Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India
Context and Aim: Diabetes mellitus (DM) can affect one's quality of life (QoL). Literature on the association of QoL among type II diabetics with drug compliance and diet quality among rural communities is poor. This study aimed to determine the QoL among those with type II DM attending an outp...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7204;epage=7211;aulast=Thomas |
| _version_ | 1797954878829494272 |
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| author | Zachariah Thomas Anna Mathew Gabrin Jowil M Karthick Sriram Manogya Ranjan Manoj J Dhinagar Vinod J Abraham |
| author_facet | Zachariah Thomas Anna Mathew Gabrin Jowil M Karthick Sriram Manogya Ranjan Manoj J Dhinagar Vinod J Abraham |
| author_sort | Zachariah Thomas |
| collection | DOAJ |
| description | Context and Aim: Diabetes mellitus (DM) can affect one's quality of life (QoL). Literature on the association of QoL among type II diabetics with drug compliance and diet quality among rural communities is poor. This study aimed to determine the QoL among those with type II DM attending an outpatient clinic at a secondary hospital in Tamil Nadu. Settings and Design: A cross-sectional, interview-based study was carried out among those with type II DM. A questionnaire comprising the WHO-BREF tool, Diabetes Healthy Eating Index, Hill-Bone Medication Adherence Scale was administered to participants selected via systematic random sampling. Results: The prevalence of good QoL was estimated to be 51.7% (n = 45, 95% CI: 41.20–62.20). There was no association between good QoL and medication compliance. None of the patients had a good diet quality. Bivariate analysis revealed significant association (p < 0.05) between good QoL and higher education (OR-2.70), those not on medication for complications (OR-2.81) and decreased frequency of general random blood sugar (GRBS) monitoring (OR-2.44). Multivariable analysis adjusting for gender, education, treatment/medication for complications, hospitalisation for DM and GRBS frequency demonstrated significant association between good QoL, lack of medication for complications/co-morbidities and decreased GRBS monitoring frequency with likelihood ratios of 3.25 and 3.44, respectively. Conclusions: The drop in QoL observed could be due to the aftermath of the COVID pandemic. Keeping in mind the impact of healthcare interventions on the QoL of type II DM patients, primary physicians must consider dietary and treatment plans suited to their socio-economic status. |
| first_indexed | 2024-04-10T23:24:24Z |
| format | Article |
| id | doaj.art-a80c997185c544b49255a9cab49733a6 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-10T23:24:24Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-a80c997185c544b49255a9cab49733a62023-01-12T12:42:33ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-0111117204721110.4103/jfmpc.jfmpc_597_22Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South IndiaZachariah ThomasAnna MathewGabrin JowilM Karthick SriramManogya RanjanManoj J DhinagarVinod J AbrahamContext and Aim: Diabetes mellitus (DM) can affect one's quality of life (QoL). Literature on the association of QoL among type II diabetics with drug compliance and diet quality among rural communities is poor. This study aimed to determine the QoL among those with type II DM attending an outpatient clinic at a secondary hospital in Tamil Nadu. Settings and Design: A cross-sectional, interview-based study was carried out among those with type II DM. A questionnaire comprising the WHO-BREF tool, Diabetes Healthy Eating Index, Hill-Bone Medication Adherence Scale was administered to participants selected via systematic random sampling. Results: The prevalence of good QoL was estimated to be 51.7% (n = 45, 95% CI: 41.20–62.20). There was no association between good QoL and medication compliance. None of the patients had a good diet quality. Bivariate analysis revealed significant association (p < 0.05) between good QoL and higher education (OR-2.70), those not on medication for complications (OR-2.81) and decreased frequency of general random blood sugar (GRBS) monitoring (OR-2.44). Multivariable analysis adjusting for gender, education, treatment/medication for complications, hospitalisation for DM and GRBS frequency demonstrated significant association between good QoL, lack of medication for complications/co-morbidities and decreased GRBS monitoring frequency with likelihood ratios of 3.25 and 3.44, respectively. Conclusions: The drop in QoL observed could be due to the aftermath of the COVID pandemic. Keeping in mind the impact of healthcare interventions on the QoL of type II DM patients, primary physicians must consider dietary and treatment plans suited to their socio-economic status.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7204;epage=7211;aulast=Thomasdiabetes mellitusdiethealthypatient compliancequality of life |
| spellingShingle | Zachariah Thomas Anna Mathew Gabrin Jowil M Karthick Sriram Manogya Ranjan Manoj J Dhinagar Vinod J Abraham Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India Journal of Family Medicine and Primary Care diabetes mellitus diet healthy patient compliance quality of life |
| title | Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India |
| title_full | Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India |
| title_fullStr | Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India |
| title_full_unstemmed | Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India |
| title_short | Quality of life among those with diabetes mellitus type II attending a secondary outpatient facility in South India |
| title_sort | quality of life among those with diabetes mellitus type ii attending a secondary outpatient facility in south india |
| topic | diabetes mellitus diet healthy patient compliance quality of life |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=11;spage=7204;epage=7211;aulast=Thomas |
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