Acceptance of illness, quality of life and nutritional status of patients after lower limb amputation due to diabetes mellitus
Introduction. Diabetes mellitus is one of the most common chronic diseases with a high number of sufferers worldwide. Diabetic neuropathy and diabetic angiopathy lead to serious infectious complications which are very difficult to combat and may finally lead to the amputation of a lower limb. The aim of the study was to evaluate the quality of life, the level of acceptance of the illness and the nutritional status of patients after lower limb amputation due to diabetes. Methods. Ninety nine
... ents (23 men and 76 women) were enrolled into the study. They had all undergone lower limb amputation due to diabetic foot in the Department of General and Oncological Surgery. The following questionnaires were used: the WHO Quality of Life-BREF, the Mini Nutritional Assessment, the Acceptance of Illness Scale and the socio-demographic questionnaire. Results. The diabetes-related amputees had a higher QoL within the social domain (64.48), an intermediate QoL – within the environmental domain (63.04) and the mental domain (59.61), and a lower QoL – within physical (somatic) domain (54.69). There was no statistical correlation between genders or between all the domains of QoL (p>0.05). The patients were at risk of malnutrition (MNA was 22.66). There were statistical differences between women and men as regards nutritional status (p=0.034). The mean AIS score was 27.65, which means that the respondents accept their disease. There was no statistical correlation between gender and the acceptance of the disease (p=0.288). There was not statistical correlation between age and QoL (p>0.05). There were statistical differences between age and nutritional status (p<0.05), and between age and acceptance of the illness (p=0.044). Conclusions. The better the quality of life was in all the domains, the better the level of acceptance of illness was. The less malnourished the patient was, the better their quality of life was in all the domains.