Interdisciplinary homecare improves the mental health dimension of quality of life in diabetic ulcer patients

Wantonoro Wantonoro; Komarudin Komarudin; Dika Rizki Imania; Sigit Harun

doi:10.31101/jhes.3026

Authors

Wantonoro Wantonoro Universitas 'Aisyiyah Yogyakarta, Indonesia
Komarudin Komarudin Universitas 'Aisyiyah Yogyakarta, Indonesia
Dika Rizki Imania Universitas 'Aisyiyah Yogyakarta, Indonesia
Sigit Harun Homecare Unit of PKU Muhammadiyah Hospital Yogyakarta, Indonesia

DOI:

https://doi.org/10.31101/jhes.3026

Keywords:

interdisciplinary, home care, quality of life, patient, diabetic ulcer

Abstract

The study aimed to identify the effect of interdisciplinary homecare programs on the mental health dimensions of patients' quality of life who require long-term care services. The research method was conducted with a quasi-experiment for six months of intervention on sixteen patients obtained with a random sample for January-September 2022 at the PKU Muhammadiyah Hospital Yogyakarta homecare unit. Short form-36 (SF-36) was used to evaluate the quality of life dimension. Results; Interdisciplinary homecare significantly improves the health of patients with long-term care needs; diabetic ulcers (p=0.001). Age and comorbidities were identified as characteristics of patients with diabetic ulcers, which must be considered in treating diabetic ulcers. Conclusion; Assistance with interdisciplinary home care is recommended in long-term care in community settings and patients to improve the quality of life, especially the mental health of patients.Â

Author Biography

Wantonoro Wantonoro, Universitas 'Aisyiyah Yogyakarta

Sinta ID: 6148697

References

Abdulghani, H. M., AlRajeh, A. S., AlSalman, B. H., AlTurki, L. S., AlNajashi, N. S., Irshad, M., Alharbi, K. H., AlBalawi, Y. E., AlSuliman, Y. A., & Ahmad, T. (2018). Prevalence of diabetic comorbidities and knowledge and practices of foot care among diabetic patients: a cross-sectional study. Diabetes Metab Syndr Obes, 11, 417-425. https://doi.org/10.2147/dmso.s171526

Adeleye, O. O., Ugwu, E. T., Gezawa, I. D., Okpe, I., Ezeani, I., & Enamino, M. (2020). Predictors of intra-hospital mortality in patients with diabetic foot ulcers in Nigeria: data from the MEDFUN study. BMC Endocrine Disorders, 20(1), 134. https://doi.org/10.1186/s12902-020-00614-4

Al Dhaheri, A. S., Bataineh, M. a. F., Mohamad, M. N., Ajab, A., Al Marzouqi, A., Jarrar, A. H., Habib-Mourad, C., Abu Jamous, D. O., Ali, H. I., Al Sabbah, H., Hasan, H., Stojanovska, L., Hashim, M., Abd Elhameed, O. A., Shaker Obaid, R. R., ElFeky, S., Saleh, S. T., Osaili, T. M., & Cheikh Ismail, L. (2021). Impact of COVID-19 on mental health and quality of life: Is there any effect? A cross-sectional study of the MENA region. PLoS One, 16(3), e0249107. https://doi.org/10.1371/journal.pone.0249107

Association, A. D. (2014). Diagnosis and classification of diabetes mellitus. Diabetes Care, 37 Suppl 1, S81-90. https://doi.org/10.2337/dc14-S081

Azimzadeh, R., Valizadeh, L., Zamanzadeh, V., & Rahmani, A. (2013). What are important for patient centered care? A quantitative study based on perception of patients' with cancer. Journal of caring sciences, 2(4), 321-327. https://doi.org/10.5681/jcs.2013.038

Bentley, J., & Foster, A. (2007). Multidisciplinary management of the diabetic foot ulcer. Br J Community Nurs, 12(12), S6, S8, S10 passim.

BrandÃ£o, G. S., Oliveira, L. V. F., BrandÃ£o, G. S., Silva, A. S., Sampaio, A. A. C., Urbano, J. J., Soares, A., Santos Faria, N., Jr., Pasqualotto, L. T., Oliveira, E. F., Oliveira, R. F., Pires-Oliveira, D. A. A., & Camelier, A. A. (2018). Effect of a home-based exercise program on functional mobility and quality of life in elderly people: protocol of a single-blind, randomized controlled trial. Trials, 19(1), 684. https://doi.org/10.1186/s13063-018-3061-1

Cho, S. I., Yoon, S., & Lee, H.-J. (2021). Impact of comorbidity burden on mortality in patients with COVID-19 using the Korean health insurance database. Scientific Reports, 11(1), 6375. https://doi.org/10.1038/s41598-021-85813-2

Clarke, D. J., & Forster, A. (2015). Improving post-stroke recovery: the role of the multidisciplinary health care team. Journal of multidisciplinary healthcare, 8, 433-442. https://doi.org/10.2147/JMDH.S68764

Codispoti, C., Douglas, M. R., McCallister, T., & Zuniga, A. (2004). The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients. J Okla State Med Assoc, 97(5), 201-204.

Dewart, G., Corcoran, L., Thirsk, L., & Petrovic, K. (2020). Nursing education in a pandemic: Academic challenges in response to COVID-19. Nurse education today, 92, 104471-104471. https://doi.org/10.1016/j.nedt.2020.104471

Dutra, L. M. A., Melo, M. C., Moura, M. C., Leme, L. A. P., De Carvalho, M. R., Mascarenhas, A. N., & Novaes, M. R. C. G. (2019). Prognosis of the outcome of severe diabetic foot ulcers with multidisciplinary care. Journal of multidisciplinary healthcare, 12, 349-359. https://doi.org/10.2147/JMDH.S194969

Dwyer, M. C., Meixner, K., Albiac, L. C., El Khoury, C., Capizzano, J. N., Ramakrishnan, M., Salada, C., Furst, W., Haro, E., Alves, M., Sen, A., & Harper, D. M. (2021). Health-Related Quality of Life for People With Acute and Chronic Illnesses During the COVID-19 Pandemic. The Journal of the American Board of Family Medicine, 34(3), 509. https://doi.org/10.3122/jabfm.2021.03.200593

Gaffney, M. K., Chargualaf, K. A., & Ghosh, S. (2021). COVID-19 Disruption of Nursing Education and the Effects on Students' Academic and Professional Confidence. Nurse Educator, 46(2). https://journals.lww.com/nurseeducatoronline/Fulltext/2021/03000/COVID_19_Disruption_of_Nursing_Education_and_the.9.aspx

Gaspar, H. A., Oliveira, C. F., Jacober, F. C., Deus, E. R., & Canuto, F. (2020). Home Care as a safe alternative during the COVID-19 crisis. Rev Assoc Med Bras (1992), 66(11), 1482-1486. https://doi.org/10.1590/1806-9282.66.11.1482

Guo, D., Han, B., Lu, Y., Lv, C., Fang, X., Zhang, Z., Liu, Z., & Wang, X. (2020). Influence of the COVID-19 Pandemic on Quality of Life of Patients with Parkinsonâ€™s Disease. Parkinson’s Disease, 2020, 1216568. https://doi.org/10.1155/2020/1216568

Ilankoon, I. M. P. S., Kisokanth, G., & Warnakulasuriya, S. S. P. (2020). COVID-19: Impact on undergraduate nursing education in Sri Lanka. Journal of Public Health Research, 9(s1). https://doi.org/10.4081/jphr.2020.1916

Janssen, A., Brunner, M., Keep, M., Hines, M., Nagarajan, S. V., Kielly-Carroll, C., Dennis, S., McKeough, Z., & Shaw, T. (2017). Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature. International journal of environmental research and public health, 14(11), 1289. https://doi.org/10.3390/ijerph14111289

Jayalakshmi, M. S., Thenmozhi, P., & Vijayaragavan, R. (2020). Impact of chronic wound on quality of life among diabetic foot ulcer patients in a selected hospital of Guwahati, Assam, India. Ayu, 41(1), 19-23. https://doi.org/10.4103/ayu.AYU_33_20

Lim, S. L., Woo, K. L., Lim, E., Ng, F., Chan, M. Y., & Gandhi, M. (2020). Impact of COVID-19 on health-related quality of life in patients with cardiovascular disease: a multi-ethnic Asian study. Health and quality of life outcomes, 18(1), 387. https://doi.org/10.1186/s12955-020-01640-5

Mohammad Zadeh, M., Lingsma, H., van Neck, J. W., Vasilic, D., & van Dishoeck, A.-M. (2019). Outcome predictors for wound healing in patients with a diabetic foot ulcer. International wound journal, 16(6), 1339-1346. https://doi.org/https://doi.org/10.1111/iwj.13194

Navarro-Peternella, F. M., Lopes, A., de Arruda, G. O., Teston, E. F., & Marcon, S. S. (2016). Differences between genders in relation to factors associated with risk of diabetic foot in elderly persons: A cross-sectional trial. J Clin Transl Endocrinol, 6, 30-36. https://doi.org/10.1016/j.jcte.2016.10.001

NICOLE, E., HANDLOW, BRITTANY, N., SARAH, E. W., CYNTHIA, M. W., & JENNIFER , P. (2019). Impact of a Multidisciplinary Diabetes Care Team in Primary Care Settings on Glycemic Control. American Diabetes Association. https://doi.org/https://doi.org/10.2337/db19-180-LB

Novitasari, L., Perwitasari, D. A., & Khoirunisa, S. (2016). Validity of short form 36 (SF-36) Indonesian version on rheumatoid arthritis patients [validation SF-36 Indonesia, rheumatoid arthritis]. 2016, 7. https://doi.org/10.20885/JKKI.Vol7.Iss3.art2

Ortega-PÃ©rez de Villar, L., MartÃnez-Olmos, F. J., PÃ©rez-DomÃnguez, F. d. B., Benavent-Caballer, V., MontaÃ±ez-Aguilera, F. J., Mercer, T., & Segura-OrtÃ, E. (2020). Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study. Scientific Reports, 10(1), 8302. https://doi.org/10.1038/s41598-020-64372-y

Petri, L. (2010). Concept analysis of interdisciplinary collaboration. Nurs Forum, 45(2), 73-82. https://doi.org/10.1111/j.1744-6198.2010.00167.x

Ping, W., Zheng, J., Niu, X., Guo, C., Zhang, J., Yang, H., & Shi, Y. (2020). Evaluation of health-related quality of life using EQ-5D in China during the COVID-19 pandemic. PLoS One, 15(6), e0234850. https://doi.org/10.1371/journal.pone.0234850

Pivodic, L., Harding, R., Calanzani, N., McCrone, P., Hall, S., Deliens, L., Higginson, I. J., & Gomes, B. (2015). Home care by general practitioners for cancer patients in the last 3 months of life: An epidemiological study of quality and associated factors. Palliative Medicine, 30(1), 64-74. https://doi.org/10.1177/0269216315589213

Posso, M., Comas, M., RomÃ¡n, M., Domingo, L., Louro, J., GonzÃ¡lez, C., Sala, M., AnglÃ¨s, A., Cirera, I., Cots, F., FrÃas, V.-M., Gea, J., GÃ¼erri-FernÃ¡ndez, R., Masclans, J. R., NoguÃ¨s, X., VÃ¡zquez, O., Villar-GarcÃa, J., Horcajada, J. P., Pascual, J., & Castells, X. (2020). Comorbidities and Mortality in Patients With COVID-19 Aged 60 Years and Older in a University Hospital in Spain. Archivos de bronconeumologia, 56(11), 756-758. https://doi.org/10.1016/j.arbr.2020.06.010

Rencber, E., & Terzi, O. (2020). Quality of Life of Older People Receiving Home Health Care Services: An Example From Turkey. Home Health Care Management & Practice, 33(1), 3-7. https://doi.org/10.1177/1084822320959319

Rossi, G. (2010). [Diagnosis and classification of diabetes mellitus]. Recenti Prog Med, 101(7-8), 274-276. (Diagnosi e classificazione del diabete mellito.)

Sagha Zadeh, R., Eshelman, P., Setla, J., & Sadatsafavi, H. (2018). Strategies to Improve Quality of Life at the End of Life: Interdisciplinary Team Perspectives. Am J Hosp Palliat Care, 35(3), 411-416. https://doi.org/10.1177/1049909117711997

Salim, S., Yamin, M., Alwi, I., & Setiati, S. (2017). Validity and Reliability of the Indonesian Version of SF-36 Quality of Life Questionnaire on Patients with Permanent Pacemakers. Acta Med Indones, 49(1), 10-16.

Samiei Siboni, F., Alimoradi, Z., Atashi, V., Alipour, M., & Khatooni, M. (2019). Quality of Life in Different Chronic Diseases and Its Related Factors. International journal of preventive medicine, 10, 65-65. https://doi.org/10.4103/ijpvm.IJPVM_429_17

Shamshirgaran, S. M., Mamaghanian, A., Aliasgarzadeh, A., Aiminisani, N., Iranparvar-Alamdari, M., & Ataie, J. (2017). Age differences in diabetes-related complications and glycemic control. BMC Endocrine Disorders, 17(1), 25. https://doi.org/10.1186/s12902-017-0175-5

Siddiqui, A. R., & Bernstein, J. M. (2010). Chronic wound infection: facts and controversies. Clin Dermatol, 28(5), 519-526. https://doi.org/10.1016/j.clindermatol.2010.03.009

Surendra, H., Elyazar, I. R., Djaafara, B. A., Ekawati, L. L., Saraswati, K., Adrian, V., Widyastuti, Oktavia, D., Salama, N., Lina, R. N., Andrianto, A., Lestari, K. D., Burhan, E., Shankar, A. H., Thwaites, G., Baird, J. K., & Hamers, R. L. (2021). Clinical characteristics and mortality associated with COVID-19 in Jakarta, Indonesia: A hospital-based retrospective cohort study. Lancet Reg Health West Pac, 9, 100108. https://doi.org/10.1016/j.lanwpc.2021.100108

Tan, E., Khoo, J., Gani, L. U., Malakar, R. D., Tay, T. L., Tirukonda, P. S., Kam, J. W., Tin, A. S., & Tang, T. Y. (2019). Effect of multidisciplinary intensive targeted care in improving diabetes mellitus outcomes: a randomized controlled pilot study â€“ the Integrated Diabetes Education, Awareness and Lifestyle modification in Singapore (IDEALS) Program. Trials, 20(1), 549. https://doi.org/10.1186/s13063-019-3601-3

Tralongo, P., FerraÃ¹, F., Borsellino, N., Verderame, F., Caruso, M., Giuffrida, D., Butera, A., & Gebbia, V. (2011). Cancer patient-centered home care: a new model for health care in oncology. Therapeutics and clinical risk management, 7, 387-392. https://doi.org/10.2147/TCRM.S22119

Tremblay, D., Roberge, D., Touati, N., Maunsell, E., & Berbiche, D. (2017). Effects of interdisciplinary teamwork on patient-reported experience of cancer care. BMC Health Services Research, 17(1), 218. https://doi.org/10.1186/s12913-017-2166-7

Tulleners, R., Brain, D., Lee, X., Cheng, Q., Graves, N., & Pacella, R. E. (2019). Health benefits of an innovative model of care for chronic wounds patients in Queensland. International wound journal, 16(2), 334-342. https://doi.org/10.1111/iwj.13033

Turns, M. (2011). The diabetic foot: an overview of assessment and complications. Br J Nurs, 20(15), S19-25. https://doi.org/10.12968/bjon.2011.20.Sup8.S19

Ugwu, E., Adeleye, O., Gezawa, I., Okpe, I., Enamino, M., & Ezeani, I. (2019). Predictors of lower extremity amputation in patients with diabetic foot ulcer: findings from MEDFUN, a multi-center observational study. Journal of Foot and Ankle Research, 12(1), 34. https://doi.org/10.1186/s13047-019-0345-y

Wantonoro, W., Kuo, W. Y., & Shyu, Y. L. (2020). Changes in Health-Related Quality of Life for Older Persons With Cognitive Impairment After Hip Fracture Surgery: A Systematic Review. J Nurs Res, 28(3), e97. https://doi.org/10.1097/jnr.0000000000000371

Wantonoro, W., & Rahmawati, A. (2020). Changes of Health Related Quality of Life Dimensions In Hemodialysis Patients. Media Keperawatan Indonesia, 3(3), 159-165. https://doi.org/https://doi.org/10.26714/mki.3.3.2020.159-165

Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: a systematic review and meta-analysis (â€ ). Ann Med, 49(2), 106-116. https://doi.org/10.1080/07853890.2016.1231932