Objective: The study was conducted
to assess the impact of diabetic foot ulcers on patients’ health-related
quality of life scores and to examine risk factors associated with lower
quality of life in diabetic patients with foot ulcers.
Methods: A cross
sectional study was conducted on 144 patients with diabetic foot ulcers aged ?
18 years who were attending the diabetic foot clinic at (NCDEG) during the
period from (Nov-2015 to Jan-2016). Physical examination was done to assess
peripheral vascular disease (PVD), peripheral neuropathy, site and number of
ulcers, type of previous amputation and grading of foot ulcers using Wagner
classification. Health-related quality of life was assessed using two
self-administered questionnaires: Diabetic Foot Scale-Short Form (DFS-SF) and
Short Form-8 (SF-8).
Results: Patients with diabetic
foot ulcer had significantly low median (SD) (DFS-SF) 42.1±17.0, and low median
Physical and Mental Components Summary scales (PCS8 and MCS8) (39.3±9.9 for
PCS8 and 41.9±11.1 for MCS8) using SF-8 health survey questionnaire for
assessing health-related quality of life. The mean scores for DFS-SF subscales
were 36.7 (20.1) for Leisure/enjoying life, 44.2 (22.6) for Physical health,
48.2(25.7) for Dependence/daily life, 43.5 (24.6) for Negative emotions, 32.7
(24.2) for Worried about ulcer and 46.1 (27.8) for Bothered by ulcer care.
Female gender, obesity, presence of PVD and stressful life events were the most
significant factors associated with lower quality of life in patients with
diabetic foot ulcers. High educational status had better DFS-SF scores and
become significant with worried about ulcer (P = 0.024), family income had
significant effect on physical health (P = 0.033) and retinopathy affecting the
leisure/enjoying life and dependence/daily life subscales (P = 0.031, 0.007,
Conclusion: Diabetic foot
ulcer patients have significantly low median (SD) DFS-SF score 42.1±17.0 as
well as low median PCS8 and MCS8 scales (39.3±9.9 for PCS8 and 41.9±11.1 for
MCS8) using SF-8 health questionnaire. Female gender, obesity, presence of PVD and
stressful life events were the most important factors associated with lower
quality of life in patients with diabetic foot ulcer.