskaDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, Wroclaw, 51-618, PolandEmail sylwia.krzeminska@umed.wroc.plObjective: The aim of the study was to evaluate the relationship between pain and quality of life and illness acceptance, anxiety and depression in a group of patients with complicated diabetic foot syndrome, following lower limb amputation.Patients and Methods: The studies were carried out in three stages: 7 days, 6 months and 12 months after surgery in a group of 100 patients after amputation of the lower limb due to complications resulting from type 2 diabetes. The study was performed using standardised instruments: WHOQOL-BREF, the Acceptance of Illness Scale (AIS), the Hospital Anxiety and Depression Scale (HADS), and the Visual Analog Scale (VAS) for pain intensity assessment.Results: Pain occurred in the examined patients throughout the study. The greatest intensity of pain was observed in the postoperative period and significantly weakened over time. Pain intensity was significantly associated with worse overall QoL perceived (− 0.255, p=0.011/-0.283, p=0.005) and QoL scores in the physical and psychological domains at the first and second stage of the study (physical domains − 0.257, p=0.011/-0.219, p=0.03 and psychological − 0.22, p=0.029/-0.24/0.018). The intensity of pain negatively correlates with the acceptance of the disease in all three stages of the study, the greater the severity of pain, the lower the acceptance of illness (− 0.298, p=0.003/-0.326, p=0.001/-0.26, p=0.009). The occurrence of anxiety and depression is highly dependent on the severity of pain, especially at the first and second stage of the study (anxiety 0.203, p=0.045/0.257, p=0.01, depression 0.299, p=0.003/0.253, p=0.012). The stronger the pain, the greater the severity of mood disorders.Conclusion: Pain and its severity are associated with QoL in the patients with complicated diabetic foot syndrome following lower limb amputation. Disease acceptance was lower in patients experiencing more severe pain at all stages of the study. There is an association of pain with the occurrence of anxiety and depression in amputees, especially 6 months after surgery.Keywords: diabetes, diabetic foot syndrome, quality of life, amputation, disease acceptance, emotional stateKrzemińska SKostka ADove Medical Pressarticlediabetesdiabetic foot syndromequality of lifeamputationdisease acceptanceemotional stateSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 1295-1303 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes diabetic foot syndrome quality of life amputation disease acceptance emotional state Specialties of internal medicine RC581-951
spellingShingle	diabetes diabetic foot syndrome quality of life amputation disease acceptance emotional state Specialties of internal medicine RC581-951 Krzemińska S Kostka A Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
description	Sylwia Krzemińska, Anna Kostka Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Sylwia KrzemińskaDepartment of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Bartla 5, Wroclaw, 51-618, PolandEmail sylwia.krzeminska@umed.wroc.plObjective: The aim of the study was to evaluate the relationship between pain and quality of life and illness acceptance, anxiety and depression in a group of patients with complicated diabetic foot syndrome, following lower limb amputation.Patients and Methods: The studies were carried out in three stages: 7 days, 6 months and 12 months after surgery in a group of 100 patients after amputation of the lower limb due to complications resulting from type 2 diabetes. The study was performed using standardised instruments: WHOQOL-BREF, the Acceptance of Illness Scale (AIS), the Hospital Anxiety and Depression Scale (HADS), and the Visual Analog Scale (VAS) for pain intensity assessment.Results: Pain occurred in the examined patients throughout the study. The greatest intensity of pain was observed in the postoperative period and significantly weakened over time. Pain intensity was significantly associated with worse overall QoL perceived (− 0.255, p=0.011/-0.283, p=0.005) and QoL scores in the physical and psychological domains at the first and second stage of the study (physical domains − 0.257, p=0.011/-0.219, p=0.03 and psychological − 0.22, p=0.029/-0.24/0.018). The intensity of pain negatively correlates with the acceptance of the disease in all three stages of the study, the greater the severity of pain, the lower the acceptance of illness (− 0.298, p=0.003/-0.326, p=0.001/-0.26, p=0.009). The occurrence of anxiety and depression is highly dependent on the severity of pain, especially at the first and second stage of the study (anxiety 0.203, p=0.045/0.257, p=0.01, depression 0.299, p=0.003/0.253, p=0.012). The stronger the pain, the greater the severity of mood disorders.Conclusion: Pain and its severity are associated with QoL in the patients with complicated diabetic foot syndrome following lower limb amputation. Disease acceptance was lower in patients experiencing more severe pain at all stages of the study. There is an association of pain with the occurrence of anxiety and depression in amputees, especially 6 months after surgery.Keywords: diabetes, diabetic foot syndrome, quality of life, amputation, disease acceptance, emotional state
format	article
author	Krzemińska S Kostka A
author_facet	Krzemińska S Kostka A
author_sort	Krzemińska S
title	Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
title_short	Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
title_full	Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
title_fullStr	Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
title_full_unstemmed	Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome
title_sort	influence of pain on the quality of life and disease acceptance in patients with complicated diabetic foot syndrome
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d043b6ccbeed4a1b9081dad85be59065
work_keys_str_mv	AT krzeminskas influenceofpainonthequalityoflifeanddiseaseacceptanceinpatientswithcomplicateddiabeticfootsyndrome AT kostkaa influenceofpainonthequalityoflifeanddiseaseacceptanceinpatientswithcomplicateddiabeticfootsyndrome
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Influence of Pain on the Quality of Life and Disease Acceptance in Patients with Complicated Diabetic Foot Syndrome

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