Investigating Predictors of Emotional Distress and Sleep Quality in Patients With Type 2 Diabetes With Diabetic Foot Ulcers in Qazvin City in 2022

Emotional distress and sleep quality are effective in controlling the disease and its complications in patients with diabetic foot ulcers.(Emotional distress and poor sleep quality negatively affect the management of diabetes and it’s complications in patients with diabetic foot ulcers. Therefore, the present study was conducted to determine the predictors of emotional distress and sleep quality in patients with diabetic foot ulcers.

This  descriptive cross-sectional study was conducted in 2022. One hundred and nine patients with diabetes referred to Velayat Hospital in Qazvin City, Iran, were included in the study following convenience sampling. The study tools included a demographic checklist, the University of Texas Wound Classification System, the Petersburg Sleep Quality Index (PSQI), and the Emotional Distress Questionnaire (IR-PAID-20). The data was analyzed using SPSS-v25 software.

The majority of the patients had grade 3 (48.6%) and stage A (47.7%) wounds. The total scores of emotional distress and sleep quality were 49.81±19.94 and 10.21±4.02, respectively. Factors such as sleep quality, wound grade, wound stage, type of treatment, blood sugar level, and duration of diabetic foot ulcer were identified as predictors of emotional distress (p<0.05). Emotional distress, wound grade, wound stage, and amputation history were identified as factors predicting the sleep quality of patients (p<0.05).

Wound status was identified as a common predictor of emotional distress and sleep quality in diabetic foot ulcer patients. It is recommended to focus on the factors affecting emotional distress and sleep quality to make interventions to improve these components in patients with diabetic foot ulcers.