Email Alerts
RSS
Volume 39 Issue 4
Apr.  2023
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2023  >  39(4): 330-336
Wang Q,Zhu HJ,Feng Y,et al.A cross-sectional survey and analysis of the pain status and its influencing factors in diabetic foot ulcer patients[J].Chin J Burns Wounds,2023,39(4):330-336.DOI: 10.3760/cma.j.cn501225-20220421-00150.
Citation: Wang Q,Zhu HJ,Feng Y,et al.A cross-sectional survey and analysis of the pain status and its influencing factors in diabetic foot ulcer patients[J].Chin J Burns Wounds,2023,39(4):330-336.DOI: 10.3760/cma.j.cn501225-20220421-00150.
shu

A cross-sectional survey and analysis of the pain status and its influencing factors in diabetic foot ulcer patients

doi: 10.3760/cma.j.cn501225-20220421-00150

  • Department of Burns and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China

More Information
  • Corresponding author: Zhu Hongjuan, Email: zhuhj456@163.com
  • Received Date: 2022-04-21
    Abstract
  •   Objective   To investigate the pain status in diabetic foot ulcer (DFU) patients and analyze its influencing factors.   Methods   A single-center cross-sectional survey research method was used. From May 2021 to February 2022, DFU patients who were admitted to the Fourth Medical Center of PLA General Hospital and met the inclusion criteria were selected and investigated. The scores of the heaviest pain, the least pain, the average pain, and the current pain in pain degree and the total score and the scores of influence on patients' daily life, mood, walking ability, daily work, relationship with others, sleep, and life interest in pain-related effects and the total score of patients were evaluated by the brief pain inventory. A self-designed general data questionnaire was used to collect the data including patients' gender, age, education level, body mass index, self-care ability, diabetes course, wound Wagner grade, bacterial culture result of wound specimen, and the levels of glycated hemoglobin, albumin, prealbumin, hemoglobin, and leukocyte count. Patients were classified according to general data, and the total scores of pain degree and pain-related effects were counted. Data were statistically analyzed with Kruskal-Wallis test and Mann-Whitney U test. The indicators with statistically significant differences in univariate analysis were selected for generalized linear model analysis to screen the independent risk factors of pain severity and pain-related effects in DFU patients.   Results   A total of 44 questionnaires were sent out, and 42 valid questionnaires were collected, with effective recovery of 95.45%. The scores of the heaviest pain, the least pain, the average pain, and the current pain in DFU patients were 5 (0, 10), 2 (0, 6), 3 (0, 8), and 2 (0, 8), respectively, and the total score of the pain severity was 11 (0, 24); the scores of pain-related effects on patients' daily life, mood, walking ability, daily work, relationship with others, sleep, and life interest were 4 (0, 10), 4 (0, 10), 5 (0, 10), 5 (0, 10), 3 (0, 10), 4 (0, 10), and 4 (0, 10), respectively, and the total score of pain-related effects was 30 (0, 63). In 42 DFU patients, most patients were male, aged 39-87 (67±10) years, most patients had education level of junior high school, most patients had diabetes for more than 20 years, half of patients' wounds were Wagner grade 4, most patients had body mass index and leukocyte count within normal limits, most patients had partial dependence on self-care ability, the bacterial culture results of wound specimen in the vast majority of patients were positive, about half of the patients had abnormal level of albumin, and most patients had abnormal levels of glycosylated hemoglobin, prealbumin, and hemoglobin. Univariate analysis of the above general data showed that total scores of pain severity among patients with different hemoglobin levels and leukocyte counts were statistically significant different (with Z values of -2.05 and -2.55, respectively, P<0.05), and the total scores of pain-related effects on patients with different hemoglobin levels, leukocyte counts, and bacterial culture results of wound specimen were statistically significant different (with Z values of -2.66, -2.02, and -2.12, respectively, P<0.05). Generalized linear model analysis showed that leukocyte count was an independent risk factor for pain severity and pain-related effects in 42 DFU patients (with 95% confidence intervals of 0.28-11.87 and 5.67-36.99, respectively, standardized regression coefficient values of 6.17 and 21.33, respectively, both P values <0.05). The bacterial culture result of wound specimen was an independent risk factor for pain-related effects in 42 DFU patients (with 95% confidence interval of 2.92-39.09, standardized regression coefficient value of 21.00, P<0.05).   Conclusions   DFU patients often suffer pain, and the bacterial culture results of wound specimen and leukocyte count are the main factors affecting the pain of DFU patients.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    顾光超, 郑月宏. 糖尿病足感觉性神经病变的评估与治疗[J].中华老年多器官疾病杂志,2020,19(1):70-73. DOI: 10.11915/j.issn.1671-5403.2020.01.019.
    [2]
    韩露,张玲,钟红铃,等.切口换药过程疼痛对于糖尿病足创面愈合的影响分析[J].中国全科医学,2020,23(Suppl 1):S181-182.
    [3]
    HicksCW, SelvinE. Epidemiology of peripheral neuropathy and lower extremity disease in diabetes[J]. Curr Diab Rep, 2019,19(10):86. DOI: 10.1007/s11892-019-1212-8.
    [4]
    StrippoliJ, DurandR, SchmittbuhlM, et al. Pain and quality of life in patients undergoing guided piezocorticision-assisted orthodontic treatment[J]. J Clin Orthod, 2017,51(12):792-799.
    [5]
    HsuJR, MirH, WallyMK, et al. Clinical practice guidelines for pain management in acute musculoskeletal injury[J]. J Orthop Trauma, 2019, 33(5):e158-e182. DOI: 10.1097/BOT.0000000000001430.
    [6]
    PoquetN, LinC. The brief pain inventory (BPI)[J]. J Physiother, 2016,62(1):52. DOI: 10.1016/j.jphys.2015.07.001.
    [7]
    SunJH, TsaiJS, HuangCH, et al. Risk factors for lower extremity amputation in diabetic foot disease categorized by Wagner classification[J]. Diabetes Res Clin Pract, 2012,95(3):358-363. DOI: 10.1016/j.diabres.2011.10.034.
    [8]
    国际糖尿病足工作组编写,许樟荣,钱荣立,等.糖尿病足国际临床指南[M]. 北京:人民军医出版社,2003.
    [9]
    张章, 范明波, 李梦珠, 等. 周围神经显微减压术治疗痛性糖尿病周围神经病变[J].中华内分泌外科杂志,2020,14(3):233-236. DOI: 10.3760/cma.j.issn.115807-20190328-00064.
    [10]
    杨敏烈, 周小金, 朱宇刚, 等. 不同模式持续负压伤口疗法对下肢静脉性溃疡创面的临床疗效及其影响因素前瞻性随机对照研究[J].中华烧伤杂志,2020,36(12):1149-1158. DOI: 10.3760/cma.j.cn501120-20200316-00173.
    [11]
    魏雪, 史琴艳. 四等级功能活动评分法在乳腺癌根治术后患者早期疼痛管理中的应用[J].中国实用护理杂志,2022,38(8):587-592. DOI: 10.3760/cma.j.cn211501-20210218-00478.
    [12]
    姚泽欣, 付小兵, 程飚. 慢性创面愈合新理念:姑息性创面治疗的研究进展[J].中华烧伤杂志,2020,36(8):754-757. DOI: 10.3760/cma.j.cn501120-20190929-00388.
    [13]
    JiS, LiuX, HuangJ, et al. Consensus on the application of negative pressure wound therapy of diabetic foot wounds[J/OL]. Burns Trauma, 2021,9:tkab018[2022-04-21]. https://pubmed.ncbi.nlm.nih.gov/34212064/. DOI: 10.1093/burnst/tkab018.
    [14]
    王利娇,何小兰,孟湘琴,等.VSD引流术结合重组人碱性成纤维细胞生长因子及液体敷料对糖尿病足溃疡的临床疗效及疼痛影响观察[J].数理医药学杂志,2022,35(2):266-269.DOI: 10.3969/j.issn.1004-4337.2022.02.036.
    [15]
    M A, UmmerV S, MaiyaAG, et al. Low level laser therapy for the patients with painful diabetic peripheral neuropathy-a systematic review[J]. Diabetes Metab Syndr, 2019,13(4):2667-2670. DOI: 10.1016/j.dsx.2019.07.035.
    [16]
    蒋琪霞, 王亚玲, 解怡洁, 等. 成年创伤患者创面以外皮肤清洗现况及影响因素的多中心横断面调查[J].中华烧伤杂志,2021,37(5):429-436. DOI: 10.3760/cma.j.cn501120-20210116-00023.
    [17]
    杨彪, 王珊, 张岩, 等. 负压创面治疗技术联合富血小板血浆治疗慢性难愈性创面:加速创面的再上皮化及愈合率[J].中国组织工程研究,2019,23(26):4181-4186. DOI: 10.3969/j.issn.2095-4344.1357.
    [18]
    王芹, 李立恒, 王钟华, 等. 促红细胞生成素对大鼠磨牙牙髓血运重建术后SDF-1和VEGF表达水平及疼痛的影响[J].河北医学,2022,28(2):224-229. DOI: 10.3969/j.issn.1006-6233.2022.02.09.
    [19]
    郑海龙, 那涵, 陈小盼, 等. 老年糖尿病足混合细菌感染病原菌分布及与免疫功能的相关性[J].中国老年学杂志,2022,42(17):4195-4200. DOI: 10.3969/j.issn.1005-9202.2022.17.018.
    [20]
    黄昀, 张雅君. 错误连接和终末器官靶向异常导致的神经病理性疼痛[J].中国疼痛医学杂志,2023,29(1):2-5. DOI: 10.3969/j.issn.1006-9852.2023.01.002.
    [21]
    季丽丽, 王丽娟, 吕倩, 等. 情绪表达冲突问卷中文版应用于乳腺癌患者的信效度分析[J].中华行为医学与脑科学杂志,2018,27(12):1138-1142. DOI: 10.3760/cma.j.issn.1674-6554.2018.12.017.
    [22]
    江晓声, 许乐, 李琳, 等. 成年烧伤患者护理需求与护士认知差异调查分析[J].中华烧伤杂志,2018,34(10):731-735. DOI: 10.3760/cma.j.issn.1009-2587.2018.10.016.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (1027) PDF downloads(80) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return