Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study

Detalhes bibliográficos
Autor(a) principal: Pedras, Susana
Data de Publicação: 2019
Outros Autores: Vilhena, Estela, Carvalho, Rui, Pereira, M.Graça
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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spelling 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
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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
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dc.language.iso.fl_str_mv eng
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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
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