Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study

BACKGROUND: The life satisfaction of diabetes mellitus patients in association with the disease management attitudes and nutritional status have never been investigated yet in Pakistani administered Azad Jammu & Kashmir. AIM: The purpose of this study is to analyze the patient satisfaction...

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Autores principales:	Aisha Jalil, Ahmed Usman, Sobia Akram, Nazish Zulfiqar, Wajeeha Arshad
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2020
Materias:	life satisfaction diabetes mellitus disease management nutritional status dietary habits azad kashmir Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/1c3de856b8ce4c128ca935c14e878bb3
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spelling	oai:doaj.org-article:1c3de856b8ce4c128ca935c14e878bb32021-11-14T09:00:22ZLife satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study2072-03512072-037810.14341/DM10154https://doaj.org/article/1c3de856b8ce4c128ca935c14e878bb32020-04-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/10154https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378BACKGROUND: The life satisfaction of diabetes mellitus patients in association with the disease management attitudes and nutritional status have never been investigated yet in Pakistani administered Azad Jammu & Kashmir. AIM: The purpose of this study is to analyze the patient satisfaction about life with diabetes mellitus in association with disease management and nutritional status. METHODS: A cross sectional survey was conducted among 496 patients in DHQ hospital, Mirpur Azad Jammu & Kashmir. The questionnaire comprised of two sections: 1) Diabetes Attitude Scale (DAS-3); 2) Patient profile, DM history, nutritional status and dietary habits. The findings are generated by binary logistic regression and multivariate regression analyses. RESULTS: Overall, 64% of the patients interviewed reported dissatisfaction with their life with DM. Majority of the patients were females (66%), BMI value above 25.0 (56%). Gender male (AOR=1.82; 95%CI=1.15-2.88) and low income (AOR=3.16; 95%CI= 1.13-8.80) and middle income (AOR=4.70; 95%CI=1.52-15.5) were significantly associated with life dissatisfaction. There was higher likelihood of life dissatisfaction among patients with low food intake (AOR=1.82; 95%CI= 1.20-2.76); patients’ belief on: no need of taking insulin to treat their diabetes have a mild disease (AOR=1.56; 95%CI= 1.01-2.41); not much use in trying to have good blood sugar control because complications of diabetes happen anyway (AOR= 1.63; 95%CI= 1.18-2.23); emotional effects of diabetes are small (AOR=1.47; 95%CI= 1.02-2.14); decisions regarding daily diabetes care should be made by the patient (AOR= 2.15; 95%CI= 1.19-3.88). CONCLUSION: Findings implied the need of organizing counselling sessions for DM patients that promote regular physical activity to improve health and disease management. The consultation and regular visits of a nutritionist may help the patients in achieving better health outcomes.Aisha JalilAhmed UsmanSobia AkramNazish ZulfiqarWajeeha ArshadEndocrinology Research Centrearticlelife satisfactiondiabetes mellitusdisease managementnutritional statusdietary habitsazad kashmirNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 1, Pp 46-55 (2020)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	life satisfaction diabetes mellitus disease management nutritional status dietary habits azad kashmir Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	life satisfaction diabetes mellitus disease management nutritional status dietary habits azad kashmir Nutritional diseases. Deficiency diseases RC620-627 Aisha Jalil Ahmed Usman Sobia Akram Nazish Zulfiqar Wajeeha Arshad Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
description	BACKGROUND: The life satisfaction of diabetes mellitus patients in association with the disease management attitudes and nutritional status have never been investigated yet in Pakistani administered Azad Jammu & Kashmir. AIM: The purpose of this study is to analyze the patient satisfaction about life with diabetes mellitus in association with disease management and nutritional status. METHODS: A cross sectional survey was conducted among 496 patients in DHQ hospital, Mirpur Azad Jammu & Kashmir. The questionnaire comprised of two sections: 1) Diabetes Attitude Scale (DAS-3); 2) Patient profile, DM history, nutritional status and dietary habits. The findings are generated by binary logistic regression and multivariate regression analyses. RESULTS: Overall, 64% of the patients interviewed reported dissatisfaction with their life with DM. Majority of the patients were females (66%), BMI value above 25.0 (56%). Gender male (AOR=1.82; 95%CI=1.15-2.88) and low income (AOR=3.16; 95%CI= 1.13-8.80) and middle income (AOR=4.70; 95%CI=1.52-15.5) were significantly associated with life dissatisfaction. There was higher likelihood of life dissatisfaction among patients with low food intake (AOR=1.82; 95%CI= 1.20-2.76); patients’ belief on: no need of taking insulin to treat their diabetes have a mild disease (AOR=1.56; 95%CI= 1.01-2.41); not much use in trying to have good blood sugar control because complications of diabetes happen anyway (AOR= 1.63; 95%CI= 1.18-2.23); emotional effects of diabetes are small (AOR=1.47; 95%CI= 1.02-2.14); decisions regarding daily diabetes care should be made by the patient (AOR= 2.15; 95%CI= 1.19-3.88). CONCLUSION: Findings implied the need of organizing counselling sessions for DM patients that promote regular physical activity to improve health and disease management. The consultation and regular visits of a nutritionist may help the patients in achieving better health outcomes.
format	article
author	Aisha Jalil Ahmed Usman Sobia Akram Nazish Zulfiqar Wajeeha Arshad
author_facet	Aisha Jalil Ahmed Usman Sobia Akram Nazish Zulfiqar Wajeeha Arshad
author_sort	Aisha Jalil
title	Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
title_short	Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
title_full	Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
title_fullStr	Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
title_full_unstemmed	Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study
title_sort	life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in azad kashmir, pakistan: a hospital based cross-sectional study
publisher	Endocrinology Research Centre
publishDate	2020
url	https://doaj.org/article/1c3de856b8ce4c128ca935c14e878bb3
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Life satisfaction, disease management attitudes and nutritional status of diabetes mellitus patients in Azad Kashmir, Pakistan: a hospital based cross-sectional study

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