SciELO - Scientific Electronic Library Online

 
vol.20 issue3Functional Capacity and Self-care in Older Adults with Diabetes MellitusUncertainty Towards the Disease of Family Caregivers of Patients in Palliative Care: A Scoping Review author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Aquichan

Print version ISSN 1657-5997On-line version ISSN 2027-5374

Abstract

GAYATRI, Dewi et al. Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study. Aquichan [online]. 2020, vol.20, n.3, e2033. ISSN 1657-5997.  https://doi.org/10.5294/aqui.2020.20.3.3.

Objectives:

The purpose of this study is to identify the relationship between wound severity, discomfort, and psychological problems in patients with a diabetic foot ulcer in Indonesia.

Methods:

A cross-sectional study is conducted in three general hospitals and one clinic in Indonesia. The Bates-Jensen wound assessment tool (BWAT), the discomfort evaluation of wound instrument (DEWI), and the depression, anxiety, and stress scale (DASS) are used to measure the variables of interest. Path analysis is performed to evaluate the association between wound severity, discomfort, and psychological problems.

Results:

Of 140 patients with diabetic foot ulcers who joined this study, the majority experienced immobilization (74.3 %), pain (69.3 %), and sleep disturbance (63.6 %). The means were as follows: discomfort (2.35 ± 0.33), depression (1.34 ± 0.41), stress (1.49 ± 0.48), anxiety (1.43 ± 0.40), and wound severity (31.35 ± 9.96). Discomfort partially mediated the relationship between wound severity and psychological problems, which indirect effect was 0.11.

Conclusion:

High prevalence of discomfort, both physical and psychological, was found in patients with a diabetic foot ulcer. Discomfort mediates the relationship between wound severity and psychological problems. Integrating comfort into wound care management may help to reduce the psychological burden.

Keywords : Chronic wound; diabetic foot ulcer; discomfort; psychological problems; wound severity.

        · abstract in Spanish | Portuguese     · text in English     · English ( pdf )