Assessment of the impact of type 2 diabetes on the quality of life by Audit of Diabetes-Dependent Quality-of-Life (ADDQoL-19) (original) (raw)
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A Cross-Sectional Study to Assess the Quality of Life in Patients with Type 2 Diabetes Mellitus
Innovative Publication, 2016
Introduction: Type 2 diabetes mellitus is a chronic disorder that affects the Quality of Life (QoL) of patients. The objective of the present study is to assess the health related Quality of Life of patients with type 2 diabetes mellitus. Method: This was a cross-sectional study of 140 type 2 diabetes mellitus patients, attending the diabetic clinic of a Tertiary care centre in Rajasthan, North India. Patients with type 2 diabetes mellitus between the age group of 25-75 were included in the study and data was collected using pre-designed questionnaire. The Qol of patients were assessed using SF 36V2 questionnaire along with the socio-demographic profile. The data was analysed using appropriate descriptive and inferential statistics using SPSS. Result: The mean age of subjects was 56±11.6 years and the mean duration of diabetes mellitus was 10.9±8.3 years. 47.9% of patients were overweight and 20.7% were obese. The mean HbA1c (glycosylated haemoglobin) was 8.3±1.5%. The patients with type 2 diabetes had significantly lower scores in all domains of QoL. Males had higher QoL scores than females and the difference was found to be statistically significant (p<0.05). Conclusion: This study finding indicates that QoL of patients with type 2 diabetes mellitus is relatively poor. Diabetes mellitus significantly affects the QoL especially in females. Therefore much attention must be paid to identify and implement measures for achieving better management of diabetes mellitus and ultimately improving the QoL of patients with type 2 diabetes mellitus.
Brazilian Journal of Pharmaceutical Sciences, 2018
Diabetic complications, comorbidities, and cost of treatment affect the quality of life (QoL) of an individual. The QoL assessment is considered an important measure of outcome in chronic disease management. The objective of our study was to assess the quality of life in Type II diabetes mellitus patients with and without complications using the modified diabetes quality of life (MDQoL)-17. A prospective descriptive study was conducted over 6 months, after taking ethical committee approval. As per the inclusion criteria from medicine wards of tertiary care hospital, 250 patients were selected. Demographic characteristics were documented in the data collection form and the patients were administered with the MDQoL questionnaire in different languages. The data was analyzed using IBM SPSS version 20. Majority of the patients were male (64.4%). The average age of the study population was 60.34±12.04 years. Most of the patients had a diabetes history of more than 10 years and HbA1c > 8%. The average QoL score was 65.47±15.07. Majority of the diabetic patients had the QoL score between 70 and 50. Patients without complication had a better QoL. As the number of complications increased, there was a decrease in the QoL. The presence of comorbidity also decreased the QoL. There was a statistically significant correlation with various parameters such as age, duration of diabetes history, HbA1c, number of complications and type of complication verses QoL of diabetic patients (p<0.05). The overall QoL in diabetic patients is reduced. Thus, proper management and strict glycemic control is necessary to prevent progression and occurrence of complications to maintain a better QoL in diabetes patients.
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2020
The purpose of the paper was to perform a comparative analysis of the impact of T2DM on QoL, including specific ADDQoL domains and associations between QoL, selected socio-demographic factors (including gender, age, education, residence, marital status, professional activity) or clinical parameters (HbA1c levels, fasting blood glucose, BMI, duration of DM, complications, treatment used), in adult diabetic patients from Poland, the Czech Republic and Slovakia. The study group included 608 patients diagnosed with T2DM. There were 214 patients from Poland, 196 from the Czech Republic and 198 from Slovakia. Results: Overall, respondents from all three countries rated their QoL as good or very good. The mean scores for the item "If I did not have diabetes, my quality of life would be" were slightly higher for Poles than for Slovaks and Czechs. In the ADDQoL results, the weighted impact scores were negative for all domains. The lowest scores in all three countries were found for "freedom to eat" for all patients; the highest for "living conditions". For Polish patients, the linear regression model demonstrated the following significant AWI predictors: pre-university education and past smoking. For Czech patients, the linear regression model demonstrated that none of the characteristics analyzed were significant independent predictors of AWI. In the For Slovak patients, the linear regression model demonstrated the following significant AWI predictors: higher education and concurrent heart failure. Conclusion: In summary, our findings demonstrate that T2DM has a negative impact on all aspects of patients' QoL, which is the strongest in terms of the freedom to eat and dietary habits, regardless of the country. Education, past smoking, and concurrent heart failure were the only independent predictors of QoL in our study. This suggests a need for further research that would include more variables and a larger number of patients.
Quality Of Life of Patients with Type 2 Diabetes
IOSR Journals , 2019
Introduction: Quality of life is important for people with diabetes and their healthcare providers for several reasons. This is because many people who suffer from diabetes and who have poor quality of life, often have less attention to their self-care and disease management. When self-care is diminished in diabetes, it in turn leads to poor glycemic control and increased risk of complications. Thus, quality of life issues are crucially important because they may powerfully predict an individual’s capacity to manage his/her disease and maintain long term health and wellbeing.Aim:To assess the HRQOL among Type 2 Diabetic subjects in Visakhapatnam district of Andhra Pradeshstate so as to study the correlation between demographic characters of T2DM subjects with various domains of HRQOL and to contribute to the existing epidemiological data of the country. Methods: After obtaining approval from the IEC and valid informed consent, the patients were recruited into the study. A cross-sectional descriptive questionnaire-based study was conducted amongstT2DM subjects. The study was carried out in 454 subjects who were chosen from outpatient / in patient departments in hospitals/clinics from Visakhapatnam of Andhra Pradesh state. Results: Our results suggest that complications had a negative impact on the following fields of QOL: role limitation due to physical health, physical endurance, general health, symptom botherness, treatment satisfaction, financial worries, emotional / mental health and diet satisfaction.Conclusion:Diabetes does impair the QoL of patients. There is a need to specifically target and improve the QoL of diabetics who are at risk of a poor QoL. QoL assessment should be routinely practiced in diabetic clinics.
Investigating Diabetes Mellittus Impact on Various Aspects of Patients’ Quality of Life
Studies in Health Technology and Informatics
The aim of the study was to evaluate the quality of life (QoL) of patients with diabetes mellitus (DM) Methods: A cross-sectional study was conducted using the Audit of Diabetes-Depended Quality of Life (ADDQoL) questionnaire. The study included adult patients with diabetes mellitus type 1 (DM 1) or type 2 (DM 2). Results: A total of 253 patients were enrolled in the study. Despite the fact that the majority of participants stated a good QoL, DM has a negative impact on all 19 domains of ADDQoL. The greater negative impact referred to the domain “freedom to eat”. There was no relation between overall score of QoL and age, gender or type of DM. On the contrary, we found statistically significant relation between age, gender, type of DM, presence of comorbidities and specific domains of Qol. Conclusions: Our findings, which are in accordance with the literature, highlight the great negative impact of DM on QoL of diabetics and they could be used by health professionals and policy make...
Factors Affecting The Quality of Life of Diabetes Mellitus Type 2 Patients: Literature Review
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)
Objectives: Patients with type 2 diabetes mellitus (T2DM) had experienced physical and psychological complications that affect their daily life, and contribute to poor the quality of life. This study aims to determine the factors that affect the quality of life of people withT2DM based on the SF-36 questionnaire, to improve the factors that can be changed to improve the quality of life of people with T2DM. Methods: This literature review search from 3 databases used including google scholar, PubMed, and the garuda portal with the year of publication of the article in 2015-2021. Some of the literature states similar factors that affect the quality of life of people with T2DM.. Results: Factors that affect the quality of life of people with T2DM, include age, gender, education, complications, and duration of diabetes. Influence is given aspect or the overall value of quality of life Conclusion: The education factor can be improved with the intervention given by peers, so that they can...
Evaluation of quality of life among type 2 diabetes patients
International Journal of Community Medicine and Public Health, 2016
Type 2 diabetes is a chronic illness associated with high rates of comorbidity and mortality. 1 Diabetes is a serious health problem worldwide with increasing number of patients at risk for complications related to diabetes. 2 The prevalence of diabetes is rising due to the changes in lifestyle. 3-5 Type 2 diabetes was the fourth leading cause of death globally based on the report by the International Diabetes Federation. 6 Due to the high prevalence and complications, diabetes is a serious health problem in the Middle East and Persian Golf regions. 7,8 It is more alarming in developing Asian countries. In Asia, the rise in prevalence of type 2 diabetes is even more distressing with increased occurrence among young adults. 9 People in Asia are extremely at risk of diabetes. Compared to western counterparts, due to the changes in the life style pattern and white rice intake. 10 Almost 2 million adults of the Iranian people have diabetes and has been indicated that the incidence to be 7.3%-7.7% among people over the age of 30 years. 11,12
2005
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National Journal of Community Medicine, 2019
"Introduction: Type 2 DM is a major public health problem in both developing and developed countries. Diabetes and its complications are leading cause for morbidity and mortality, which negatively affects the quality of life. So we conducted this study to as-sess the QOL of known type 2 diabetics & to understand the asso-ciation of BMI, Waist circumference, Blood pressure and HbA1c levels with QOL. Materials & Methodology: It’s a cross-sectional study done in urban slums, using WHOQOL – BREF scale to assess the QOL, semi – structured questionnaire to assess the socio – demographics; and height, weight, abdominal circumference and blood pressure were measured. HbA1C levels was measured using single use HbA1C Now+ kit. Results: Majority of the study participants were in the age group of 30 – 40 yrs (36.7%). 56% of the study participants were overweight and obese. Hypertension was seen in ≈28%. 12% of them had HbA1c levels >8%. Mean score for QOL in Physical domain was 50.5, Environmental was 50.0, Psychological was 47.0 and Social was 45.8. Factors like depression and HbA1c levels influenced QOL negatively. Perceived QOL was better in males than females, whereas females had better overall QOL domain scores. Conclusion: Low QOL poses one of the major risks in management of Type 2 Diabetes Mellitus. Our study showed half of the study population with poor QOL scores in all domains, which implicate the need for a better care of diabetics with life style modification."
Predictors of quality of life of patients with type 2 diabetes
Patient preference and adherence, 2008
Researchers have shown that patients with type 2 diabetes have a lower quality of life than the general population and also somewhat lower than patients with other chronic diseases. Thus one of the most important outcomes of treatment is optimizing the quality of life of the patient. This study examines the factors that most strongly influence the quality of life of patients with type 2 diabetes. 200 patients with type 2 diabetes were studied in Estonia in 2004-2005. A patient blood sample, taken during a visit to the family doctor, was collected. The family doctor also provided data on each patient's body mass index (BMI), blood pressure, and medications for treatment of type 2 diabetes. Patients completed a SF-36 during a doctor visit, and also a special questionnaire which we provided to study their awareness about diabetes type 2. The mean age of the respondents was 64.7 (+/-11.1) years and the mean duration of the diabetes was 7.5 (+/-1.8) years. Logistic regression analysi...