Factors associated with Physical Quality of Life in Diabetes Mallitus
Abstract
Diabetes is a disease of development involving multisystem so intend to affect quality of life of patients in many ways i.e. Physical, Mental, Social and environmental. So this study was conducted on 250 Diabetes Mellitus patients to study their physical quality of life and its associating factors. It was found that 9.6% of diabetes patients had poor physical quality of life in this study. This physical quality of life is associated with education and socio-economic status of patient but not with age, sex and occupation. Physical quality of life was observed more poor in either illiterates or in secondary educated patients than their other counterparts. Likewise physical quality of life was observed more poor in Class III and IV than Class I, Class II and Class V.
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Introduction
Diabetes and its management are increasing health problems with major morbidity and mortality burdens, both nationally and globally and consequent implications for social welfare and healthcare delivery and cost.
The prevalence of diabetes mellitus has increased significantly over the past two decades.1 Recent estimates project around 285 million people with diabetes around the world presently, and this number is set to increase to 438 million by the year 2030.2,3,4 According to the World Diabetes Atlas, India is projected to have around 51 million people with diabetes. 2
“India leads the world in the looming epidemic of diabetes”, was told in the 20th annual World Diabetes Congress of International Diabetic Federation (IDF) 4 . WHO has also acknowledged that India has the maximum number of diabetic patients? India is thus the “Diabetic Capital of World”. 2 According to Diabetes Atlas published by the International Diabetes Federation (IDF), there were 7.12% (of their adult populations) with diabetes in India in 2007. 5
People with diabetes often feel challenged by their disease and its day-to-day management demands. A survey on national diabetes programs, reported in National Diabetes Programs, found that psychological and behavioral issues received less attention than other aspects of diabetes care. This section summarizes a review of studies of diabetes and depression, and shows the significance of depression in affecting both the quality of life of people with diabetes and how well diabetes is controlled.6
Several studies have demonstrated that diabetes has a strong negative impact on HRQOL, especially in the presence of complications.7-10 However; most of the studies on diabetes and HRQOL have been conducted in developed countries where there is access to better health care facilities. However, studies of the HRQOL in diabetic patients in developing countries are rare.12,13 Hence, a study was planned to study the quality of life diabetic patients.
Patient's perception about their quality of life and their satisfaction about their health was studied in our previous study14 and in this study was conducted to find out the physical quality of life of Diabetes Mellitus patients and its associating factors.
Conclusion
It was concluded from this study that about one tenth of diabetes patients had poor physical quality of life. This physical quality of life is associated with education and socio-economic status of patient but not with age, sex and occupation.