Locus of health control, body image and self-image in diabetic individuals with ulcerated feet

Authors

  • Geraldo Magela Salomé Universidade do Vale do Sapucaí/UNIVÁS
  • Lydia Masako Ferreira UniversidadeFederal de São Paulo/UNIFESP

DOI:

https://doi.org/10.5205/1981-8963-v11i9a110241p3419-3428-2017

Keywords:

Diabetes mellitus, Pé diabético, Úlcera da Perna, Esperança de Vida, Autoimagem, Autoestima.

Abstract

ABSTRACT

Objective: to compare the locus of health control, self-esteem, and self-image in patients with diabetes mellitus with and without an ulcerated foot. Method: this is a descriptive, controlled, analytical study performed in two outpatient clinics with 104 adult diabetic patients, 52 non-ulcerated patients and 52 patients with foot ulceration. The instruments were: Locus Health Control Scale, Rosenberg Self-Esteem Scale/UNIFESP-EPM and the Brazilian version of the Body Investment Scale. Results: patients with and without ulcerated feet had a mean total score of 9.54 and 56.48, respectively, for the Health Control Locus Scale; 27,58 and 15,29, respectively, for the Rosenberg/UNIFESP-EPM Self-Esteem Scale; and 39.98 and 91.75, respectively, for the Body Investment Scale. Conclusion: diabetic patients with ulcerated feet presented significantly lower levels of self-esteem, self-image, and locus of health control compared to diabetic patients without ulceration. Descriptors: Diabetes Mellitus; Diabetic Foot; Leg Ulcer; Life Expectancy; Self Concept.

RESUMO

Objetivo: comparar o locus de controle da saúde, autoestima e autoimagem entre portadores de diabetes mellitus com e sem pé ulcerado. Método: estudo descritivo, analítico controlado, realizado em dois ambulatórios com 104 pacientes diabéticos adultos, 52 pacientes sem ulceração e 52 pacientes com ulceração no pé. Foram utilizados os instrumentos: Escala de Locus de Controle da Saúde, Escala de Autoestima Rosenberg/UNIFESP–EPM e a versão brasileira da Body Investiment Scale. Resultados: os pacientes com e sem pé ulcerado apresentaram um escore total médio de 9,54 e 56,48, respectivamente, para a Escala de Locus de Controle da Saúde; 27,58 e 15,29, respectivamente, para a Escala de Autoestima Rosenberg/UNIFESP–EPM; e 39,98 e 91,75, respectivamente, para a Body Investment Scale. Conclusão: pacientes diabéticos com pé ulcerado apresentaram níveis significativamente menores de autoestima, autoimagem e locus de controle de saúde em comparação com pacientes diabéticos sem ulceração. Descritores: Diabetes Mellitus; Pé Diabético; Úlcera da Perna; Esperança de Vida; Autoimagem.

RESUMEN

Objetivo: comparar el locus de control De la salud, autoestima y autoimagen entre portadores de diabetes mellitus con y sin pie ulcerado. Método: estudio descriptivo, analítico controlado, realizado en dos ambulatorios con 104 pacientes diabéticos adultos, 52 pacientes sin ulceración y 52 pacientes con ulceración en el pie. Fueron utilizados los instrumentos: Escala de Locus de Control de la Salud, Escala de Autoestima Rosenberg/UNIFESP–EPM y la versión brasilera del Body Investiment Scale. Resultados: los pacientes con y sin pie ulcerado presentaron un puntaje total medio de 9,54 y 56,48, respectivamente, para la Escala de Locus de Control de la Salud; 27,58 y 15,29, respectivamente, para la Escala de Autoestima Rosenberg/UNIFESP–EPM; y 39,98 y 91,75, respectivamente, para la Body Investment Scale. Conclusión: pacientes diabéticos con pie ulcerado presentaron niveles significativamente menores de autoestima, autoimagen y locus de control de salud en comparación con pacientes diabéticos sin ulceración. Descriptores: Diabetes Mellitus; Pie Diabético; Úlcera de la Pierna; Esperanza de Vida; Autoimagen.

Author Biographies

Geraldo Magela Salomé, Universidade do Vale do Sapucaí/UNIVÁS

Enfermeiro, Professor Doutor, Programa de Mestrado Profissional em Ciências Aplicadas à Saúde, Universidade do Vale do Sapucaí/UNIVÁS. Pouso Alegre (MG), Brasil.

Lydia Masako Ferreira, UniversidadeFederal de São Paulo/UNIFESP

Cirurgiã Plástica, Coordenadora Medicina III CAPES, Professora Titular e Coordenadora da Disciplina de Cirurgia Plástica, Universidade Federal de São Paulo/UNIFESP. São Paulo (SP), Brasil.

Downloads

Published

21-08-2017

How to Cite

SALOMÉ, Geraldo Magela; FERREIRA, Lydia Masako. Locus of health control, body image and self-image in diabetic individuals with ulcerated feet. Revista de Enfermagem UFPE on line, Recife, v. 11, n. 9, p. 3419–3428, 2017. DOI: 10.5205/1981-8963-v11i9a110241p3419-3428-2017. Disponível em: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/110241. Acesso em: 25 jul. 2026.

Issue

Vol. 11 No. 9 (2017): Journal of Nursing UFPE On line

Section

Original article

License

Copyright (c) 2019 Journal of Nursing UFPE on line

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Since 2025, authors retain the copyright to their works and grant the Revista de Enfermagem UFPE on line – REUOL the right of first publication, with the work simultaneously licensed under the Creative Commons Attribution 4.0 International license (CC BY 4.0). The Revista de Enfermagem UFPE on line – REUOL retains the copyright to works published in issues from 2007 to 2024 and grants the Creative Commons Attribution 4.0 International license (CC BY 4.0) to this content in order to ensure Open Access.

Any user has the right to:

Share — copy and redistribute the material in any medium or format for any purpose, even commercially.

Adapt — remix, transform, and build upon the material for any purpose, even commercially.

The licensor cannot revoke these freedoms as long as you comply with the license terms.

Under the following terms:

Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.