Risk Factor for Anxiety on Clients with Diabetic Foot Ulcer

Abstract

Anxiety is one of the psychological responses experienced by clients with diabetic ulcers that can affect
glycemic control, serious complications, foot self-care behavior and slow the wound healing process. This
research used to find out the factors that influence anxiety in clients with diabetic ulcers. This study was
a retrospective analysis using medical records and diagnostic results of diabetic ulcers at Haji General
Hospital, Surabaya, Indonesia. The sample was 951 people suffering from diabetic ulcers between January
2014 - December 2018. Samples were diagnosed with anxiety based on nursing diagnoses and fulfilling
inclusion and exclusion criteria. The multivariable model of diabetic ulcer client anxiety was generated
using stepwise logistic regression. There were independent variables affecting the anxiety of diabetic ulcer
clients namely wound type (p < 0.015; OR = 0.91), health insurance (p <0.001; OR = 0.77) and gender
(p <0.040; OR = 0.98) with the contribution of the four independent variables at 31% and the prediction
accuracy of 86.6%. Gender of patients have a risk of 0.98 times experiencing anxiety, male contribute 0.64
times compared to female, so nursing interventions can be focused on wound care.