scholarly journals Psychological health of caregivers of individuals with type 2 diabetes mellitus: A cross-sectional comparative study

2015 ◽  
Vol 03 (02) ◽  
pp. 095-101 ◽  
Author(s):  
Pankaj Jorwal ◽  
Rohit Verma ◽  
Yatan Balhara
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Psychological Health ◽  
Well Being ◽  
Anxiety And Depression ◽  
Intergroup Comparison ◽  
Multiple Variables

Abstract Introduction: The quality-of-life in individuals with diabetes is also dependent upon the quality of family relationships and general well-being of caregivers because the patient depends on them to uphold in the community. Only limited studies have assessed the psychological health of caregivers to individuals with diabetes. Aims and Objective: The current study aims at comparison of depression and anxiety levels among patients with diabetes and their caregivers. Materials and Methods: Fifty consecutive patients-care giver dyads of subjects having type 2 diabetes were recruited at an out-patient clinic of medicine at a tertiary care center. The dyads were assessed using a semi-structured proforma for the socio-demographic details and for anxiety and depression levels using the Hospital Anxiety and Depression Scale (HADS). The data were analyzed using SPSS version 17.0. Correlation analysis was performed for multiple variables including blood glucose profile. Results: The mean duration of illness (4.93 ΁ 3.53 years) and blood glucose parameters were not found to be associated to depressive or anxiety symptoms. Depressive and anxiety disorder was observed in 24% and 44% of patients and 10% and 18% of caregivers, respectively. Patients had significantly more HADS anxiety (HADS-A) scale scores than caregivers but not for HADS depression (HADS-D) scale. Female patients were found to be having more HADS-D scores than male patients (P = 0.02), but were not significantly different from caregivers. HADS-A scores were comparable among male and female gender in intragroup as well as intergroup comparison for patient and caregiver groups. Conclusion: Diabetes mellitus affects the psychological health of not only the patients but as well as the family caregivers and patients tend to be more anxious than the caregivers. Furthermore, it was seen that women with diabetes had higher rates of depression than their male counterparts.

scholarly journals Quality of Life and Associated Factors among Primary Care Asian Patients with Type 2 Diabetes Mellitus

2019 ◽  
Vol 16 (19) ◽  
pp. 3561 ◽  
Author(s):  
Hardesh Dhillon ◽  
Rusli Bin Nordin ◽  
Amutha Ramadas
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Well Being ◽  
Care Clinic

Diabetes complications, medication adherence, and psychosocial well-being have been associated with quality of life (QOL) among several Western and Asian populations with diabetes, however, there is little evidence substantiating these relationships among Malaysia’s unique and diverse population. Therefore, a cross-sectional study was conducted in a Malaysian public primary care clinic among 150 patients diagnosed with type 2 diabetes mellitus (T2DM). Structured and validated questionnaires were used to investigate the associations between demographic, clinical, and psychological factors with QOL of the study participants. Approximately three-quarters of patients had a good-excellent QOL. Diabetes-related variables that were significantly associated with poor QOL scores included insulin containing treatment regimens, poor glycemic control, inactive lifestyle, retinopathy, neuropathy, abnormal psychosocial well-being, higher diabetes complication severity, and nonadherence (p < 0.05). The main predictors of a good-excellent QOL were HbA1c ≤ 6.5% (aOR = 20.78, 95% CI = 2.5175.9, p = 0.005), normal anxiety levels (aOR = 5.73, 95% CI = 1.8–18.5, p = 0.004), medication adherence (aOR = 3.35, 95% CI = 1.3–8.7, p = 0.012), and an aDCSI score of one and two as compared to those greater than or equal to four (aOR = 7.78, 95% CI = 1.5–39.2, p = 0.013 and aOR = 8.23, 95% CI = 2.1–32.8, p = 0.003), respectively. Medication adherence has also been found to be an effect modifier of relationships between HbA1c, depression, anxiety, disease severity, and QOL. These predictors of QOL are important factors to consider when managing patients with T2DM.

Association between a guided meditation practice, sleep and psychological well-being in type 2 diabetes mellitus patients

2018 ◽  
Vol 15 (4) ◽  
Author(s):  
Mathew P Varghese ◽  
Ragavendrasamy Balakrishnan ◽  
Subramanya Pailoor
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Perceived Stress ◽  
Anxiety And Depression ◽  
Self Awareness ◽  
Meditation Practice

Abstract Background Type 2 diabetes mellitus [T2DM] is one of the leading causes for mortality. This study examined the role of an self-awareness based guided meditation practice, Cyclic Meditation [CM] on perceived stress, anxiety, depression, sleep and quality of life in T2DM patients. Design A single arm pre-post design was used for the study. Setting The study was conducted in an auditorium for general public diagnosed with T2DM in Ernakulam, Kerala, India. Subjects Subjects were 30 T2DM patients, both male and female of age 50.12 ± 11.15 years and BMI 25.14 ± 4.37 Kg/m2 and not having a history of hospitalisation were randomly recruited for the study following advertisements in national dailies. Intervention Participants completed a supervised CM programs in the evenings, 5 days a week for 4 weeks, in addition to their regular medication. Measures Perceived stress, anxiety and depression were assessed with Perceived Stress Scale, State Anxiety Inventory and Beck’s depression inventory, respectively. Sleep and quality of life were assessed with Pittsburgh Sleep Quality Index and WHO-Quality of Life – BREF respectively. Analysis Changes in the outcome measures from baseline to 4 weeks were compared using paired “t” test. Results After 4 weeks, the quality of life and sleep scores increased 7.1% [p = 0.001] and 32.7% [p = 0.001], respectively. The perceived stress, anxiety and depression reduced 26.1% [p = 0.001], 16.01% [p = 0.003] and 37.63% [p = 0.006] as compared to their baseline reports. The CM practice also reduced daytime dysfunction. Conclusions A guided self-awareness based meditation program was safe and effective in improving depression, anxiety, perceived stress and enhance sleep and quality of life in T2DM patients, which could be helpful in reducing the future complications of T2DM. Mind management is essential along with medical management to achieve better clinical results.

scholarly journals Pengaruh Jalan Sehat terhadap Kualitas Hidup Penderita Diabetes Mellitus Tipe 2 di Puskesmas

2018 ◽  
Vol 11 (1) ◽  
pp. 1
Author(s):  
Ihsan Taufiq
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Psychological Health ◽  
Control Group ◽  
Test Design ◽  
Post Test

<p><strong><em>Background:</em></strong><em> </em><em>Diabetes Mellitus (DM) causes a decrease in quality of life in all domains. The most often overlooked cause of DM patients is not carrying out physical activity regularly. </em><strong><em>Purpose:</em></strong><em> </em><em>The purpose of this study was to determine the effect of healthy pathways on the quality of life of type 2 D</em><em>M</em><em> patients in the Health Center in Kotabumi North Lampung in 2017.</em><em> </em><strong><em>Methods:</em></strong><em> </em><em>This study used quasi-experimental pre-post test design with a control group. The number of samples consisted of treatment groups and control groups, each group of 22 respondents. The treatment group was the respondents who carried out healthy walks of intervention, then measured the quality of life of patients with type 2 diabetes mellitus, while the control group did not carry out healthy walking activities. Data analysis uses t test dependent. </em><strong><em>Results:</em></strong><em> </em><em>The results showed that there was an effect of healthy pathways on the quality of life of patients with type 2 diabetes mellitus in the health centers in Kotabumi, North Lampung (p = 0.007). <strong>Conclusions</strong></em><strong><em>:</em></strong><em> Healthy paths improve the quality of life for patients with type 2 diabetes, including aspects of physical health, psychological health, social and environmental relations. </em></p><p><strong>Latar Belakang:</strong> Penyakit Diabetes Mellitus (DM) menyebabkan penurunan kualitas hidup disemua domain. Penyebab yang paling sering diabaikan penderita DM adalah tidak melaksanakan aktivitas fisik secara teratur. <strong>Tujuan: </strong>Tujuan penelitian ini untuk mengetahui pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara Tahun 2017. <strong>Metode:</strong> Penelitian ini menggunakan <em>kuasi eksperimen pre post test design </em> dengan kelompok kontrol. Jumlah sampel terdiri atas kelompok perlakuan dan kelompok kontrol masing-masing kelompok 22 responden. Kelompok perlakuan adalah responden yang dilakukan intervensi jalan sehat, kemudian dilakukan pengukuran kualitas hidup penderita DM tipe 2, sedangkan kelompok kontrol tidak melakukan kegiatan jalan sehat. Analisis data menggunakan <em>t </em><em>test dependent</em>. <strong>Hasil:</strong> Hasil penelitian menunjukkan terdapat pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara (p=0,007). <strong>Simpulan:</strong> Jalan sehat meningkatkan kualitas hidup penderita DM tipe 2 meliputi aspek kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan.</p>

scholarly journals Instruments for Disease-Specific Quality-of-Life Measurement in Patients with Type 2 Diabetes Mellitus - A Systematic Review / Инструменты Для Оценки Специфического Качества Жизни Пациентов, Больных Сахарным Диабетом Типа 2

Folia Medica ◽  
2013 ◽  
Vol 55 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Boryana A. Levterova ◽  
Donka D. Dimitrova ◽  
Georgi E. Levterov ◽  
Elena A. Dragova
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Well Being ◽  
Subjective Perception ◽  
Diabetic Patients ◽  
Disease Specific

Abstract Diabetes mellitus is a disease which carries a considerable social impact in Bulgaria and across the world because of its high prevalence. Research literature has recently included lots of studies investigating the effects of diabetes mellitus on the quality of life of diabetic patients and also many instruments to assess these effects. Quality of life is a concept that encompasses an individual‘s subjective perception of physical, emotional and social wellbeing, including both a cognitive component (satisfaction) and an emotional component (happiness). We review and analyse in the present article major determinants of disease-specific quality of life in patients with type 2 diabetes mellitus and the tools used for assessment. RESULTS: Fourteen instruments for measuring quality of life in type 2 diabetes mellitus (T2DM) met our search criteria. Their contents covered different quality-of-life domains or indicators - typical diabetes symptoms, general health and quality of life, personality traits, physical functioning, mental and social well-being, treatment and quality of life. Most of the disease-specific tools had been field tested and data about their reliability and validity have been reported. Few tools had been subjected to formal assessment of their adaptability to changes. CONCLUSIONS: Of the instruments we assessed the most promising approaches for measuring the diabetes-specific quality of life are offered by ADDQoL, DСP and WBQ. Patients were involved in the development of these tools which have been shown by a number of studies to have good internal reliability, external and construct validity. Efforts are being continually made worldwide to develop a standard ensuring valid, reliable, easy to use tool for assessing quality of life in patients with type 2 diabetes mellitus in order to promote patients integration into society.

scholarly journals Illness Perception and Quality of Life in Type 2 Diabetes Mellitus Patients in Lampung, Indonesia

2018 ◽  
Vol 10 (7) ◽  
pp. 136
Author(s):  
Hasanul K. Al-Kayyis ◽  
Dyah A. Perwitasari
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Short Form ◽  
Illness Perception ◽  
Well Being ◽  
Sf 36

AIMS: The aim of this study was to determine the correlation between illness perception and QoL in Type 2 Diabetes Mellitus (T2DM) patients.MATERIAL & METHODS: We used cross-sectional design. The subjects were recruited from the Pringsewu Government Hospital in Lampung, Indonesia, and underwent T2DM treatment from May-July 2016. The subjects have met the inclusion and exclusion criteria. The inclusion criteria were patients age 15-65 with a diagnosis of T2DM with complications for more than 3 months prior and who consented to participate in the study. Participants used the self-reported questionnaire BIPQ (Brief Illness Perception Questionnaire) to measure illness perception and the SF-36 (Short Form-36) questionnaire to measure QoL. Statistical analysis used in this study were Pearson correlation and multivariate linear regression to test between illness perception and quality of life (QoL) domains. The correlation between variable were statistically significant if p value < 0.05.RESULTS: The domain of treatment management had the highest score among all BIPQ domains (mean: 8.55; SD: 1.99). Emotional well-being had the highest scores among the SF-36 domains (mean: 72.69; SD: 17.33). The energy domain in QoL was significantly predicted by consequence, personal management, and identity in the BIPQ illness perception components (p <0.0001). Moreover, the role limitation component was significantly predicted by emotional response, coherence and random blood glucose levels (p <0.0001).CONCLUSIONS: This study significantly showed weak positive correlations between illness perception and QoL in T2DM patients. An education strategy aimed at changing these negative emotional responses to improve patients’ role limitations due to emotional function should be considered.

scholarly journals Assessment of health-related quality of life among adult patients with type 2 diabetes mellitus

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Kosana Stanetić ◽  
Maja Račić ◽  
Vesna Kević
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Status ◽  
Psychological Health ◽  
Living Environment ◽  
The Mean

Introduction.The aim of the study was to find out the determinants of thequality of life in primary health care patients with type 2 diabetes.Methods. The cross-sectional study included 181 patients, aged 37 to 89 years,with diabetes mellitus type 2, registered with four family medicine practices.The assessment of health status was conducted using medical history, objectiveexamination, laboratory analyses, dilated eye exam, screening for distalsymmetric neuropathy and ankle-brachial index measurement. In evaluatingthe impact of diabetes mellitus on patients’ health status, a generic instrument,the self-administered WHOQOL-BREF questionnaire, was used. Multivariatelinear regression models were used to analyze the variables associated withthe quality of life.Results. Out of 181 adult patients with type 2 diabetes mellitus, 73 (40.3%)had diabetes for less than 5 years. The mean glycated hemoglobin (A1C) was7.55% and the mean serum levels of fasting glucose, total cholesterol, LDL-cholesterol,HDL-cholesterol and triglycerides were above the recommendedvalues. Most of the patients had comorbidities, chronic diabetes complicationsand used oral hypoglycemic agents in combination with insulin. Themultivariate regression analysis showed that the age, psychological health,nephropathy and environment were associated with the domain of physicalhealth. The determinants of psychological health were age, marital statusand environment. Older and single patients had lower scores, whereas thosewith a better living environment had higher scores in the domain of socialrelationship. The levels of glycemic control and gender have not been shownto be significant determinants of any of the four domains.Conclusion. The factors associated with the different domains of quality oflife in patients with type 2 diabetes are multiple, but mainly relate to age,living environment and diabetes complications. The results can be used as aguideline for defining measures that can improve the quality of life of patientswith type 2 diabetes

scholarly journals Life style and quality of life in patients with metabolic syndrome and diabetes type 2

Duazary ◽  
2019 ◽  
Vol 16 (3) ◽  
pp. 25-39
Author(s):  
Yenny Alexandra Granados-Vidal ◽  
Sandra Jimena Jácome-Velasco ◽  
Aura Paternina-De la Ossa ◽  
Brigid Galvis-Fernández ◽  
Andres Villaquiran-Hurtado
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Metabolic Syndrome ◽  
Type 2 Diabetes Mellitus ◽  
Well Being ◽  
Lifestyle Changes ◽  
Waist Hip Ratio

 The objective of the study was to determine the lifestyle and quality of life in type 2 diabetes mellitus and metabolic syndrome patients in the city of Popayán. A descriptive cross-sectional study was carried out with 81 patients with metabolic syndrome and type 2 diabetes mellitus diagnoses. EUROQOL questionnaires of 5 Dimensions-3 Levels were applied, as well as the IMEVID test, in order to evaluate the quality of life and lifestyle of each group of patients. Anthropometric measures were also taken, such as Body Mass Index, Waist-Hip Ratio and skinfolds. Regarding the results, 33.33% of the participants were between 61 and 70 years of age 56.8% presented moderate pain problems/discomfort, 61.7% presented an unhealthy lifestyle and obtained variable relationships such as: waist-hip ratio - glycemia (p = 0.021, r = -0.257), body density - triglycerides (p = 0.018, r = 0.263), age and mobility EUROQOL (p = 0.001, r = 0.350). In conclusion, lifestyle changes are one of the pillars to control metabolic syndrome and type 2 diabetes mellitus. Evaluating the quality of life also makes it possible to understand how compromised patients’ abilities are, in order to create relevant strategies and actions that seek their well-being.

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