İsmail TOYGAR, Sadık HANÇERLİOĞLU, Ilgın YILDIRIM ŞİMŞİR, Şevki ÇETİNKALP

Diyabetik ayak hastalarının yaşam kalitesi ve etkileyen faktörler

Amaç: Diyabetik ayak hastalarında yaşam kalitesi düzeylerinin ve etkileyen faktörlerin değerlendirilmesidir. Gereç ve Yöntem: Çalışmanın verileri Ocak – Mart 2020 tarihleri arasında üniversite hastanesinin diyabetik ayak konseyine başvuran 171 hastadan toplanmıştır. Verilerin toplanmasında birey tanıtım formu ve Diyabetik Ayak Ölçeği – Kısa Formu kullanılmıştır. Bu ölçekte alt boyutlar ve ölçek toplam puanı 0-100 aralığında değerler almakta olup yüksek puan ortalaması yüksek yaşam kalitesini, düşük puan ortalaması düşük yaşam kalitesini göstermektedir. Araştırmanın verileri IBM SPSS 25.0 paket programı ile analiz edilmiştir. Bulgular: Çalışmada yer alan hastaların %67,3’ünün erkek, %84,8’inin evli ve ortalama yaşı 61,57±10,03 yıl olarak saptanmıştır. Kadınların (p=0,009), insülin tedavisi alanların (p=0,004), sigara kullanmayan (p=0,027), alkol tüketimi olmayan (p=0,030) ve diyabete eşlik eden kronik hastalığı olmayan bireylerin (p=0,003) yaşam kalitesi puan ortalamalarının daha yüksek düzeyde olduğu saptanmıştır. Regresyon tahminlemesinde insülin tedavisi almanın (β=-0,23, p=0,024) ve eşlik eden kronik bir hastalığı olmamasının (β=-0,17, p=0,037) yaşam kalitesini olumlu yönde etkilediği saptanmıştır. Sonuç: Sonuç olarak diyabetik ayak hastalarında yaşam kalitesinin orta düzeyde olduğu cinsiyet, tedavi türü, sigara kullanımı, alkol kullanımı ve eşlik eden kronik hastalık varlığı bakımından gruplar arasında farklılık olduğu gözlemlenmiştir. Diyabetik ayak hastalarında tedavi türü ve eşlik eden kronik hastalık varlığının yaşam kalitesi üzerine anlamlı etkisi olduğu saptanmıştır.

Quality of life of diabetic foot patients and affecting factors

Aim: To evaluate the quality of life of diabetic foot patients and affecting factors. Materials and Methods: The data of the study were collected from 171 patients who applied to the diabetic foot council of a university hospital between January - March 2020. For the collection of the data, the individual identification form, and the Diabetic Foot Scale - Short Form were used. In this scale, the sub-dimensions’ and scale total scores are range from 0 to 100, and the high mean score indicates a high quality of life, the low mean of score indicates a low quality of life. Research data were analyzed with IBM SPSS 25.0 software package. Results: Of the patients, 67.3% were male, 84.8% were married, and the mean age was 61.57 ± 10.03 years. The quality of life scores of women (p = 0.009), those receiving insulin therapy (p = 0.004), non-smokers (p = 0.027), those who do not consume alcohol (p = 0.030), and individuals who do not have any concomitant chronic disease (p = 0.003) was found to be at a high level. In regression estimation, it was found that receiving insulin therapy (β = -0.23, p = 0.024) and not having any concomitant chronic disease (β = -0.17, p = 0.037) positively affected the quality of life. Conclusion: As a result, it was observed that the quality of life of diabetic foot patients was at a moderate level, and there was a difference between the groups in terms of gender, type of treatment, smoking, alcohol consumption and accompanying chronic disease. It was determined that the type of treatment and accompanying chronic disease have a significant effect on the quality of life in diabetic foot patients.

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