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ORIGINAL ARTICLE
Year : 2019  |  Volume : 12  |  Issue : 4  |  Page : 195-199

Quality of life in diabetics with different complications: A cross-sectional study with patients visiting a hospital on an outpatient basis


1 Father Muller Medical College Hospital, College Hospital, Mangalore, Karnataka, India
2 Department of General Medicine, Father Muller Medical College Hospital, College Hospital, Mangalore, Karnataka, India
3 Department of Psychiatric Nursing, Father Muller Medical College Hospital, College Hospital, Mangalore, Karnataka, India
4 Muller Research Centre, College Hospital, Mangalore, Karnataka, India

Correspondence Address:
Manjeshwar Shrinath Baliga
In Charge of Research, Mangalore Institute of Oncology, Pumpwell, Mangalore - 575 002, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HMJ.HMJ_15_19

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Objective: Recent data suggest that the incidence of Type II diabetes mellitus (DM2) is on a rise and is a major cause for health-care costs, morbidity and mortality. The major problem with DM II is the secondary complications such as retinopathy, nephropathy, diabetic foot disease, cardiovascular complications and neuropathy which severely hamper the afflicted individual's resources and quality of life (QOL). In the present study, we have attempted at understanding the QOL using the QOL instrument for Indian diabetic patients (QOLID). Aim: The principal objective of the study is to ascertain the QOL is DM II with and without complications in patients visiting a hospital on an outpatient basis. The QOLID is of advantage herewith as the eight domains address all relevant aspects afflicting the QOL of the patients. Materials and Methods: Depending on the complications and prevalence, we included six groups; diabetics without complications (Group I, n = 89), retinopathy (Group II, n = 72), nephropathy (Group III, n = 53), diabetic foot disease (Group IV, n = 86), cardiovascular complications (Group V, n = 25) and neuropathy (Group VI, n = 57). The demographic information, diabetes history, medication and QOLID were collected using a structured questionnaire. The collected data were analysed using the analysis of variance followed by Bonferroni post-multiple comparison test. A value of P < 0.05 was considered statistically significant. Results: In this study, 238 (62.3%) males and 144 (37.7%) females with a mean age of 58.5 years. The overall QOLID score was the highest (126.60 ± 18.54) in Group I and least (59.67 ± 13.4) in Group III. Role limitation due to physical health, physical endurance, financial worries, diet satisfaction and the overall score were lower among the groups with diabetic complications (Groups II–VI) compared to Group I and this was statistically significant. General health, treatment satisfaction, symptom botherness and emotional/mental health scored lower in the groups with diabetic complications (Groups II–VI) compared to Group I and this was statistically significant in all except with diabetic retinopathy. Conclusion: When compared to people without any complications, patients with complications had reduced QOL. Individuals with diabetic neuropathy and nephropathy had very reduced QOL compared to other diabetic complications. Prevention or delay of onset of complications through better management of diabetes may help improve the QOL.


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