A Cross-Sectional Study in an East Java Wound Care Center on Family Support and Anxiety in Patients with Diabetic Gangren

Abstract

A serious consequence of diabetes mellitus, diabetic gangrene is frequently linked to long-term wounds, amputation risk, and psychological suffering. Patients with chronic wounds often experience anxiety, which can impede their ability to heal and take care of themselves. It is thought that family support helps these people feel less anxious. The purpose of this study is to investigate the relationship between anxiety levels and perceived family support in diabetic gangrene patients who are receiving wound care. A cross-sectional, quantitative, correlational strategy was employed. From a wound facility in East Java, 60 diabetic gangrene patients who were at least 18 years old were selected as a purposive sample. The Hamilton Anxiety Rating Scale (HAM-A) and the Multidimensional Scale of Perceived Social Support (MSPSS), modified for the family domain, were used to gather data. Analyses of linear regression and Spearman's rank correlation were performed (α = 0.05). The average age of the participants was 55.4 years (SD = 10.8). On a scale of 1 to 7, the mean HAM-A score was 18.5 (indicating mild to severe anxiety), and the mean family support score was 4.2. Family support and anxiety were found to be significantly correlated negatively by Spearman's correlation (ρ = –0.47, p < 0.001). Higher family support was still substantially linked to lower anxiety in adjusted linear regression (which controlled for comorbidities, glycemic management, and wound duration) (β = –0.39, p = 0.002).