Cumulative loading in individuals with non-traumatic lower limb amputation, individuals with diabetes mellitus, and healthy individuals

Background:Several factors may hinder postoperative rehabilitation following lower limb amputation. This study contributes to the existing knowledge of the impact of psychological factors on patients’ successful adaptation.Objective:The study focused on the importance of resilience following lower limb amputation due todiabetes mellitus, especially on protective and risk factors potentially influencing adaptation to limb loss.Method:Patients (n=29) completed a test battery one and sixth months after amputation including the following questionnaires: Beck Depression Inventory (BDI-R), Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), Medical Outcomes Study Social Support Survey (MOS-SSS), Sense of Coherence Scale (SOC), Positive and Negative Affect Schedule (PANAS).Results:Anxiety, depression and negative emotional states negatively correlated with resilience, suggesting to be risk factors hindering adaptation. Positive effects act as a protective factor, while negative emotions hinder coping with the trauma, particularly six months after limb loss. The overall score and all three subscales of the MOS-SSS correlated positively with resilience at both measurements, which suggests that social support has importance in successfully dealing with resilience. Patients’ Sense Of Coherence (SOC) was found to be positively correlated with resilience six months after amputation suggesting it is also a protective factor.Conclusion:This study expands the limited empirical knowledge of patients with lower limb amputation due todiabetes mellitus. The study approached adaptation to limb loss from a new perspective focusing on protective and risk factors related to resilience. A complex test battery was compiled to implement the new approach to the essential protective factors in rehabilitation.

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Acceptance of Illness, Quality of Life and Nutritional Status of Patients After Lower Limb Amputation Due to Diabetes Mellitus

10.21203/rs.3.rs-102679/v1 ◽

2020 ◽

Author(s):

Jan Juzwiszyn ◽

Adrianna Łabuń ◽

Wojciech Tański ◽

Anna Szymanska-Chabowska ◽

Dorota Zielińska ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Nutritional Status ◽

Lower Limb ◽

Statistical Correlation ◽

Lower Limb Amputation ◽

Limb Amputation ◽

The Mean ◽

Acceptance Of Illness

Abstract Introduction. Diabetes mellitus is one of the most common chronic diseases with a high number of sufferers worldwide. Diabetic neuropathy and diabetic angiopathy lead to serious infectious complications which are very difficult to combat and may finally lead to the amputation of a lower limb. The aim of the study was to evaluate the quality of life, the level of acceptance of the illness and the nutritional status of patients after lower limb amputation due to diabetes. Methods. Ninety nine patients (23 men and 76 women) were enrolled into the study. They had all undergone lower limb amputation due to diabetic foot and were treated in the Department of General and Oncological Surgery. The following questionnaires were used: the WHO Quality of Life-BREF (WHOQOL–BREF), the Mini Nutritional Assessment (MNA), the Acceptance of Illness Scale (AIS) and the anonymous specific socio-demographic characteristics questionnaire.Results: The diabetes-related amputees were revealed to have a higher QoL within the social domain (mean score 64.48), an intermediate QoL – within the environmental domain (mean score 63.04) and the mental domain (mean score 59.61), and a lower QoL – within physical (somatic) domain (mean score 54.69). There was no statistical correlation between genders or between all the domains of QoL (p>0.05). The mean MNA score was 22.66, which means that patients were at risk of malnutrition. There were statistical differences between women and men as regards nutritional status (p=0.034). The mean AIS score was 27.65 (27.09 women and 29.48 men), which means that the respondents accept their disease. There was no statistical correlation between gender and the acceptance of the disease (p=0.288). There was not statistical correlation between age and QoL (p>0.05). There were statistical differences between age and nutritional status (p<0.05), and between age and acceptance of the illness (p=0.044).Conclusions: The better the quality of life was in all the domains, the better the level of acceptance of illness was. The less malnourished the patient was, the better their quality of life was in all the domains.

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HbA1c as a marker to reduce lower limb amputation in patients with type 2 diabetes mellitus

Sudan Journal of Medical Sciences ◽

10.4314/sjms.v3i3.38541 ◽

2008 ◽

Vol 3 (3) ◽

Author(s):

AH Mohieldein ◽

AM Abdelkarim ◽

FM Osman ◽

EA Abdallah ◽

MM Ali

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Lower Limb ◽

Lower Limb Amputation ◽

Limb Amputation

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Acceptance of illness, quality of life and nutritional status of patients after lower limb amputation due to diabetes mellitus

10.21203/rs.3.rs-24304/v1 ◽

2020 ◽

Author(s):

Anna Szymanska-Chabowska ◽

Adrianna Łabuń ◽

Wojciech Tański ◽

Dorota Zielińska ◽

Jan Juzwiszyn ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Nutritional Status ◽

Lower Limb ◽

Mini Nutritional Assessment ◽

Statistical Correlation ◽

Lower Limb Amputation ◽

Limb Amputation ◽

Acceptance Of Illness

Abstract Introduction. Diabetes mellitus is one of the most common chronic diseases with a high number of sufferers worldwide. Diabetic neuropathy and diabetic angiopathy lead to serious infectious complications which are very difficult to combat and may finally lead to the amputation of a lower limb. The aim of the study was to evaluate the quality of life, the level of acceptance of the illness and the nutritional status of patients after lower limb amputation due to diabetes. Methods. Ninety nine patients (23 men and 76 women) were enrolled into the study. They had all undergone lower limb amputation due to diabetic foot in the Department of General and Oncological Surgery. The following questionnaires were used: the WHO Quality of Life-BREF, the Mini Nutritional Assessment, the Acceptance of Illness Scale and the socio-demographic questionnaire. Results. The diabetes-related amputees had a higher QoL within the social domain (64.48), an intermediate QoL – within the environmental domain (63.04) and the mental domain (59.61), and a lower QoL – within physical (somatic) domain (54.69). There was no statistical correlation between genders or between all the domains of QoL (p>0.05). The patients were at risk of malnutrition (MNA was 22.66). There were statistical differences between women and men as regards nutritional status (p=0.034). The mean AIS score was 27.65, which means that the respondents accept their disease. There was no statistical correlation between gender and the acceptance of the disease (p=0.288). There was not statistical correlation between age and QoL (p>0.05). There were statistical differences between age and nutritional status (p<0.05), and between age and acceptance of the illness (p=0.044). Conclusions. The better the quality of life was in all the domains, the better the level of acceptance of illness was. The less malnourished the patient was, the better their quality of life was in all the domains.

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