Abstract:
This chapter reviews the research conducted on patients with diabetes and foot ulcers and their health-related quality of life (HRQL). Patients with diabetic foot ulcers (DFU) report a poor HRQL, and physical impairment especially influences the patients’ HRQL.
The instruments used to measure HRQL in patients with DFU vary in number and the characterization of the dimensions they assess. The instruments used are both generic, such as the SF-36, and disease-specific, such as the Diabetic Foot Ulcer Scale–Short Form (DFS–SF) for patients with DFU, the Cardiff Wound Impact Scale (CWIS) for patients with chronic ulcers in general, and the Neuropathy- and Foot Ulcer-Specific Quality of Life Instrument (NeuroQoL) for patients with foot problems and peripheral neuropathy. Whereas the questions in the generic instruments ask the individual to evaluate her/his physical, social, and mental health in general terms, the disease-specific instruments ask about issues specific to foot problems and foot ulcers. Additional work is needed to further develop and test the validated tools in different countries throughout the world.
A future challenge is the administration of HRQL questionnaires to individual DFU patients in clinical practice, and to use these data, together with other patient-reported outcomes, to improve communication between patients and health-care providers, patient care, and patient well-being.
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Abbreviations
- CWIS:
-
Cardiff Wound Impact Scale
- DFS-SF:
-
Diabetic Foot Ulcer Scale–Short Form
- DFU:
-
Diabetic foot ulcers
- HRQL:
-
Health-related quality of life
- MOS-SF-36:
-
Medical Outcome Study Short-Form Health Survey
- NeuroQoL:
-
Neuropathy- and Foot Ulcer-Specific Quality of Life Instrument
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Ribu, L. (2010). Quality of Life in Patients with Diabetic Foot Ulcers. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_123
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DOI: https://doi.org/10.1007/978-0-387-78665-0_123
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