Psychological impacts among diabetic amputee patients in Tengku Ampuan Afzan Hospital, Kuantan

Mohd Adnan, Mohd Jazlan and Sulong, Ahmad Fadzli and Mohd Yusof, Nazri and Che Ahmad, Aminudin (2014) Psychological impacts among diabetic amputee patients in Tengku Ampuan Afzan Hospital, Kuantan. In: 44th Malaysian Orthopaedic Association (MOA) Annual General Meeting / Annual Scientific Meeting 2014 incorporating 11th CAOS Asia Meeting, 29 May- 1 June 2014, Kuala Lumpur. (Unpublished)

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Abstract

Background Literature review on diabetic foot problem in Malaysia so far has mainly report on epidemiology and complication related to diabetic foot problems. To date, there were no local study that investigates the psychological aspect and the quality of life among patients with diabetic foot problems. . Objectives The aims of this study were to analyze the short and long term psychological impact and health related quality of life (HrQOL) among diabetic patients who had underwent amputation. Methods Ninety four diabetic patients who underwent amputations at TengkuAmpuanAfzan General Hospital Kuantan were recruited in this prospective study from January 2012 to July 2013. There were 58 (61%) major amputation and 36 (38%) minor amputation. The level of depression and anxiety was assessed by the Depression Anxiety Stress Scales (DASS) and the assessment of quality of life was done by using SF-36. Results The study showed major amputation patients, unemployment, patientswho stayed in a single story house, patients who were functional dependent and inability to walk tend to have immediate poor HrQOL and worsen with time. Factors that associated with severe depression, anxiety and stress include male, Malays, patients who were functionaldependant, inability to walk and patients who had underwent major amputation. There were strong correlation between immediate and long term poor HrQOL with severity of the depression, anxiety and stress. Conclusion Poor HrQOL are associated with increased risk to develop stress, anxiety and depression. Holistic approach with multidiscipline department such as rehabilitation unit, internal medicine unit, psychiatric unit and welfare unit are needed in major amputation patients to prevent poor HrQOL and adverse psychological effect

Item Type:	Conference or Workshop Item (Invited Papers)
Additional Information:	5504/66233
Uncontrolled Keywords:	quality of life, psychological, diabetic amputation, diabetic foot, depression in diabetic
Subjects:	R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Ahmad Fadzli Sulong
Date Deposited:	12 Sep 2018 12:10
Last Modified:	12 Sep 2018 12:10
URI:	http://irep.iium.edu.my/id/eprint/66233

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