Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study

10 páginas

Autores:: Gayatri, Dewi
Nurachmah, Elly
Mansyur, Muchtaruddin
Soewondo, Pradana
Suriadi, Suriadi

Tipo de recurso:

Fecha de publicación:: 2020

Institución:: Universidad de la Sabana

Repositorio:: Repositorio Universidad de la Sabana

Idioma:: eng

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dc.title.es_CO.fl_str_mv	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
dc.title.alternative.es_CO.fl_str_mv	Relación entre la gravedad de la herida, la molestia y los problemas psicológicos en pacientes con úlcera del pie diabético en Indonesia: estudio transversal Relação entre gravidade da ferida, desconforto e problemas psicológicos em pacientes com úlcera diabética do pé na Indonésia: um estudo transversal
title	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
spellingShingle	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study Herida crónica Úlcera de pie diabético Problemas psicológicos Gravedad de la herida
title_short	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
title_full	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
title_fullStr	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
title_full_unstemmed	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
title_sort	Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study
dc.creator.fl_str_mv	Gayatri, Dewi Nurachmah, Elly Mansyur, Muchtaruddin Soewondo, Pradana Suriadi, Suriadi
dc.contributor.author.none.fl_str_mv	Gayatri, Dewi Nurachmah, Elly Mansyur, Muchtaruddin Soewondo, Pradana Suriadi, Suriadi
dc.subject.other.spa.fl_str_mv	Herida crónica Úlcera de pie diabético Problemas psicológicos Gravedad de la herida
topic	Herida crónica Úlcera de pie diabético Problemas psicológicos Gravedad de la herida
description	10 páginas
publishDate	2020
dc.date.accessioned.none.fl_str_mv	2020-11-12T18:51:01Z
dc.date.available.none.fl_str_mv	2020-11-12T18:51:01Z
dc.date.issued.none.fl_str_mv	2020-09-07
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dc.identifier.citation.es_CO.fl_str_mv	Gayarti D, Nurachmah E, Mansyur M, Soewondo P, Suriadi S. Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study. Aquichan. 2020;20(3):e2033. DOI: https://doi.org/10.5294/aqui.2020.20.3.3
dc.identifier.issn.none.fl_str_mv	1657-5997
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dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/10818/44275
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.5294/aqui.2020.20.3.3
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identifier_str_mv	Gayarti D, Nurachmah E, Mansyur M, Soewondo P, Suriadi S. Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study. Aquichan. 2020;20(3):e2033. DOI: https://doi.org/10.5294/aqui.2020.20.3.3 1657-5997 2027-5374
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dc.language.iso.es_CO.fl_str_mv	eng
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dc.publisher.es_CO.fl_str_mv	Universidad de La Sabana
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spelling	Gayatri, DewiNurachmah, EllyMansyur, MuchtaruddinSoewondo, PradanaSuriadi, Suriadi2020-11-12T18:51:01Z2020-11-12T18:51:01Z2020-09-07Gayarti D, Nurachmah E, Mansyur M, Soewondo P, Suriadi S. Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study. Aquichan. 2020;20(3):e2033. DOI: https://doi.org/10.5294/aqui.2020.20.3.31657-5997https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11955https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/11955/5953http://hdl.handle.net/10818/44275https://doi.org/10.5294/aqui.2020.20.3.32027-537410 páginasObjetivos: el presente estudio tiene como objetivo identificar la relación entre la gravedad de la herida, la molestia y los problemas psicológicos en pacientes con úlcera del pie diabético en Indonesia. Métodos: se realizó un estudio transversal en tres hospitales generales y una clínica de Indonesia. La herramienta de evaluación de heridas Bates-Jensen (BWAT, por sus siglas en inglés), el instrumento de evaluación de molestia de la herida (DEWI, por sus siglas en inglés) y la escala de depresión, ansiedad y estrés (DASS, por sus siglas en inglés) se utilizaron para medir las variables de interés. Se realizó un análisis de ruta para evaluar la asociación entre la gravedad de la herida, la molestia y los problemas psicológicos. Resultados: de 140 pacientes con úlcera del pie diabético que participaron en este estudio, la mayoría experimentó inmovilización (74,3 %), dolor (69,3 %) y trastornos del sueño (63,6 %). Las medias fueron las siguientes: molestia (2,35 ± 0,33), depresión (1,34 ± 0,41), estrés (1,49 ± 0,48), ansiedad (1,43 ± 0,40) y gravedad de la herida (31,35 ± 9,96). La molestia medió en parte la relación entre la gravedad de la herida y los problemas psicológicos, cuyo efecto indirecto fue de 0,11. Conclusión: se encontró una alta prevalencia de molestias, tanto físicas como psicológicas, en pacientes con úlcera del pie diabético. Además, la molestia media la relación entre la gravedad de la herida y los problemas psicológicos. La integración de la comodidad en el manejo del cuidado de las heridas puede ayudar a reducir la carga psicológica.Objectives: The purpose of this study is to identify the relationship between wound severity, discomfort, and psychological problems inpatients 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 depres-sion, 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.application/pdfengUniversidad de La SabanaDirección de PublicacionesAquichan. 2020;20(3):e2033Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2instname:Universidad de La Sabanareponame:Intellectum Repositorio Universidad de La SabanaHerida crónicaÚlcera de pie diabéticoProblemas psicológicosGravedad de la heridaRelationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional StudyRelación entre la gravedad de la herida, la molestia y los problemas psicológicos en pacientes con úlcera del pie diabético en Indonesia: estudio transversalRelação entre gravidade da ferida, desconforto e problemas psicológicos em pacientes com úlcera diabética do pé na Indonésia: um estudo transversalarticlepublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501International Diabetes Federation. IDF Diabetes Atlas Ninth Edition 2019. Available from: http://www.diabetesatlas.orgHSCIC. Clinical Audit and Registries Management Service. National Diabetes Foot Care Audit Report 2014-2015. England and Wales; 2016 Mar. Available from: http://diabetestimes.co.uk/wp-content/uploads/2016/03/National_Diabetes_Foot_Care_Audit_NDFA_-_2014-2015_Report.pdfBowling FL, Rashid ST, Boulton AJ. Preventing and treating foot complications associated with diabetes mellitus. Nat Rev Endocrinol. 2015 Oct;11(10):606–16. doi: https://doi.org/10.1038/nrendo.2015.130Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018 Jan;1411(1):153–65. doi: https://doi.org/10.1111/nyas.13569Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med. 2017 Jun 15;376(24):2367–75. doi: https://doi.org/10.1056/NEJMra1615439International Working Group of Diabetic Foot. Definitions and criteria of diabetic foot Belgium: International Working Group on the Diabetic Foot; 2015.Bajaj S, Mahajan A, Grover S, Mahajan V, Goyal P, Gupta VK. Peripheral Vascular Disease in Patients with Diabetic Foot Ulcers—An Emerging Trend: A Prospective Study from North India. J Assoc Physicians India. 2017 May 1;65(5):14–7. Available from: https://pubmed.ncbi.nlm.nih.gov/28598042/Hicks CW, Selvarajah S, Mathioudakis N, Sherman RE, Hines KF, Black III JH, et al. Burden of Infected Diabetic Foot Ulcers on Hospital Admissions and Costs. Ann Vasc Surg. 2016 May 1; 33:149–58. doi: https://doi.org/10.1016/j.avsg.2015.11.025Lim JZ, Ng NS, Thomas C. Prevention and treatment of diabetic foot ulcers. J R Soc Med. 2017 Mar;110(3):104–9. doi: http://doi.org/10.1177/0141076816688346Kolcaba K. Comfort theory and practice: a vision for holistic health care and research. New York: Springer; 2003.Egede LE, Ellis C. Diabetes & depression: Global perspectives. Diabetes Res Clin Pract. 2010 Mar 1;87(3):302–12. doi: https://doi.org/10.1016/j.diabres.2010.01.024Wachid N, Gayatri D, Pujasari H. Correlation between sleep quality with diabetes self-care management on diabetes mellitus type 2 patients. In AIP Conference Proceedings 2019 Apr 9 (Vol. 2092, No. 1, p. 040018). DOI: https://doi.org/10.1063/1.5096751Siefert ML. Concept Analysis of Comfort. In Nursing Forum 2002 Oct 1 (Vol. 37, No. 4, p. 16–23). doi: https://doi.org/10.1111/j.1744-6198.2002.tb01288.xVedhara K, Milles JN, Wetherell MA, Dawe K, Searle A, Tallon D, et al. Coping style and depression influence the healing of diabetic foot ulcers: Observational and mechanistic evidence. Diabetologia. 2010 Aug 1;53(8):1590–8. doi: https://doi.org/10.1007/s00125-010-1743-7Gonzalez JS, Vileikyte L, Ulbrecht JS, Rubin RR, Garrow AP, Delgado C, et al. Depression predicts first but not recurrent diabetic foot ulcers. Diabetologia. 2010 Oct 1;53(10):2241–8. doi: https://doi.org/10.1007/s00125-010-1821-xHarris C, Bates-Jensen B, Parslow N, Raizman R, Singh M, Ketchen R. Bates-Jensen wound assessment tool: pictorial guide validation project. J Wound Ostomy Continence Nurs. 2010;37(3):253–9. doi: https://doi.org/10.1097/WON.0b013e3181d73aabLovibond. Depression Anxiety Stress Scales; 1995. Available from: http://www2.psy.unsw.edu.au/dass/Maibach HI, Shai A. Wound healing and ulcers of the skin: Diagnosis and therapy—The practical approach. Berlin: Springer; 2005.O’Loughlin A, McIntosh C, Dinneen SF. Review paper: basic concepts to novel therapies: a review of the diabetic foot. Int J Low Extrem Wounds. 2010;9:90–102. doi: https://doi.org/10.1177/1534734610371600Solowiej K, Mason V, Upton D. Psychological stress and pain in wound care, part 2: A review of pain and stress assessment tools. J Wound Care. 2010 Mar;19(3):110–5. doi: https://doi.org/10.12968/jowc.2010.19.3.47280Aro I, Pietil¨a AM, Vehvil¨ainen-Julkunen K. Needs of adult patients in intensive care units of Estonian hospitals: a questionnaire survey. J Clin Nurs. 2012 Jul;21(13–14):1847–58. doi: https://doi.org/10.1111/j.1365-2702.2012.04092.xWoo K, Sibbald G, Fogh K, Glynn C, Krasner D, Leaper D, et al. Assessment and management of persistent (chronic) and total wound pain. Int Wound J. 2008 May;5(2):205–15. doi: https://doi.org/10.1111/j.1742-481X.2008.00483.xSalehi S, Ghodousi A, Ojaghlo K. The spiritual experiences of patients with diabetes related limb amputation. Iran J Nurs Midwifery Res. 2012 Mar;17(3):225–228. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3696216/Nurachmah E, Kristianto H, Gayatri D. Aspek kenyamanan pasien luka kronik ditinjau dari transforming growth factor β1 dan kadar kortisol. Makara J Res. 2011;15:73–80. Available from: http://journal.ui.ac.id/index.php/health/article/view/939Sastroasmoro S, Ismael S.. Dasar-dasar Metodologi Penelitian Klinis. Jakarta: Binarupa Aksara; 2011.Sinulingga E. Hubungan Tingkat Stres Psikologis dengan Penyembuhan Ulkus diabetikum pada Pasien Diabetes Melitus di Siloam Hospitals [dissertation]. Indonesia: Fakultas Ilmu Keperawatan Universitas Indonesia; 2013.CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://intellectum.unisabana.edu.co/bitstream/10818/44275/2/license_rdf4460e5956bc1d1639be9ae6146a50347MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/44275/3/license.txtf52a2cfd4df262e08e9b300d62c85cabMD5310818/44275oai:intellectum.unisabana.edu.co:10818/442752021-06-07 23:35:30.164Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.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

Relationship between Wound Severity, Discomfort, and Psychological Problems in Patients with a Diabetic Foot Ulcer in Indonesia: A Cross-sectional Study

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