Quality of Life in Diabetes Mallitus patients: A Descriptive Analysis
Abstract
Diabetes is a disease which is on continuous increase specially in country like India. It involve is a multisystem so intend to affect quality of life of patients. So this study was conducted on 250 Diabetes Mellitus patients to observe their quality of life on various domains viz Physical, Mental, Social and environmental through WHOQOL-Bref questionnaire. It was found that 54.4% were unable to level their quality of life, they say neither good nor bad. But 23.2% were feeling bad and 22.4 % were feeling good about their quality of life. Whereas regarding patient's satisfaction about their health 39.2% were unable to level their quality of life and 35.6% were dissatisfied and 25.2 % were satisfied with their health. Significantly more cases were unable to understand about their quality of life than their satisfaction to their health. It was also found that Physical quality of life was affected most followed by environmental, psychological and social dimension of quality of life.
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Introduction
Diabetes is a progressive disease with a complex hormonal background and multiple potential outcomes and therapeutic options. 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. Diabetes can lead to complications, the consequences of which can include blindness, kidney damage, and foot ulcers that can result in amputation.
People with diabetes often feel challenged by their disease and its day-to-day management demands. And these demands are substantial. Patients must deal with their diabetes all day, every day, making countless decisions in an often futile effort to approximate the non-diabetic metabolic state
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.1
According to IDF more than 80% of expenditures for medical care for diabetes are made in the world’s economically richest countries, not in the low and middle-income countries where over 70% of people with diabetes live. 2 In the world’s poorest countries, not enough is spent to provide even the least expensive life-saving diabetes drugs.3
Conclusion
It was concluded from this study that about one fourth were feeling bad and about the same proportion were feeling good about their quality of life. Likewise regarding patient's satisfaction about their health one third was dissatisfied and one fourth were satisfied with their health. It was also concluded that significantly more cases were unable to understand about their quality of life than their satisfaction to their health. It was also concluded that Physical quality of life was affected most in diabetic patients than the social, mental, environmental dimension. Least affected was environmental domain of quality of life.