Investigation Of TABP、Emotion, Social Support And Sleep Quality In Diabetic Foot Patients

Objectives:By comparing the status of type A behavior pattern, anxiety, depression, social support, and sleep quality between diabetic foot patients with diabetes mellitus patients, we were to investigate the psycho behavioral problems of diabetic foot patients, in order better to improve treatments in such patients.Methods:1.Collection of clinical data:A protocol was designed for documentation including patient profile, comorbidities and complications, clinical presentations, and final outcome. On the basis of that protocol, we randomly collected diabetic foot patients and diabetes mellitus patients during the period from August 2008 to August 2009.2. Collection of psycho-behavioral data:Under a uniform guidance, all the patients themselves completed the following questionnaires:TABQ, SAS, SDS, SSRS, and PSQI.3. We compared the status of type A behavior pattern, anxiety, depression, social support, and sleep quality between diabetic foot patients with diabetes mellitus patients. We analysed the items of the questionnaires with the method of independent samples T-test and chi-square test.Results:1. There were no remarkable differences in patients’age, sexuality, and diabetes duration between the two groups.2. The situation of comorbidities in diabetic foot group:66% patients suffered from some degree of diabetic nephropathy; 54.7% got hypertension; 31 patients were attacked by diabetic retinopathy; 23 patients suffered from coronary disease; 30.2% got dyslipidemia; Half population or more were with PAD.3. Psycho behavioral comparison of the two groups:There was a prominent difference in TABP comparison (26 TABP in 53 patient group vs 25 TABP in 80 control group, P<0.05), and we did not find difference in age, sexuality, BMI, education level, unhealthy living habits, and HbAlc level in diabetic foot patients between TABP patients and non-TABP patients. Depression incidence was significantly higher in patient group (49.1% vs 25%, P<0.05). Anxiety incidence was 34% in patient group, and it was 20% in control group (P=0.070). In the patient group, we found that there were 17 patients who had anxiety emotion in the 26 depressed patients, while only 2 patients had anxiety emotion in the rest 27 non-depressed patients (P=0.000). In social support estimation, the total and objective score in patient group was dramaticlly lower than that in contral group. In the sleep quality evaluation, we didn’t find difference between two groups.Conclusion:By comparing the status of type A behavior pattern, anxiety, depression, social support, and sleep quality between patient group with control group, we could gain these viewpoints.1. TABP diabetes mellitus patients much more likely become diabetic foot patients; 2. Negatiely emotion (anxiety, depression) was more common in diabetic foot patients than in diabetes mellitus patients.3. Anxiety and depression always coexist in a person.4. DF patients get less social support, and it is even more so in patients with negatiely emotion.5. Negatiely emotion also influence sleep quality in DF patients.