Factors associated with the discontinuation of wound care specialist clinic visits in patients with diabetic foot ulcers

DOI
  • Syafiie Saad Supriadi
    Division of Health Science, Graduate School of Medical Science, Kanazawa University
  • Suriadi
    The institute of Nursing Muhammadiyah, Pontianak, Indonesia
  • Okuwa Mayumi
    Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University
  • Sanada Hiromi
    Department of Gerontological Nursing/Wound Care Management, Division of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo
  • Sugama Junko
    Research Center for Implementation Nursing Science Initiative, Fujita Health University
  • Oe Makoto
    Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University

Bibliographic Information

Other Title
  • 糖尿病足潰瘍患者における創傷専門家クリニックの通院中断に関連した要因

Search this article

Abstract

Discontinuation of treatment of diabetic foot ulcers may impair wound healing. However, the factors related to discontinuation of wound clinic visits by patients with diabetic foot ulcers are unclear. Thus, measures for the prevention of treatment discontinuation remain to be elucidated. This prospective study aimed to investigate time required for healing, cost, and quality of life when the treatment was continued until recovery, and to clarify factors associated with the discontinuation of clinic visits. A total of 73 participants with diabetic foot ulcers were enrolled, including 15 participants with healed ulcers and 58 participants who discontinued wound care specialist clinic visits. The cumulative clinic visit discontinuation rate at 10 days was 51%. The average wound healing time was 31.5±21.0 days and the total cost was $150.20±118.84. The average utility score and visual analog scale score for perception of overall health at baseline were 0.55±0.20 and 69.67±11.87, and at recovery were 0.91±0.16 and 93.00±5.92, respectively. The factors associated with clinic visit discontinuation were low monthly income（hazard ratio: 1.87, 95% confidence interval［CI］: 1.02-3.43, p = 0.044）and lower satisfaction with access to health services（hazard ratio: 5.06, 95% CI: 2.34-10.97, p < 0.001）. The introduction of an insurance system to subsidize at least 69.7% of diabetic foot ulcer treatment costs is necessary, and treatment of diabetic foot ulcers by encouraging continuation of clinic visits will help improve patients’ quality of life.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top