Key result
In patients with type II diabetes, quality of life was significantly associated with psychological well-being and self-care behaviors, but overall quality of life did not significantly differ between those with and without recent minor amputation.
Why the study?
Does perceived quality of life predict psychological well-being, self-care, and psychosocial adjustment in patients with type II diabetes after minor amputation?
Cross-Sectional (n=200)
Yes
Does perceived quality of life predict psychological well-being, self-care, and psychosocial adjustment in patients with type II diabetes after minor amputation?
Mean Difference: -5.57 (95% CI -13.09–1.96)
Absolute Event Rate: 27.72% vs 33.29%
p-value: p=0.14
Enhancing perceived quality of life through psycho-education and counseling may improve psychological well-being, psychosocial adjustment, and self-care behaviors in diabetic patients with minor amputations.
QoL was associated with better well-being and adjustment after minor amputation in diabetes; leaves open causal effects and intervention benefits.
OBJECTIVE: The present research investigated the role of perceived quality of life as significant predictor of psychological well-being, self-care and psychosocial adjustment among patients with type II diabetes initially after minor unilateral amputation. HYPOTHESIS: The quality of life is likely to predict the psychological well-being, psychosocial adjustment and self-care in patients with type II diabetes, gone through initial unilateral minor amputation. RESEARCH DESIGN: Cross Sectional descriptive. METHODOLOGY: A sample of 200 patients with type II diabetes was taken; 100 with minor amputation and 100 without amputation. The age ranged between 40 to 60 years. A written informed consent was taken in addition to departmental permission to collect the data from indoor and outdoor units of three main hospitals of Lahore including Jinnah Hospital, Arif Diabetics and Mayo hospital, Lahore. The study was carried between Sep, 2015 to December, 2015. The major study constructs were measured by using Urdu translated measures including Diabetes Related Quality of Life Scale, Psychological Well-being Scale and Social Adjustment Scale-self report (SAS-SR); and Self-care Inventory. Regression analysis was carried out to assess the role of quality of life as significant predictor. RESULTS: The results revealed that quality of life emerged as significant positive predictor of psychological well-being, self-care and psychosocial adjustment in patients with diabetes who have gone through minor amputation. CONCLUSION: Quality of life is significant positive predictor and by enhancing the Perceived quality of life of patients with diabetes and minor amputation through psycho-education and counseling, the psychological well-being, psychosocial adjustment and self-case behaviors can be improved.
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A 2016 study conducted a cross-sectional in Type II diabetes (n=200). Initial unilateral minor amputation vs. No amputation was evaluated on Quality of Life (DQOL score) (MD -5.57, 95% CI -13.09 to 1.96, p=0.14). In patients with type II diabetes, quality of life was significantly associated with psychological well-being and self-care behaviors, but overall quality of life did not significantly differ between those with and without recent minor amputation.
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