Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

The Risk Factors Associated with Foot Re-Ulceration in Diabetes: A Retrospective Study Including Psychosocial Risk Factors

당뇨병성 족부궤양의 재발과 연관된 위험인자: 심리사회적 위험인자를 포함한 후향적 연구

  • Jeon, Suk-Ha (Department of Orthopaedic Surgery, National Medical Center) ;
  • Sun, Mao-Yuan (Department of Orthopaedic Surgery, National Medical Center) ;
  • Bae, Su-Young (Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine)
  • 전숙하 (국립중앙의료원 정형외과) ;
  • 손무원 (국립중앙의료원 정형외과) ;
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Received : 2012.04.14
  • Accepted : 2012.05.16
  • Published : 2012.06.15
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Abstract

Purpose: To evaluate several risk factors related to re-ulceration of diabetic foot including psychosocial aspects such as familial support and degree of independence of patients' activity. Materials and Methods: We reviewed medical records and performed telephone interview with eighty-five patients who had a history of hospitalization in our hospital due to diabetic foot ulceration from year 2002 to 2010. Based on the collected data, we analyzed several factors such as age, gender, prevalence duration, accompanying diseases, HbA1c level, degree of independence and familial support. Results: The mean age was 61.4 years and most common in the 4th decade. There were 57 cases (67%) of recurrence, predominance of male. Eleven patients with recurrent diabetic foot ulceration had undergone major amputations. Psychosocial problems such as depression, insufficient familial support and mortality were more frequently observed in recurrent group. Conclusion: This study shows that psychosocial factor such as familial support for patient with diabetic foot could be important to reduce the recurrence rate of diabetic foot ulceration. Therefore, we should pay attention to strategic plans for prevention, screening, treatment, and aftercare through the prospective studies including psychosocial risk factor in diabetic foot ulceration.

Keywords

References

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