scholarly journals Psychiatric Disorders in Diabetic Patients in Rafsanjan

Author(s):  
Reza Bidaki ◽  
Parvin Agha Mohamad Hasani ◽  
Maryam Alireza Zade ◽  
Rezvan Sadr Mohammadi ◽  
Reza Bidaki ◽  
...  

Objective: To determine prevalence rates, associated features, and risk factors for psychiatric disorders subsequent to the diagnosis of IDDM. Methods: In this cross-sectional study were been selected 100 randomly who referred to Rafsanjan Diabetes Center. The data of this study is gathered demographic questionnaire and Minnesota Multi-phasic Personality Inventory (MMPI). Data was analysed with software SPSS-17. Results: 76% of the patients were female and 24% were men 45.4% of the illiterate population. The results showed hypochondriasis (22%) and schizophrenia (19%) and depression (11%) are three psychiatric disorders that patients with diabetes in high-risk groups have reported. Conclusion: The present study demonstrated that about 30-45% of patients with diabetes suffered from common mental disorders. The prevalence of some psychiatric disorders is considerable in diabetic patients in Rafsanjan.

Author(s):  
Mahboube Ahmad Nazari ◽  
Hamid Oliaee ◽  
Reza Bidaki ◽  
Mohammad Hossein Sorbi

Objective: Diabetes is one of the chronic diseases which can be accompanied with suicide. The study was conducted to assess and compare the prevalence of suicidal ideation in diabetic patients receiving insulin and oralmedication treatment. Materials and Methods: In this cross-sectional study, 2000 patients with diabetes supported by diabetes institute of Rafsanjan in 2017. After giving conscious permission, the patients filled in a demographic checklist and Beck suicidal ideation questionnaire. The data were analyzed using SPSS-16. Results: Prevalence of suicidal ideation in patients with diabetes receiving insulin was 3.2% (n=32) and in people receivingoral medication treatment was 3.1% (n=31). There were no association between suicidal ideation and the method of diabetes treatment. Suicidal ideation was more prevalent in illiterate people; however, no significant relationship was seen between suicidal ideation and education level. Also, there was no significant relationship between marital status and suicidal ideation. There was no relationship between suicidal thoughts and the method of treatment ( P -value: 0.05). Conclusion: Suicidal ideation is more prevalent in diabetic patients, but there were not differences between two group under insulin therapy and oral anti-diabetic agents.


2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Jnadi M. Madkhali ◽  
Ammar A. Hakami ◽  
Ali H. Dallak ◽  
Ramzi M. Hakami ◽  
Abdullah A. Yatimi ◽  
...  

Context. Patients with diabetes mellitus (DM) have a poorer quality of life when compared with patients without DM. In fact, one in every five diabetic patients suffers from comorbid depression, which can lead to poor management, poor compliance with treatment, and low quality of life. Therefore, we assessed the prevalence of depression and identified its associated factors among diabetic patients at Jazan Province, KSA. Methods and Materials. A cross-sectional study was conducted among 500 diabetic patients attending a diabetic center in addition to four primary healthcare centers. We used a simple Arabic translation of the Beck Depression Inventory (BDI II) tool to evaluate the depression level among the subjects. We also evaluated the frequencies of certain sociodemographic characteristics and clinical information. Moreover, we performed univariate and multivariate analyses to identify the potential risk factors using adjusted odds ratios (AORs). Results. The prevalence of depression among DM patients was 20.6%. The majority of patients showed no depression (N = 285, 59.4%), one-fifth had mild depression (N = 96, 20.0%), some (N = 55, 11.4%) had moderate depression, and some had severe depression (N = 44, 9.2%). Depression was significantly more prevalent among uneducated patients (N = 27, 31.8%) (X2 = 17.627, P = 0.001) and patients with low monthly income (< 2500 SR/month) (N = 33, 22.8%) (X2 = 9.920, P = 0.019). Hypertension (AOR = 2.531, 95% CI [1.454, 4.406]) and ischemic heart diseases (AOR = 3.892, 95% CI [1.995, 7.593]) were considered as risk factors for depression among diabetic patients. Conclusions. Almost one in every five patients with DM is affected by depression coexisting with cardiovascular diseases. Therefore, screening for psychological problems, proper treatment, and educating patients with diabetes about DM self-management should be routine components of DM care.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
A. Majjad ◽  
Y. Errahali ◽  
H. Toufik ◽  
J. H Djossou ◽  
M. A. Ghassem ◽  
...  

Introduction. A variety of musculoskeletal disorders (MS) have been associated with diabetes mellitus (DM). This study aimed at assessing the prevalence and associated factors of MS disorders in Moroccan diabetic patients. Methods. A cross-sectional study enrolled consecutive patients with DM. We recorded demographic features of patients and characteristics of DM. MS disorders and vascular complications were assessed by clinical examinations and investigations. Associated factors of MS disorders were assessed by univariate and multivariate analyses. Result. 376 subjects were included; 84.6% had type 2 DM. The participants’ median age was 54 years [45–62]; 41% had one or more vascular complications. 34.4% had one or more MS disorders. Osteoarthritis was present in 19.4% of patients. Hand disorders were seen in 14.4%. Shoulder capsulitis was present in 12.5%. Long duration of diabetes and dyslipidemia were associated with increased prevalence of hand abnormalities (P=0.017; P=0.019, respectively). Age and dyslipidemia were associated with shoulder capsulitis (P=0.019; P=0.047, respectively). Female gender, overweight, and nephropathy were associated with increased odds of osteoarthritis (P=0.009, P=0.004, and P=0.032, respectively). Conclusion. MS disorders are frequent in this population and associated with various factors. HbA1c level does not appear to be associated with development of MS disorders.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Teeraboon Lertwanichwattana ◽  
Ram Rangsin ◽  
Boonsub Sakboonyarat

Abstract Objectives The research aimed to determine the prevalence and associated factors of uncontrolled hyperlipidemia among Thai patients with the disease and Clinical ASCVD. Results A total of 1,527 Thai diabetic patients with a history of ASCVD were included in the study. Uncontrolled hyperlipidemia was detected among 1,216 patients (79.6%; 95% CI 77.6–81.7). The independent factors associated with uncontrolled hyperlipidemia included being female (adjusted odds ratio (AORs); 1.5, 95% CI 1.2–2.0), using thiazolidinedione (AORs; 1.7, 95% CI 1.1–2.7), community hospital (AORs; 4.3, 95% CI 1.0–18.0) and BMI level at 18.5–22.9 kg/m2 (AORs; 2.2, 95% CI 1.2–4.0), 23.0–24.9 kg/m2 (AORs; 1.8 95% CI 0.9–3.3), 25.0–29.9 kg/m2 (AORs; 2.3 95% CI 1.3–4.3) and ≥ 30 kg/m2 (AORs; 2.5 95% CI 1.3–4.9).


2020 ◽  
Vol 8 (12) ◽  
pp. 1105-1113
Author(s):  
Manal Abdulaziz Murad ◽  
◽  
Hoda Jehada Bousada ◽  
Mohammad Fawzi Saati ◽  
Faisal Ali Abutaleb ◽  
...  

Aims: The current study aimed to identify the prevalence of impaired awareness of hypoglycemia (IAH) in the Kingdom of Saudi Arabia. Also, it aimed to determine the risk factors for IAH. Methods: This is an analytical cross-sectional study that was conducted through a survey that targeted patients with diabetes mellitus (DM) in Saudi Arabia. The study was conducted from July 10th. 2020 to October 10th. 2020. Results: The authors got responses from 1080 patients. The mean age was 55.5 years and the mean duration of DM was 11 years. Three hundred and sixty (33.3%) responders stated that they developed symptoms of hypoglycemia, of them, 60 (16.7%) patients developed symptoms weekly, and 60 (16.7%) patients developed symptoms twice weekly.The prevalence of IAH in the sample was 14.8 % (Gold method), and 20%(Pearson method). Our results showed that the prevalence of IAH was higher among patients who were over 65 years of age, female gender, who had DM for over 15 years, and those who did not attend schools. Conclusion: The problem of IAH is a significant disorder in diabetic patients in the Kingdom of Saudi Arabia. The current study showed that the prevalence of IAH was ranging from 14.8% to 20%.


Author(s):  
Behrouz Talaei ◽  
Golaleh Asghari ◽  
Parvin Mirmiran ◽  
Fereidoun Azizi ◽  
Shohreh Bahreini

Background: Considering that herbal medicines are commonly used for treatment or management of type 2 diabetes, the aim of this study was to determine the knowledge, attitude, and practice (KAP) of patients with diabetes regarding herbal products. Methods: A cross-sectional study was conducted on 421 patients with diabetes who referred to  the Iran Diabetes Association in Tehran, Iran in 2014. The KAP of participants on herbal products were determined by a pre-designed questionnaire containing close ended questions. Results: The participnats' age Mean ± SD was 38.0 ± 20.6 years. Of 421 participants, 163 used some type of herbal products during the past year for controlling diabetes. Of these patients, 40 to 60% did not have knowledge about the possibility and desirability of using herbs along with or instead of the anti-diabetic chemical drugs. However, 71% of patients believed that they could not use herbal products without physician's prescription. Participants had a negative attitude towards using herbal products instead of conventional drugs, especially without the physician's prescription (40–60% of patients). Among users of herbal products, 53.0% believed that these products caused no side effects. One-third of patients used herbal products at least once a month for controlling or treating their disease. Most participnats (64.4%) informed their physiciens about consumingherbal drugs and 15.8% had self-prescribed use of these herbal products. Conclusion: Our findings indicated that nearly a third of patients with diabetes used herbal remedies and most of them considered these products safe. However, more than half of the patients informed their physician about using herbal medicines.


2021 ◽  
Author(s):  
Md. Shahed Morshed ◽  
Abdullah Al Mosabbir ◽  
Mohammad Sorowar Hossain

AbstractThe current coronavirus disease 2019 (COVID-19) outbreak was reported to cause significantly higher mortality and morbidity among patients with diabetes mellitus (DM). Although Bangladesh is amongst the top 10 countries with diabetic people, data on these patients with COVID-19 is scarce from this region. This study aimed to illustrate the clinical features and outcomes of hospitalized patients with COVID-19 and DM in Bangladesh while comparing survivors and deceased.This retrospective cross-sectional study was conducted among RT-PCR confirmed COVID-19 patients with pre-existing Diabetes Mellitus in a specialized COVID-19 hospital in Bangladesh. Data from hospital records were analyzed.Among 921 RT-PCR confirmed COVID-19 admitted during the study period, 231 (∼25%) patients with pre-existing DM (median age 60 years) were included in the analysis. The death rate among all hospitalized patients (with and without DM) was 2.8% compared to 11.3% among diabetic patients. The median hospital stay was 13 days (IQR 10.5, 17.0) for survivors and five days (IQR 2.0-8.3) for the deceased. The clinical features were not significantly different between survivors and the deceased. However, deceased patients had significantly lower blood oxygen level (85% vs 93%, p <0.001), and higher neutrophil-lymphocyte ratio (7.9 vs 4.5, p 0.003) and serum ferritin (946.0 vs 425.0 ng/ml, p 0.03). Glycemic status was poor in both groups.This study would help identify a subgroup of diabetic patients with COVID-19 who are at higher risk of in-hospital death and improve clinical decision making.


2008 ◽  
Vol 21 (1) ◽  
pp. 84-88 ◽  
Author(s):  
Francisca Aline Arrais Sampaio ◽  
Renata Pereira de Melo ◽  
Isaura Letícia Tavares Palmeira Rolim ◽  
Ricardo Costa de Siqueira ◽  
Lorena Barbosa Ximenes ◽  
...  

OBJECTIVE: To evaluate the health promotion behavior of diabetic patients in agreement with the indicators of the Nursing Outcome Classification (NOC). METHODS: A cross-sectional study was performed with 84 diabetic patients followed in a Basic Health Unit, using the NOC scale for health promotion behavior. RESULTS: Among the appraised indicators, the use of social support for health promotion and the development of health behaviors presented median < 2. The health promotion behavior presented median = 3. CONCLUSION: Diabetic patients present limitations to the practice of health promotion behavior.


2012 ◽  
Vol 1 (2) ◽  
pp. 33-37
Author(s):  
Shakeel Ahmad ◽  
Dr. Mohammad Sohail Rafi ◽  
Iqbal Ahmed Siddiqui ◽  
Khurram Hamidi ◽  
Nabiha Mujahid Faruq

OBJECTIVE To find out adhesive capsulitis patients in diabetes mellitus patients. STUDY DESIGN Cross-sectional study. STUDY SETTINGS & PARTICIPANTS Patients with diabetes mellitus from Ziauddin university hospital Clifton Karachi were included. 325 diabetic patients in which 81 patients were diagnosed with adhesive capsulitis. SAMPLE SIZE A Sample size of 325 patients was selected. SUBJECTS 170 men and 155 women aged between 40 to 79 years were selected. RESULT Frequency of shoulder adhesive capsulitis was 24.9% among diabetic subjects. CONCLUSION Adhesive capsulitis are under recognized in adult diabetic patients occurring in 18% of the cases. Physicians should consider examining the periarticular region of the joints in the hands and shoulders whenever a diabetic patient presents with musculoskeletal symptoms.


2021 ◽  
Author(s):  
Amir masood Rafie manzelat ◽  
Farzaneh Dehghanian Nasrabadi ◽  
Ebrahim jafarzadehpour ◽  
Alireza Peyman‎

Abstract Objective: We conducted the present work to evaluate cornea biomechanics, using Corvis-‎ST device parameters amongst patients with diabetes mellitus‎.Methods: In this cross-sectional study, 62 type II diabetic patients and 28 non-diabetic individuals were recruited. Following slit-lamp examination, the participants were further assessed and compared with Corvis-ST device (OCULUS Germany) in order to evaluate the cornea biomechanical response.‎Result: The Applanation 2 Velocity variable was significantly different between ‎the diabetic and non-diabetic patients (-0.3±0.04, respectively) (P value=0.02). ‎Conclusion: This study revealed an increased corneal biomechanical strength amongst diabetic patients.


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