Stigmata of complications on the quality of life of type 2 diabetic patients

Authors

  • Babulal Meena Department of of Medicine, SPMC, Bikaner, Rajasthan
  • Deepak Kumar Department of of Medicine, SPMC, Bikaner, Rajasthan
  • Veer Bahadur Singh Department of of Medicine, SPMC, Bikaner, Rajasthan
  • Sanjay Sharma Department of of Medicine, SPMC, Bikaner, Rajasthan
  • Subhash Chandra Department of of Medicine, SPMC, Bikaner, Rajasthan

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160043

Keywords:

Diabetes, Quality of life, Stigmata of complications

Abstract

Background: Diabetes is a chronic metabolic disorder the prevalence of which has continued to evolve with time. For such chronic illness where there is no permanent remedy, it is important to establish that therapy really makes people feel better. The purpose of the study was to analyze the quality of life (QOL) in a group of diabetic patients with or without complications and its impact on their day to day living.

Methods: 270 type 2 DM patients were enrolled for this retrospective done at S P Medical College Bikaner. Assessment of QOL was done with “The audit of diabetes dependent quality of life scale (ADDQoL).”  This composed of 19 domain specific items and their response options.

Results: All 19 parameter of QOL were found to be negatively impacted (-4.28 to -6.08) in DM patients. Most negatively impacted parameters were personal life, sexual life and physical work (-6.08, -5.57, -5.11 respectively).Widower patients had worst quality of life as compared to married patients. Modality of treatment had major impact on QOL with patient on insulin therapy having worse QOL as compared to other treatment modality.

Conclusions: Patients with DM not only have impairments in their physical functioning but have statistically significant impairment of all aspects of QOL. The stigmata of living with diabetes had influence on every aspect including physical, psychological and social aspects of QOL. Optimal glycaemic control will not only prevent the development of long standing complication but will also help in improving QOL and general wellbeing of the patients.

References

Plsek PE, Greenhalgh T. The challenge of complexity in health care. Br Med J. 2001;323:625-8.

Plsek Pe, Wilson T. Complexity, leadership, and management in healthcare organization. Br Med J. 2001;323:746-9.

Constitution of the WHO. In World Health Organization. Handbook of Basic Documents. 5th ed Geneva, Palais des Nations. 1952:3-20.

Polonsky WH, Dudl RJ, Peterson M, Steffian G, Less J, Hokai H. The PAID 2:a newly revised and expanded version of problem areas in diabetic scale in preparation.

Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes metabolism res rev. 1999;15(3):205-18.

Bradley C, Todd C, Gorton T, Symonds E, Martin A, Plowright R. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: The ADDQoL. Qual life res. 1999;8:79-91.

Bosseri SSA. Value of ADDQoL individualized diabetic specific quality of life questionnaire in determining the difficulty in coping with diabetes.18th international diabetes federation congress. 2003.

Wexler DJ, Grant RW, Wittenberg E, Bosch JL, Cagliero E, Delahanty L et al. Correlates of health related quality of life in typre2 DM. Diabetologia. 2006;49(7):1489-97.

Redekop WK, Koopmanschap MA, Stolk RP, Rutten GEHM, Wolffenbuttel BHR, Niessen LW. HRQoL and treatment satisfaction in dutch patient with type 2 DM patient. Diabetes care. 2002;25:458-63.

Coffey JT, Brandle M, Zhou H, Marriot D, Burke R, Tabaei BP et al. Valuing health related quality of life in diabetes. Diabetes care. 2002;25(12):2238-43.

Downloads

Published

2016-12-24

How to Cite

Meena, B., Kumar, D., Singh, V. B., Sharma, S., & Chandra, S. (2016). Stigmata of complications on the quality of life of type 2 diabetic patients. International Journal of Research in Medical Sciences, 4(1), 278–285. https://doi.org/10.18203/2320-6012.ijrms20160043

Issue

Section

Original Research Articles