{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:29:18Z","timestamp":1792794558566,"version":"4.5.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Diabetic foot ulcer (DFU) is a major complication of diabetes mellitus that needs a multidisciplinary approach. The purpose of this study was to assess the impact of patients\u2019 characteristics, anxiety\/depression, and adherence to guidelines on the QoL of patients with diabetic ulcer. The sample of the study consisted of 195 patients. Data collected by the completion of SF-36 Health Survey, the Hospital Anxiety and Depression Scale, and a questionnaire that measured adherence to self-care activities. Patients had moderate- to high-quality levels in emotional well-being, pain, social functioning, and energy\/fatigue (median: 68, 68, 63, and 60, respectively), while they had low levels of quality in physical functioning, role physical, and role emotional (median: 21, 0, and 33, respectively). In their general health, patients had moderate levels (median: 50). High levels of anxiety and depression were observed in 13.8% and 20.0% of the participants, respectively. After multiple regression, regarding general QoL, patients living in the capital city had 9.89 points worse general health than patients living in Attica (\u03b2 = \u22129.89, 95% confidence interval [CI] = \u221216.86 to 2.93, P = .006). Patients with moderate or high levels of anxiety had 9.37 and 16.08 points, respectively, worse general health than those with low levels (\u03b2 = \u22129.37, 95% CI = \u221217.04 to 1.70, P = .017, and \u03b2 = \u221216.08, 95% CI = \u221226.65 to \u22125.51, P = .003, respectively). Clinically, these findings may help health professionals attain effective treatment of emotional burden to DFU patients and increase adherence to self-care.<\/jats:p>","DOI":"10.1177\/1534734619900415","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T23:58:13Z","timestamp":1579823893000},"page":"165-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":94,"title":["Quality of Life in Diabetic Foot Ulcer: Associated Factors and the Impact of Anxiety\/Depression and Adherence to Self-Care"],"prefix":"10.1177","volume":"19","author":[{"given":"Maria","family":"Polikandrioti","sequence":"first","affiliation":[{"name":"University of West Attica, Athens, 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