Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India

Background: Diabetes mellitus (DM) causes serious deterioration in general quality of life (QoL) mainly affecting the health-related quality of life (HRQOL). Routine assessment of QoL improves communication with the patient, helps to predict treatment response, and supports clinical decision-making....

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Autores principales: Jyoti Gupta, Dheeraj Kapoor, Vivek Sood
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:b09348eec3b94b238839c2e2fb8af7962021-11-12T10:10:55ZQuality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India2230-821010.4103/ijem.IJEM_246_21https://doaj.org/article/b09348eec3b94b238839c2e2fb8af7962021-01-01T00:00:00Zhttp://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=211;epage=219;aulast=Guptahttps://doaj.org/toc/2230-8210Background: Diabetes mellitus (DM) causes serious deterioration in general quality of life (QoL) mainly affecting the health-related quality of life (HRQOL). Routine assessment of QoL improves communication with the patient, helps to predict treatment response, and supports clinical decision-making. QoL can predict an individual's capacity to manage the disease and maintain long-term health and wellbeing. Aims: To find out the QoL and its socio-demographic, anthropometric, and clinical determinants among DM patients attending health institutions from sub-Himalayan region, catering rural population. Settings and Design: This cross-sectional study was conducted in two hospitals mostly catering rural population from 2014 to 2018. Purposive sampling technique was used. Materials and Methods: Socio-demographic, anthropometric, and clinical data of DM patients (N = 300) were collected. They were administeredHindi translation of QoL Instrument for Indian Diabetes Patients (QOLID) and Patient Health Questionnaire-9 (PHQ-9). All statistical analyses were carried out using Statistical Package for Social Sciences (SSPS) (Version 17.0, USA). Results: About 10% had very poor, 13% poor, 11% average, 16% good, and 50% very good QoL on QOLID. General health (GH) and treatment satisfaction (TS) were the most affected domains. Fatigue was the most common symptom (79%) reported in QOLID. Age more than 55 years, rural background, and PHQ-9 score of more than 7 were predictors of poorer QoL. Conclusion: There is a need for a holistic and collaborative care of DM patients, to maintain a good HRQoL. Screening of depression, fatigue, and regular assessment of QoL should be emphasized.Jyoti GuptaDheeraj KapoorVivek SoodWolters Kluwer Medknow Publicationsarticlediabetes mellitusqolidquality of lifeDiseases of the endocrine glands. Clinical endocrinologyRC648-665Diseases of the digestive system. GastroenterologyRC799-869ENIndian Journal of Endocrinology and Metabolism, Vol 25, Iss 3, Pp 211-219 (2021)
institution DOAJ
collection DOAJ
language EN
topic diabetes mellitus
qolid
quality of life
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle diabetes mellitus
qolid
quality of life
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Diseases of the digestive system. Gastroenterology
RC799-869
Jyoti Gupta
Dheeraj Kapoor
Vivek Sood
Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
description Background: Diabetes mellitus (DM) causes serious deterioration in general quality of life (QoL) mainly affecting the health-related quality of life (HRQOL). Routine assessment of QoL improves communication with the patient, helps to predict treatment response, and supports clinical decision-making. QoL can predict an individual's capacity to manage the disease and maintain long-term health and wellbeing. Aims: To find out the QoL and its socio-demographic, anthropometric, and clinical determinants among DM patients attending health institutions from sub-Himalayan region, catering rural population. Settings and Design: This cross-sectional study was conducted in two hospitals mostly catering rural population from 2014 to 2018. Purposive sampling technique was used. Materials and Methods: Socio-demographic, anthropometric, and clinical data of DM patients (N = 300) were collected. They were administeredHindi translation of QoL Instrument for Indian Diabetes Patients (QOLID) and Patient Health Questionnaire-9 (PHQ-9). All statistical analyses were carried out using Statistical Package for Social Sciences (SSPS) (Version 17.0, USA). Results: About 10% had very poor, 13% poor, 11% average, 16% good, and 50% very good QoL on QOLID. General health (GH) and treatment satisfaction (TS) were the most affected domains. Fatigue was the most common symptom (79%) reported in QOLID. Age more than 55 years, rural background, and PHQ-9 score of more than 7 were predictors of poorer QoL. Conclusion: There is a need for a holistic and collaborative care of DM patients, to maintain a good HRQoL. Screening of depression, fatigue, and regular assessment of QoL should be emphasized.
format article
author Jyoti Gupta
Dheeraj Kapoor
Vivek Sood
author_facet Jyoti Gupta
Dheeraj Kapoor
Vivek Sood
author_sort Jyoti Gupta
title Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
title_short Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
title_full Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
title_fullStr Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
title_full_unstemmed Quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of India
title_sort quality of life and its determinants in patients with diabetes mellitus from two health institutions of sub-himalayan region of india
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/b09348eec3b94b238839c2e2fb8af796
work_keys_str_mv AT jyotigupta qualityoflifeanditsdeterminantsinpatientswithdiabetesmellitusfromtwohealthinstitutionsofsubhimalayanregionofindia
AT dheerajkapoor qualityoflifeanditsdeterminantsinpatientswithdiabetesmellitusfromtwohealthinstitutionsofsubhimalayanregionofindia
AT viveksood qualityoflifeanditsdeterminantsinpatientswithdiabetesmellitusfromtwohealthinstitutionsofsubhimalayanregionofindia
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