Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/11110/1809 |
Resumo: | Objective: Lower limb amputation (LLA) leads to several emotional and physical sequelaes that have a negative impact on individuals` life. The objectives of this study were: 1) to analyze the relationship between emotional reactions (anxiety, depression and traumatic stress symptoms) and functionality level, before and after a LLA due to diabetic foot ulcer, and mental/physical quality of life; and 2) to analyze the mediator role of social support between emotional reactions and mental/physical quality of life. Method: A multicenter, longitudinal study with four time assessments: before the surgery, one month, six months, and ten months after surgery, including 206 individuals hospitalized with diabetic foot ulcer indicated for a LLA. The instruments used were the following: Revised Impact of Event Scale; Barthel Index; Hospital Anxiety and Depression Scale and SF-36. Results: Anxiety symptoms before surgery and depression symptoms one month after surgery contribute to Mental Component Score (MCS) ten months after surgery. The level of functionality before and one month after surgery, traumatic stress symptoms one month after surgery as well as satisfaction with social support six months after surgery contribute to the Physical Component Score (PCS), ten months after surgery. Social support was a mediator between traumatic stress symptoms one month after surgery and PCS ten months after surgery. Conclusion: Identifying risk variables and the extent to which and when they affect mental/physical quality of life, will help to develop appropriate psychological interventions to promote quality of life in this population. |
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Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter StudyQuality of lifelimb amputationdiabetic patientsObjective: Lower limb amputation (LLA) leads to several emotional and physical sequelaes that have a negative impact on individuals` life. The objectives of this study were: 1) to analyze the relationship between emotional reactions (anxiety, depression and traumatic stress symptoms) and functionality level, before and after a LLA due to diabetic foot ulcer, and mental/physical quality of life; and 2) to analyze the mediator role of social support between emotional reactions and mental/physical quality of life. Method: A multicenter, longitudinal study with four time assessments: before the surgery, one month, six months, and ten months after surgery, including 206 individuals hospitalized with diabetic foot ulcer indicated for a LLA. The instruments used were the following: Revised Impact of Event Scale; Barthel Index; Hospital Anxiety and Depression Scale and SF-36. Results: Anxiety symptoms before surgery and depression symptoms one month after surgery contribute to Mental Component Score (MCS) ten months after surgery. The level of functionality before and one month after surgery, traumatic stress symptoms one month after surgery as well as satisfaction with social support six months after surgery contribute to the Physical Component Score (PCS), ten months after surgery. Social support was a mediator between traumatic stress symptoms one month after surgery and PCS ten months after surgery. Conclusion: Identifying risk variables and the extent to which and when they affect mental/physical quality of life, will help to develop appropriate psychological interventions to promote quality of life in this population.This study was conducted at Psychology Research Center (PSI/01662), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653). This work was supported by a grant (SFRH/BD/87704/2012) from the Portuguese Foundation for Science and TechnologyPsychiatry2019-12-11T17:27:36Z2019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/11110/1809oai:ciencipca.ipca.pt:11110/1809engSusana Pedras, Estela Vilhena, Rui Carvalho & M. Graça Pereira (2019) Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study, Psychiatry, DOI: 10.1080/00332747.2019.1672438https://doi.org/10.1080/00332747.2019.1672438http://hdl.handle.net/11110/1809metadata only accessinfo:eu-repo/semantics/openAccessPedras, SusanaVilhena, EstelaCarvalho, RuiPereira, M.Graçareponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-05T12:53:09Zoai:ciencipca.ipca.pt:11110/1809Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:02:07.031644Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
title |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
spellingShingle |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study Pedras, Susana Quality of life limb amputation diabetic patients |
title_short |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
title_full |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
title_fullStr |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
title_full_unstemmed |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
title_sort |
Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study |
author |
Pedras, Susana |
author_facet |
Pedras, Susana Vilhena, Estela Carvalho, Rui Pereira, M.Graça |
author_role |
author |
author2 |
Vilhena, Estela Carvalho, Rui Pereira, M.Graça |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pedras, Susana Vilhena, Estela Carvalho, Rui Pereira, M.Graça |
dc.subject.por.fl_str_mv |
Quality of life limb amputation diabetic patients |
topic |
Quality of life limb amputation diabetic patients |
description |
Objective: Lower limb amputation (LLA) leads to several emotional and physical sequelaes that have a negative impact on individuals` life. The objectives of this study were: 1) to analyze the relationship between emotional reactions (anxiety, depression and traumatic stress symptoms) and functionality level, before and after a LLA due to diabetic foot ulcer, and mental/physical quality of life; and 2) to analyze the mediator role of social support between emotional reactions and mental/physical quality of life. Method: A multicenter, longitudinal study with four time assessments: before the surgery, one month, six months, and ten months after surgery, including 206 individuals hospitalized with diabetic foot ulcer indicated for a LLA. The instruments used were the following: Revised Impact of Event Scale; Barthel Index; Hospital Anxiety and Depression Scale and SF-36. Results: Anxiety symptoms before surgery and depression symptoms one month after surgery contribute to Mental Component Score (MCS) ten months after surgery. The level of functionality before and one month after surgery, traumatic stress symptoms one month after surgery as well as satisfaction with social support six months after surgery contribute to the Physical Component Score (PCS), ten months after surgery. Social support was a mediator between traumatic stress symptoms one month after surgery and PCS ten months after surgery. Conclusion: Identifying risk variables and the extent to which and when they affect mental/physical quality of life, will help to develop appropriate psychological interventions to promote quality of life in this population. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-11T17:27:36Z 2019-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/11110/1809 oai:ciencipca.ipca.pt:11110/1809 |
url |
http://hdl.handle.net/11110/1809 |
identifier_str_mv |
oai:ciencipca.ipca.pt:11110/1809 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Susana Pedras, Estela Vilhena, Rui Carvalho & M. Graça Pereira (2019) Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study, Psychiatry, DOI: 10.1080/00332747.2019.1672438 https://doi.org/10.1080/00332747.2019.1672438 http://hdl.handle.net/11110/1809 |
dc.rights.driver.fl_str_mv |
metadata only access info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
metadata only access |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Psychiatry |
publisher.none.fl_str_mv |
Psychiatry |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799129891457728512 |