Self-perceived Anxiety Symptoms and its Associated Factors among Type 2 Diabetic Patients in Rural Communities of Malaysia

2016 ◽  
Vol 1 (2) ◽  
pp. 11
Author(s):  
Azlina Wati Nikmat ◽  
Mohd Ariff Fadzil ◽  
Sakinah Idris
Keyword(s):  
Diabetes Mellitus ◽  
Rural Communities ◽  
Rural Areas ◽  
Multiple Logistic Regression Analysis ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
The Mean

Introduction: Little is known about anxiety symptoms among diabetic patients, especially among those who are living in rural areas in Malaysia. Thus, the aim of this paper is to investigate the prevalence of anxiety among diabetic patients and factors associated with anxiety in rural communities in Malaysia. Methods: A cross-sectional study involving 464 diabetes mellitus patients in rural health districts and outpatient clinics in Malaysia was conducted. Each participant was interviewed using the Hospital Anxiety and Depression Scale. Results: Respondents consisted of 193 (41.6%) males and 271 (58.4%) females. The mean age of participants was 59.65 ± 10.16 years and the mean duration of diabetes mellitus was 6.9 ± 6.3 years. Results indicate that 15% of the participants have anxiety symptoms. Multiple logistic regression analysis revealed that patients with history of ischemic heart disease and depression and those who were underweight have higher anxiety scores with adjusted OR 5.06 (95% CI 1.79 to 14.27), 27.71 (95% CI 14.23 to 53.98) and 14.6 (95% CI 2.49 to 84.82), respectively. Conclusions: This study suggests that although the prevalence of anxiety among diabetics is low, primary care physician should be trained to identify high risk patients and to manage their condition in order to improve the clinical outcome.

scholarly journals Association between self-care agency and depression and anxiety in patients with diabetic retinopathy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Zhang ◽  
Qin Wang ◽  
Xuancan Zhang ◽  
Li Jiang ◽  
Lezhi Li ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Rural Areas ◽  
Self Care ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Clinical Factors ◽  
Cross Sectional ◽  
History Of ◽  
Care Agency

Abstract Background This study aimed at investigating: 1) the relationship between self-care agency and depression and anxiety; 2) the sociodemographic and clinical factors associated with depression and anxiety in patients with diabetic retinopathy (DR) in China. Methods A cross-sectional study was conducted. One-hundred and five patients with DR were recruited. Self-care agency was assessed by the exercise of self-care agency (ESCA) scale. Depression and anxiety were assessed by the hospital anxiety and depression scale (HADS-D and HADS-A). Pearson or Spearman correlations were performed to assess the association between self-care agency and depression and anxiety. Stepwise multivariate linear regression analyses were conducted to assess the contribution of the sociodemographic and clinical factors to depression and anxiety. Results Thirty-six (34.3%) and 43 (41.1%) patients exhibited depressive and anxiety symptoms, respectively. Only 24 (22.9%) patients showed a high self-care agency. The ESCA total and subscale scores were negatively correlated depressive symptoms (P < 0.05). Self-care skills were negatively correlated with anxiety symptoms (P < 0.05). ESCA total score, rural residence, history of hypertension and visual acuity were associated with depression; self-care skills and diastolic blood pressure were associated with anxiety. Conclusions Self-care agency negatively correlates with depression and anxiety in patients with DR. Special attention should be paid to patients living in rural areas and/or those having a history of hypertension when assessing depression and anxiety in patients with DR. Future studies are needed to clarify the causal relationship between self-care agency and depression and anxiety.

scholarly journals Comparison of Cross Sectional Areas of Median Nerve in Type 2 Diabetic Patients with Peripheral Neuropathy with Healthy Adult Subjects Measured by 2 D-B Mode High Resolution Ultrasonography

2017 ◽  
Vol 8 (1) ◽  
pp. 47-51
Author(s):  
Md Towhidur Rahman ◽  
AS Mohiuddin ◽  
Md Mofazzal Sharif ◽  
Jafreen Sultana ◽  
Fahmida Yeshmine ◽  
...  
Keyword(s):  
Peripheral Neuropathy ◽  
Median Nerve ◽  
Healthy Adult ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
The Mean ◽  
The Difference ◽  
Type 2 Diabetic

Background: Patients with diabetic peripheral neuropathy (DPN) have distal, symmetrical form of the disorder characterized by numbness, burning feet, pins-and-needles sensations and lightning pain. This study was designed to find out the difference between 2 Dimentional (D)-Brightness (B) mode high resolution ultrasonographically measured cross sectional areas of median nerve in type 2 diabetic patients with peripheral neuropathy and those of non-diabetic healthy adult subjects.Methods: This case-control study was done on 180 subjects aged 27-67 years in the department of Radiology and Imaging, BIRDEM from January 2012 to December 2013. Out of them 90 diabetic patients with peripheral neuropathy diagnosed electrophysiologically by nerve conduction study (NCS) were considered study group and age, sex and weight compatible 90 healthy subjects were considered as control group. Measurement of cross sectional areas of median nerve was performed first by the investigator himself purposefully, consecutively and subsequently confirmed by a radiologist in the department of Radiology and Imaging, BIRDEM, who did not know the subjects’ condition to eliminate bias. The major axis, minor axis and the cross sectional areas (CSA) of the median nerve were measured at the carpal tunnel.Results: In this study, the mean cross sectional areas (mm2) of median nerve healthy subjects was 7.78±1.00 mm2 and in diabetic patients with peripheral neuropathy was 13.67±2.97 mm2. The difference mean CSA of median nerve of diabetic subjects with peripheral neuropathy and control subjects were statistically significant (p<0.05) in unpaired ‘t’ test.Conclusion: This study showed that there is a significant difference between the cross sectional areas of median nerve in diabetic subjects with peripheral neuropathy and healthy adult subjects. The mean cross sectional areas of median nerve were increased in diabetic patients with peripheral neuropathy compared to control group.Birdem Med J 2018; 8(1): 47-51

scholarly journals Quality of Life in Type 2 Diabetic Patients

2014 ◽  
Vol 31 (3) ◽  
pp. 193-200 ◽  
Author(s):  
Ana Spasić ◽  
Radmila Veličković Radovanović ◽  
Aleksandra Catić Đorđević ◽  
Nikola Stefanović ◽  
Tatjana Cvetković
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Short Form ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Significant Difference ◽  
Type 2 Diabetic

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.

scholarly journals Dietary practices in type 2 diabetes patients at Bhopal, Madhya Pradesh: a cross-sectional study

2019 ◽  
Vol 6 (8) ◽  
pp. 3423
Author(s):  
Rama Singodiya Lodha ◽  
Smriti Singh ◽  
Dinesh Kumar Pal ◽  
Manju Toppo ◽  
Shipra Verma ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Patient ◽  
Consumption Pattern ◽  
Diabetic Patients ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Male And Female ◽  
Significance Level ◽  
Significant Difference ◽  
The Mean

Background: Diabetes mellitus (DM) is a rapidly growing health problem in India. Diet and physical activity are important modifiable risk factors affecting the incidence, severity and management of DM. The aim of the study was to assess diet of diabetes mellitus patients. 87 adults from a cohort of diabetic patients attending the Medical Clinics at the Hamidia Hospital Bhopal were invited for the study.Methods: Information about their nutritional status & food consumption pattern was taken by 24-hour dietary recall and food frequency questionnaire. Data was analysed using Epi Info and MS Excel. Frequency counts and percentages were used to describe the demographic characteristics of the participants while the significance difference in between male and female participants. The significance level was set at P <0.05 and 0.01. Statistical analysis used:  MS Excel and Epi Info.Results: The study sample was 87 out of which 56 were females and 31 were males; mean age of DM patients was 48.21±12.98.The mean energy intake was 1386.52 kcal and 1125.79 kcal among male and female. The mean protein intake was 68.71 g and 50.50 among male and female diabetics. There was significant difference between male and female age. There were no significant difference in body mass index and waist hip ratio between male and female. 30 (34.5%) & 16 (18.4%) were overweight and obese respectively.Conclusions: Based on these findings, the dietary practices of diabetic patients are inadequate and require improvement. Education and counselling about diet of a diabetes patient is needed. 

scholarly journals A Cross-sectional Study to Assess the Risk of Diabetes Mellitus among Pre-diabetes Obese People of Selected Rural Area of Waghodia Taluka, Vadodara

2021 ◽  
pp. 68-80
Author(s):  
S. Adithya ◽  
C. Ranganatha ◽  
M. Gayathri
Keyword(s):  
Diabetes Mellitus ◽  
Risk Score ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Lifestyle Modification ◽  
Diabetic Patients ◽  
Unhealthy Lifestyle ◽  
Obese People ◽  
Cross Sectional ◽  
Screening Programs

Background: India is the diabetic capital of the world, with a maximum number of diabetic patients. There is a large burden of undetected diabetic cases in the community. There is an increasing risk of diabetes in urban slums and rural areas, because of illiteracy, lack of awareness, low socioeconomic status, and unhealthy lifestyle. The Indian Diabetes Risk Score (IDRS) is a simple, low-cost, feasible tool for mass screening programs at the community level. This background study was planned with the following aim. Aim: As72.2% of the Indian population resides in rural areas, the current study was carried to assess the risk of diabetes mellitus among Pre-Diabetes obese people and to find out the association between the risk of diabetes mellitus and selected demographic variables.  Materials and Methods: A cross-sectional, descriptive research design was adapted. 400 subjects were recruited by non-probability purposive sampling technique among Pre-Diabetes obese people The data gathering was carried out with an Indian Diabetic Risk Score scale (IDRS). The collected data was optimized and analyzed by using descriptive statistics and inferential statistics. Results: With regards to the risk assessment of Diabetes Mellitus, Out of 400subjects, 19.5% of the subjects belonged to no/low risk, 58.75% of the subjects belonged to moderate risk and 21.75% of the subjects belonged to very high risk as per IDRS. Conclusion: The present study revealed that the risk of diabetes among adults is on rising in rural areas. Hence it is essential to create awareness about diabetes and accessibility to health care services among the rural population. Physical activity likes regular exercise, diet, and lifestyle modification are some of the interventions that can reduce the risk of diabetes.

scholarly journals Evaluation of sweet taste sensitivity in type-II Diabetes Mellitus patients

2020 ◽  
pp. 10-12
Author(s):  
Z. Naveen Kumar ◽  
B.N.S. Gowri Kumari
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Type Ii Diabetes Mellitus ◽  
Sweet Taste ◽  
Cross Sectional Study ◽  
Taste Sensitivity ◽  
Diabetic Patients ◽  
Type Ii ◽  
Cross Sectional ◽  
The Mean

Background: The objective is to evaluate the sweet taste sensitivity among type-II diabetes mellitus patients. Methods:  This is a cross sectional study consisted of 227 subjects (127 type-II Diabetic patients & 100 non diabetic individuals) of both the genders and age matched. Sweet taste sensitivity tests were done using different concentrations of glucose solution and compared among the diabetic patients with FBS more than 180mg/dl and diabetic patients with FBS less than 180mg/dl and also compared among the diabetic patients and non diabetic individuals.  The final concentration at which patient was able to perceive the taste was recorded. statistical analysis was done using Student’s unpaired T test. P­values of < 0.05 were considered to be statistically significant. Results: The mean of sweet taste sensitivity among diabetic patients with FBS >180 mg/dl was 6245 mg/l and the mean of sweet taste sensitivity in the diabetic patients with FBS <180 mg/dl was 2249mg/l with P<0.001 which is significant. The mean of sweet taste sensitivity among diabetic patients with FBS >180 mg/dl was 6245mg/l and the mean of sweet taste sensitivity in the non diabetic individuals was 1979mg/l with P<0.01 which is significant. the mean of sweet taste sensitivity among diabetic patients with FBS <180 mg/dl was 2249 mg/l and the mean of sweet taste sensitivity in the non diabetic individuals was 1979mg/l  with P>0.05 which is not significant. Conclusion: In our study it was concluded that type-II Diabetes Mellitus patients have lesser sensitivity for the sweet taste. Loss of sensitivity leads to the increase in sugar consumption being the risk factor for worsening the disease.

scholarly journals ERECTILE DYSFUNCTION

2016 ◽  
Vol 23 (03) ◽  
pp. 268-273
Author(s):  
Ansari Muhammad Rafique ◽  
Pooran Mal ◽  
Jairamani Bhagwan Das ◽  
Shafique-Ur-Rehman Memon ◽  
Syed M Tahir ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Erectile Dysfunction ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Maintenance Hemodialysis ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Male Patients

Objectives: Erectile dysfunction (ED) is a very common and distressing healthproblem in chronic maintenance hemodialysis patients. There is no such data available fromSind province of Pakistan on this issue; we want to highlight the factors and prevalence oferectile dysfunction among hemodialysis patients in this part of our country. Study Design:This hospital based observational, cross-sectional study Setting: It was conducted at 04hemodialysis centers of Hyderabad city Perod: In 2014 Methods: The Study was conductedby using International Index of Erectile Dysfunction (IIEF-5) for determination of prevalence& severity of ED among these patients. Comparative analysis for frequency of ED was alsodone between urban & rural patients. Adapted Urdu version of IIEF-5 was used for those whocannot understand English pro forma. Results: There were total 62 male patients; all of themwere on maintenance hemodialysis for more than 6 months. Their ages were between 20 to59 years with mean 36±11. In this series of patients 80% (n=50) were < 50 years of age whilethe diabetic patients were 58% (n=36). The overall prevalence of ED observed in patients was88.7% (n=55) in our study. Severe ED was seen in 30 (48.4%) patients. The prevalence &severity of ED was significantly higher in diabetes mellitus and over 50 years of age. There washigher incidence of ED 94% observed in patients who are living in rural areas as compared tourban areas patients 82%. Conclusions: It has been concluded in this study that majority ofmale hemodialysis patients were suffering from ED problem. Diabetes mellitus and & > 50 yearsof age has the highest prevalence of ED. Erectile dysfunction is very common and distressinghealth related issue among hemodialysis patients and this should be addressed with routine

scholarly journals HUBUNGAN EFIKASI DIRI DENGAN KEPATUHAN MELAKUKAN LATIHAN FISIK PADA PASIEN DIABETES MELLITUS TIPE 2

2019 ◽  
Vol 4 (1) ◽  
pp. 19
Author(s):  
Mia Widha Anindita ◽  
Noor Diani ◽  
Ifa Hafifah
Keyword(s):  
Diabetes Mellitus ◽  
Self Efficacy ◽  
Sampling Method ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Physical Exercises ◽  
Type 2 Diabetic

Introduction: Diabetes mellitus is a chronic disease, and type 2 DM accounts for 90-95% of total diabetes. Adherence to implementation of physical exercise is very necessary for patients with DM. Self efficacy in diabetic patients can improve the adherence for medications and success to control the sugar levels.Methods: We aimed to analyze the correlation between self efficacy and adherence to physical exercises in type 2 diabetes patients. This is a descriptive cross-sectional study with purposive sampling method. In total, we recruit 60 respondents during December 2018. We used two types of questionnires: self efficacy and adherence to physical exercises to measure the variable of interest.Result: We found that there was a correlation between self efficacy and adherence to physical exercises in type 2 diabetic patients (p<0.001).Conclusion: Appropriate self efficacy could improve patients’ adherence to manage the advised physical examination.

scholarly journals Prevalence of depression among type2 diabetes mellitus in Pakistani population

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Abid Naeem ◽  
Muhammad Shuaib ◽  
Subtain-Ul- Hassan Abid ◽  
Muhammad Huzaifa Abid ◽  
Muhammad Imran
Keyword(s):  
Diabetes Mellitus ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Cross Sectional ◽  
Type2 Diabetes ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
Type2 Diabetes Mellitus

Introduction: Diabetes is a very prevalent problem in Pakistan. Depression along with diabetes affects not only quality of life but compliance and management of patient. Various studies have found high prevalence of depression among T2DM depression. In our study we shall determine the prevalence of depression among T2DM patients in Pakistan. Period: May 2017 to December 2017. Objectives: The objective of this study was to find out the prevalence of depression in Type2 diabetes mellitus patients. Study Design: A cross-sectional study. Setting: Jinnah Post Graduate Medical Centre Karachi. Results: Mean PHQ- Score is 10.83±5.6. 81.9% had PHQ Score > 4. According to PHQ-9 scale, 18.1% (n=30) had no depression, 26.5% (n=44) had moderately severe depression and 3.6% (n=6) had severe depression. In our study females had more severe depression in comparison with male (5.2% vs. 0%). Conclusion: Depression is very common in Pakistan among Type 2 Diabetic patients. Antidepressant has key role to break the vicious cycle of depression and type2 diabetes mellitus diabetes.

scholarly journals Factors Related to Anxiety Scores in Diabetes Mellitus Outpatients at the Universitas Sumatera Utara Hospital

2021 ◽  
Vol 9 (T3) ◽  
pp. 196-200
Author(s):  
Sri Andriani ◽  
Elmeida Effendy ◽  
Nazli Mahdina Sari Nasution
Keyword(s):  
Diabetes Mellitus ◽  
General Population ◽  
Life Quality ◽  
Depression Scale ◽  
Measurement Tool ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Duration Of Illness ◽  
Regression Test ◽  
Increasing Risk

Background: Diabetes mellitus (DM) is a serious chronic disease, caused by the inability of the pancreas to produce enough insulin. It is estimated that people with diabetic are at twice the risk of anxiety compared to the general population. Diabetic patients with anxiety has been related to increasing risk of comorbidities, which can interfere with daily living activities, and life quality, increased health costs, and many other complication when compared with the general population. Method: This study is a predictive type multivariate study, with a cross-sectional approach to 111 subjects in the outpatient clinic of Universitas Sumatera Utara hospital. The tests carried out in this study were the bivariate test, multivariate linear regression test to determine what factors are related to anxiety scores in DM patients, using the Hospital Anxiety and Depression Scale (HADS-A) as measurement tool. Results: After conducting the multivariate analysis test, it was found that the variables associated with anxiety scores in people with DM were length of education (p <0.001), Body Mass Index (p <0.001), duration of illness (p <0.001), work status (p <0.001), comorbidity (p = 0.021). Conclusion: By knowing the factors that influence anxiety scores in people with DM, it is hoped that clinicians will pay more attention to the symptoms of anxiety in people with DM, especially in the early days of diagnosis so that intervention can be carried out.

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