Study on Assessment of Quality of Life of Diabetic Patients of Dang District
- Mahendra Manharlal Prajapati
- Agency : Diabetes, SF-36, Quality of Life, Diabetic Patients
- Objective : To measure the
quality of life of diabetic patients and study the associated socio
demographic factors affecting the quality of life of diabetic patients.
- Background : According to WHO estimates India will be the global capital of diabetes by 2025, accounting for 57.2 million diabetics. The increased number of diabetics in India is likely to be due to a significant increase in the incidence of type 2 diabetes and chronic diseases, such as diabetes and cardiovascular disease (CVD), pose a primary challenge for the health care system. As per the citation of World Health Organization, Non communicable diseases like diabetes is deformity of longer duration and generally slow progression and they affect the whole life of person as it has negative impact on life of person. Worsening the situation is the fact that diabetes affects the economically productive age group (45-65 years) in developing countries. In context of healthcare, quality of life explains the negative impact of illness on well being of a person which coveres the physical, mental and social domains of life of a person. This study was carried out in Dang district of Gujarat in order to know the quality of life of diabetics and effect of socio demographic factors associated with quality of life.
- Methodology : A Hospital based
cross sectional study was carried out by using a generic instrument,
Short Form 36 (SF-36 of the Medical Outcome Study Group) to measure QOL of
diabetic subjects aged = 20 years. Ninety six samples were collected by non
probability convenient sampling from Civil Hospital, Dang and then collected
data was analysed using Excel 2007 and SPSS for Windows version 13.
- Findings : The
mean age of the respondents was 53.6 years, with 74% of respondents
being in age group of 40-70 years. The majority of respondents were females
(58.3%) and 76% of females were homemakers. Total 12.5% of respondents were
illiterate. Around 17% of respondents were government employees and 12.50% of
respondents were in category of Clerk/Farmer/Shop owners. Substance abuse was
present in 55% of male respondents. The mean duration of diabetes was 3.38+
2.291 years. Among the diabetics most common comorbidity was hypertension
(31.9%). Out of eight domains of QOL in the SF-36, the two most affected were
Role Physical and Vitalaity. Overall males had higher QOL scores than females.
SF-36 and its some of the
significant association with socioeconomic status, age, education, diabetes
duration and family type
- Recommendations : Diabetes had an
adverse effect on the QOL of these study subjects. Females had poorer
QOL than males. The Domains most affected were Role Physical and Vitality. Poor
Scores in some of the domains of QOL were significantly associated with lower
socioeconomic status, lesser education, longer diabetes duration and age group.
Respondents having history of diabetes of more than 4 years had poorer scores
in all domains.