scholarly journals Quality of life and diabetes mellitus among diabetic adult patients in an urban slum area

Author(s):  
Prashant R. Kokiwar ◽  
Rathnaker Reddy C. H. ◽  
Dinakar Reddy R. R. ◽  
Sai Ramakanth Reddy S. ◽  
Spandana N. ◽  
...  

Background: Quality of life studies help us to develop models that tend to improve the overall health status of the patients. The objective was to study effect of diabetes mellitus on quality of life of diabetic adult patients in an urban slum area. Methods: A hospital based cross sectional study was carried out among 64 eligible known cases of diabetes for a period of three months. For recording questions related to quality of life, questionnaire which was validated was used. The data was expressed as mean and standard deviation. Results: The overall quality of life (role limitation due to physical health) was not much affected as the average scores are above 3.5 which indicates “better quality of life”. The quality of life for heavy activities was slightly affected due to diabetes. But the patients were able to do the mild activities compared to heavy physical activities. Diabetes has affected their quality of life. But in terms of fatigue it has not been much affected. Overall the mean of this symptom related quality of life, was better. This may be due to good glycemic control. Comparatively frequent urination bothered the diabetic patients. Conclusions: Diabetes has some impact on the quality of life of patients as seen from the study.  

2014 ◽  
Vol 31 (3) ◽  
pp. 193-200 ◽  
Author(s):  
Ana Spasić ◽  
Radmila Veličković Radovanović ◽  
Aleksandra Catić Đorđević ◽  
Nikola Stefanović ◽  
Tatjana Cvetković

Summary The presence of diabetes mellitus leads to a decrease in life quality in all domains. The aim of our study was to evaluate the quality of life (QOL) in diabetic patients and the factors affecting it in type 2 diabetic mellitus patients. We conducted a cross-sectional study that included 86 patients with type 2 diabetes mellitus, in the territory of the City of Niš. Health-related QOL of patients was measured using the short form survey (SF-36) that produces an 8-scale health profile. The average duration of diabetes was 12.76±8.08 years. The best QOL in all areas was observed in patients diagnosed with diabetes less than 10 years ago p<0.05) and younger than 65 years. Male respondents perceived a better QOL compared to women, especially in the vitality and pain domains. The patients with comorbidity (93.64%) had lower QOL score in all domains. There was no significant difference in the QOL of patients with diabetes compared to the level of education. High QOL represents an ultimate goal and an important outcome of all medical interventions in diabetic patients. Factors related to lower QOL included: older age, female gender, and existence of comorbidities. Uncontrolled diabetic patients had a lower QOL than controlled diabetics.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Cosmina I. Bondor ◽  
Ioan A. Veresiu ◽  
Bogdan Florea ◽  
Etta J. Vinik ◽  
Aaron I. Vinik ◽  
...  

This is a post hoc analysis of quality of life in diabetic neuropathy patients in a cross-sectional survey performed in 2012 in Romania, using the Norfolk QOL-DN in which 21,756 patients with self-reported diabetes were enrolled. This current analysis aims to expand research on the diabetic foot and to provide an update on the number of foot ulcers found in Romania. Of the 21,174 patients included in this analysis, 14.85% reported a history of foot ulcers and 3.60% reported an amputation. The percentage of neuropathy patients with foot ulcers increased with age; the lowest percentage was observed in the 20–29-year age group (6.62%) and the highest in the 80–89-year age group (17.68%). The highest number of amputations was reported in the 70–79-year age group (largest group). Compared to patients without foot ulcers, those with foot ulcers had significantly higher scores for total DN and all its subdomains translating to worse QOL (p<0.001). This analysis showed a high rate of foot ulcers and amputations in Romanian diabetic patients. It underscores the need for implementation of effective screening and educational programs.


2021 ◽  
Vol 11 (15) ◽  
pp. 6829
Author(s):  
María Reina-Bueno ◽  
Inmaculada C. Palomo-Toucedo ◽  
Manuel Ángel Medina-Núñez ◽  
Pedro V. Munuera-Martínez ◽  
Aurora Castro-Méndez ◽  
...  

The co-existence of complications and diabetes mellitus is related to a worsening in quality of life compared to not presenting comorbidities. This study aimed to investigate whether there is a different impact on quality of life according to gender and to establish the physiological parameters that these patients have in relation to diabetes-related complications. The sampling was continuous non-probabilistic, involving legal age patients with diabetes mellitus. All of the participants were administered the generic SF-36 quality of life questionnaire. The presence of peripheral artery disease was considered from an ankle brachial index <0.9 and grade II to grade IV of the Leriche–Fontaine classification. Nerve dysfunction was detected from a neurotensiometer test, and the presence of diabetic foot was detected from a dermal examination and co-existence with arteriopathy and/or neuropathy. Men presented significantly better quality of life values on the mental health, emotional role and health transition scales. Despite this, in the presence of complications such as vasculopathy, neuropathy or diabetic foot, the perception of well-being changes, showing that men and women face the disease in different ways. Despite the fact that the physical parameters of diabetic patients are similar according to the complications that they present, the adult women in our environment have lower levels of quality of life than men in most cases. This may be related not only to pathophysiological differences but also to sociocultural factors.


2020 ◽  
Author(s):  
AULIA PUTRI ◽  
Bella Lusia Ariska ◽  
Siska Damaiyanti

Diabetes Mellitus (DM) which is a degenerative disease that requires proper treatment and serious. DM sufferers must undergo continuous therapy. This condition can lead to a variety of health changes that cause physical and psychological disorders for sufferers. One of them is emotional intelligence and poor quality of life. The purpose of this study was to analyze the Emotional Intelligence Relationship Against the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018. This type of research wasresearch descriptive analytic. With aapproach cross sectional. The sampling technique uses a total sampling with 82 respondents. The instrument used was the question of the level of emotional intelligence and the quality of life questionnaire in patients with DM. The results of the chi-squere test showed that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients (p &lt;0.05). The conclusion of this study was that there was an Emotional Intelligence Relationship to the Quality of Life of Type II Diabetes Mellitus Patients in Guguak Panjang Health Center in 2018 the lower the level of Emotional intelligence the worse the quality of life in patients with Type II diabetes. It is hoped that patients with diabetes mellitus can put and control emotions so that they will improve the quality of life.


Author(s):  
Jenan Al-Matrouk ◽  
Marwan Al-Sharbati

Abstract Objectives: This study aimed to evaluate the Quality of Life (QoL) on Kuwaiti adult patients with Type 2 Diabetes Mellitus (T2DM), aged ≥ 45 years of both genders, who attended primary healthcare centers and to identify factors associated with QoL. Methods: This is a cross-sectional study conducted on a random sample stratified by gender, consisting of 604 Kuwaiti adult patients with T2DM, aged ≥ 45 years, diagnosed by physicians as diabetics for ≥ 6 months. A validated demographic and WHOQOL-BREF questionnaires were used to assess the QoL. Results: The sample consisted of both genders with equal proportions, the age of 46% of patients was within 56-65 years’ class. Only 24% of the participants had secondary school, while 57% were retired, and the income of 54% exceeds 1000 KD/month. The majority of patients (76%) were married, and 99% were living with their families. Obesity was reported in 54% of patients, and 16% were smokers. Only oral antidiabetic drugs were used by 50% of patients, and 24% of the sample had complications, 11% of them developed retinopathy. A family history of diabetes was reported in 74% of patients, and 45% of them have a duration of diabetes >10 years. Regarding the QoL, the median score was 71, around 77% of the sample has a good QoL. Conclusion: There is more need for public health action to control the disease, thus improving their QoL; this can be achieved by improving the patients’ health status and maintaining their abilities.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Juliandi Harahap ◽  
Lita Sri Andayani

Jumlah penduduk usia diatas 60 tahun diperkirakan akan terus meningkat, pada tahun 2025 diperkirakan mencapai jumlah 36 juta. Peningkatan populasi lansia ini diikuti oleh peningkatan risiko untuk menderita penyakit degeneratif yang dapat mempengaruhi status kesehatan dan kualitas hidup lansia. Penelitian cross sectional study pada 100 orang lansia yang diambil dengan teknik consecutive sampling ini, untuk menilai pola penyakit degeneratif melalui pemeriksaan skrining dan menilai tingkat kepuasan serta kualitas hidup lansia berdasarkan kuesioner kualitas hidup WHO WHOQoL-BREF. Penelitian ini dilakukan di Posyandu Lansia di Kecamatan Medan Amplas. Penyakit yang dijumpai pada lansia menunjukkan lansia mengalami hipertensi sebanyak 69%, hipercholesterolemia 55%, diabetes mellitus 20%, hiperurisemia 20% dan proteinuria 13%. Di masa usia lanjut ini berbagai penyakit dapat mengenai lansia, 16% lansia mengidap paling sedikit 3 jenis penyakit, 31% lansia mengidap 2 jenis penyakit dan 33% lansia yang hanya terkena 1 jenis penyakit. Meskipun demikian, tingkat kepuasan mereka terhadap kesehatannya cukup baik, dimana hanya 21% yang menyatakan kurang puas dengan kesehatannya. Penilaian kualitas hidup secara umum, 63% lansia menyatakan kualitas hidupnya biasa-biasa saja, 28% lansia merasa kualitas hidupnya baik dan hanya 8% yang menyatakan kualitas hidupnya buruk. Umumnya lansia mengalami hipercholeterolemia dan hipertensi, dan paling sedikit rata-rata lansia mengidap 2-3 jenis penyakit degeneratif, meskipun demikian mayoritas lansia menyatakan kualitas hidupnya relatif baik. Kelompok lansia merupakan kelompok yang berisiko untuk mengalami penyakit degeneratif. Untuk itu diperlukan upaya promotif dan preventif untuk meningkatkan kesadaran lansia dalam mengantisipasi penyakit tersebut. The number of people aged over 60 years is projected to grow and estimated to reach 36 million in 2025. The increase in the elderly population is associated with the increase of risk of suffering from degenerative disease that can affect the health status and quality of life of the elderly. A cross-sectional study of 100 elderly was taken with consecutive sampling technique to assess the patterns of degenerative disease through screening examinations, the level of satisfaction, and quality of life of the elderly based on WHO WHOQoL-BREF quality of life questionnaire. This research was conducted at the Elderly Posyandu (Integrated Health Service Post) in Medan Amplas sub-district. The results showed that 69% of the elderly suffered from hypertension, 55% suffered from hyperlipidemia, 20% suffered from diabetes mellitus, 20%  suffered from hyperuricemia, and 13% suffered from proteinuria. In this advanced age various diseases can affect the elderly, 16% of the elderly suffered from at least 3 types of diseases, 31% of the elderly suffered from 2 types of diseases and 33% of the elderly only suffered from one disease. Nevertheless, their levels of satisfaction with their health were quite good. 21% of the elderly were not satisfied with their health. The assessment of quality of life in general showed that 63% of the elderly stated that their quality of life was mediocre, 28% of the elderly felt that their quality of life was good and only 8% stated that their quality of life was poor. Generally, elderly suffered from hyperlipidemia and hypertension, and the elderly suffered from at least 2-3 types of degenerative joint diseases. However, the majority of elderly stated that their quality of life was relatively good. Because elderly has a high risk of degenerative diseases,it is imperative that  promotive and preventive programs be established to increase the awareness of disease occurence.


2021 ◽  
Vol 32 (1) ◽  
Author(s):  
Giovanni Rojas ◽  
Paola Solís Pazmiño ◽  
Richard Gaona ◽  
Fernanda Mollocana ◽  
Ismael Espín ◽  
...  

Introduction: In health decision-making, relevance should be given to the patient's perception of the quality of life derived from the state of health resulting from the use of one or another possible alternative. Worldwide, the utility associated with quality of life is expressed in quality-adjusted life years (QALY). The EQ-5D-5L has shown validity and reliability as a measure of quality of life and utility in health, being studied and validated both in primary care and in diabetic patients. Objective: To measure the perceived quality of life in patients with diabetes mellitus type 2 in utility measures, in a second-level hospital during 2018 using the EQ-5D-5L questionnaire Spanish version for Ecuador. Patients and methods: Cross-sectional study with adults older than 40 years with type 2 diabetes mellitus in treatment and ambulatory medical assistant. The QALYs were estimated using the calculator on the NATS-INC website. The results were expressed in means with standard deviation or percentages, and measures of association between variables were performed. Results: 57 participants, mainly women, fulfilled the inclusion and exclusion criteria; with an average age of 67.77 years. Regarding the quality of life measured by the EQ-5D-5L instrument, the most frequent state of health was 11111 (28.1%), which means “no discomfort”. A mean of 74.47 was obtained in the EVA and 0.708 in QALY. Conclusions: The participants in this study report a higher level of quality of life compared to countries with higher economic levels, and very similar averages in the scores obtained in the EVA.


2012 ◽  
Vol 3 (3) ◽  
pp. 143-146
Author(s):  
Geisa Mara Cardoso ◽  
Luciana Mendonça de Arruda Valoes ◽  
Onislene Alves Evangelista De Almeida ◽  
Carlos Kusano Bucalen Ferrari

Objetivo: avaliar a qualidade de vida (QV) e a percepção da doença em pacientes com Diabetes Mellitus (DM) atendidos na Estratégia de Saúde da Família (ESF) em Aragarças-GO. Metodologia: entrevistas para aplicação do questionário sobre qualidade de vida (SF-36) e questões sobre a percepção da doença em 45 pacientes das unidades da ESF em Aragarças-GO. Resultados: a frequência da associação diabetes-hipertensão arterial foi elevada, bem como todos os domínios da QV foram afetados pela doença, especialmente nos pacientes diabéticos com pior percepção da doença. Conclusão: a percepção de gravidade do DM esteve relacionada ao comprometimento da QV.Descritores: Qualidade de Vida, Diabetes Mellitus, Percepção.Quality of life in the perception of disease severity in patients with Diabetes MellitusObjectives: to evaluate the quality of life (QOL) and disease perception in diabetes mellitus (DM) patients attending at the Family Health Strategy in Aragarças-GO. Methodology: interviews for application of the SF-36 quality of life questionnaire and questions regarding disease perception in 45 patients from FHS unities in Aragarças-GO. Results: Beyond the higher frequency of the DM-hypertension association, all QOL domains were affected by disease, especially among diabetic patients with worst disease perception. Conclusion: the perception of seriousness of DM was related to worsening QOLDescriptors: Quality of Life, Diabetes Mellitus, Perception.Calidad de vida en la percepción de la gravedad de la enfermedad en pacientes con Diabetes MellitusObjetivo: evaluar la calidad de vida (CV) y la percepción de la enfermedad en pacientes con diabetes mellitus (DM) tratados en la Estrategia de Salud Familiar (ESF) en Aragarças-GO. Metodología: entrevistas para la aplicación del cuestionario sobre la calidad de vida (SF-36) y preguntas acerca de la percepción de la enfermedad en 45 pacientes de las unidades de la ESF en Aragarças-GO. Resultados: la frecuencia de la asociación diabetes-hipertensión arterial fue alta, así como todos los dominios de la CV se vieron afectadas por la enfermedad, especialmente en los pacientes diabéticos con mala percepción de la enfermedad. Conclusión: la percepción de la gravedad de la DM se relacionó con baja CV.Descriptores: Calidad de Vida, Diabetes Mellitus, Percepción.


2019 ◽  
Author(s):  
Francisco Jesús Represas Carrera Sr ◽  
Ángel Alfredo Martínez Ques Sr ◽  
Ana Clavería Fontán Sr

BACKGROUND Diabetes mellitus is currently a major public health problem worldwide. It is traditionally approached in a clinical inpatient relationship between the patient and the healthcare professional. However, the rise of new technologies, particularly mobile applications, is revolutionizing the traditional healthcare model through the introduction of telehealthcare. OBJECTIVE (1) To assess the effects of mobile applications for improving healthy lifestyles on the quality of life and metabolic control of diabetes mellitus in adult patients. (2) To describe the characteristics of the mobile applications used, identify the healthy lifestyles they target, and describe any adverse effects their use may have. METHODS Review of systematic reviews and meta-analysis, following the guidelines of the Cochrane Collaboration and the Joanna Briggs Institute. We included studies that used any mobile application aimed at helping patients improve self-management of diabetes mellitus by focusing on healthy lifestyles. Studies needed to include a control group receiving regular care without the use of mobile devices. In May 2018, a search was conducted in Medline, Embase, Cochrane, LILACS, PsychINFO, Cinahl and Science Direct, updated in May 2019. The methodological quality of the studies was assessed using the Amstar-2 tool. RESULTS Seven systematic reviews of 798 articles were initially selected for analysis. The interventions had a duration of between 1 and 12 months. Mobile applications focused singly or simultaneously on different lifestyles aspects (diet, physical exercise, motivation, blood glucose levels, etc.). There are significant changes in HbA1c values, body weight and BMI, although in others, such as lipid profile, quality of life, or blood pressure, there is no clear improvement. CONCLUSIONS There is clear evidence that the use of mobile applications improves glycemic control in diabetic patients in the short term. There is a lack of evidence in its long-term benefits. It is thus necessary to carry out further studies to learn about the long-term effectiveness of mobile applications aimed at promoting the healthy lifestyles of diabetic patients. CLINICALTRIAL PROSPERO Register: CRD42019133685


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