ABSTRACT
@#Introduction: Diabetic footcare programme is essential for type II Diabetes Mellitus patients to improve quality of life as well as to prevent diabetic foot complication. The study was conducted to evaluate the effectiveness of diabetic footcare programme towards quality of life among type II Diabetes Mellitus patients in Universiti Kebangsaan Malaysia Medical Centre (UKMMC), a tertiary centre. Methods: This is a quasi-experimental one group pre-test and post-test design, done in the orthopedic ward and out-patient medical clinic for a period of 1 year . The participants received a structured footcare education titled as “Diabetes Footcare” and a pamphlet of footcare. The Nottingham Assessment of Functional Footcare (NAFF) and Diabetes Quality of Life (DQoL) Brief Clinical Inventory were used to assess the outcomes before and one month after the programme. Data was analysed with descriptive and inferential statistics using SPSS version 23. Results: A total of 37 participants was involved. Total score of foot care was improved between pre-test (M = 1.32, SD = .474) and post-test and (M = 1.94, SD = 0.229). There were four subscales in quality of life; satisfaction with treatment, impact of treatment, worry about future and social/vocational worry. The result showed there was a statistically significant difference between pre-test and post-test of foot care (M = 1.94, SD = 0.229, p<0.001) and quality of life (M = 61.94, SD = 5.264, p<0.001). However, foot care was not associated with quality of life. Conclusion: The diabetic footcare programme improves the footcare behaviour and quality of life of type II DM patients.
ABSTRACT
Anxiety and depression could reduce the quality of life, and exacerbate physical symptoms and even mortality amongst patients with coronary heart disease [CHD]. The aim of this study was to investigate the incidence of anxiety and depression in patients with acute CHD. In a period from March to December 2008, the views of 108 CHD patients, hospitalized in a tertiary hospital, were solicited using Hospital Anxiety and Depression hospital, were solicited using Hospital Anxiety and Depression Scale [HADS] and sociodemographic questionnaires. Patients with CHD had a low level anxiety and depression scores. There was significant differences in the total HADS score of participants stratified for marital status [P=0.027] or co-morbidity of diseases [P=0.012]. Also, there were significant differences in the scores of depression subscale stratified for marital status [P=0.021] or co-morbidity of disease [P=0.007]. However, there was no significant difference between the total HADS score or depression subscale score of the participants stratified based on age, gender, race, education, or income. Moreover, unmarried CHD respondents possessed higher depression level compared to the married respondents, and CHD respondents with co-morbid diseases showed a high level of depression. The findings might be taken as evidence to suggest that CHD patients should be evaluated early for the detection of anxiety and depression for appropriate referral and support