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

• Main Authors: Mohd Adnan, Mohd Jazlan, Sulong, Ahmad Fadzli, Mohd Yusof, Nazri, Che Ahmad, Aminudin
• Format: Conference or Workshop Item
• Language: English; English
• Published: 2014
• Subjects: RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry; RD701 Orthopedics
• Online Access: http://irep.iium.edu.my/66233/2/supplement%20jazlan.pdf; http://irep.iium.edu.my/66233/9/jazlan%20abstract.pdf; http://irep.iium.edu.my/66233/
• Institution: Universiti Islam Antarabangsa Malaysia

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