Background: The epidemic of diabetes mellitus is rising globally due to urbanization, population growth, aging, obesity and sedentary life style. Treatment satisfaction is defined as the individual’s rating of important attributes of the process and outcomes of his/her treatment experience and it represents an important outcome as it is related to adherence and willingness to continue treatment.Methods: A cross-sectional descriptive hospital-based study was conducted at endocrinology OPD attached to Pt. B.D. Sharma PGIMS Rohtak, Haryana from May 2014 to April 2015. Five hundred diabetics (type 1 and 2) were recruited for the study. Patients registered on the day of interview were selected using systematic random sampling. A predesigned, pretested, semi-structured schedule which included socio-demographic variables of the study subjects along with information about family history of diabetes was filled by interviewing the study subjects in their vernacular language individually. DiabMedSat was used to assess the treatment satisfaction.Results: Nearly two third of the study participants were treated on oral hypoglycaemic agents (76.2%) followed by subjects treated on insulin+OHA (21.4%). 2.4% of the study subjects were on treatment with insulin alone. 87.8% of female subjects were satisfied with their treatment as compared to 86.3% of their male counterparts.Conclusions: Treatment satisfaction has a positive influence on quality of life of the study subjects as those who are satisfied tend to better adhere to their drug regimen thereby achieving a desirable glycaemic control and averting the complications associated with the disease thereby leading to a healthier life.
Introduction: The most severe health threats dominating the low- and middle-income countries are no longer the dreaded communicable diseases; but, they are everyday diseases due to changes in lifestyle, which are the noncommunicable diseases. Quality of life (QOL) is defined by the World Health Organization as an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. QOL assessment in health system is a multidimensional construct that can be measured by evaluating objective levels of health status filtered by the subjective perceptions and expectations of the individual. Aim and Objective: To assess the QOL among diabetics attending the endocrine outpatient department (OPD) in a tertiary care hospital of Haryana. Materials and Methods: A hospital-based cross-sectional study was conducted at endocrinology OPD of Pt. B. D. Sharma PGIMS Rohtak, Haryana from May 2014 to April 2015. Five hundred diabetics (Type 1 and 2) were recruited for the study. Patients registered on the day of interview were selected using systematic random sampling. A predesigned, pretested, semi-structured schedule which included sociodemographic variables of the study participants along with information about family history of diabetes was filled by interviewing the study subjects in their vernacular language individually. Generic instrument, SF-36 v2 was used to assess the QOL. Results: The mean age of the study participants was 50.41 ± 9.1 years. The mean disease duration was 6.12 ± 5.55 years. Majority of our respondents belonged to Hindu religion (97.4%). The mean scores for the bodily pain domain (79.52 ± 28.15) and social functioning domain (76.47 ± 26.10) of QOL were the highest. Conclusion: The mean scores for the bodily pain domain and social functioning domain of QOL were the highest. Assess the QOL in patients with diabetes by measuring the multiple domains involving physical, psychological and social aspects.
Introduction: Diabetes mellitus is fast gaining the status of a potential epidemic in India. Globally 463 million people are affected by the disease. As it is a chronic disease in which the patient benefits from self-management. Self-care practices refers to the individuals ability to manage the symptoms, treatment, physical and psychological consequences and life-style changes inherent in living with a chronic condition. Aim: To study the self-care practices and factors influencing them among Urban Diabetics. Material and Methods: A cross-sectional descriptive community-based study was conducted among diabetics in the urban field practice area looked after by department of community medicine, Pt. B.D. Sharma PGIMS, Rohtak, Haryana. Assuming the prevalence of self-care practices (exercise) to be 29% and allowable error of 15%, the sample size was 435. So, a total of 500 subjects were included. Results: Out of 500 respondents, 44.6% were males and 55.4% females. In the domain of diet, 45% followed a healthy eating plan in last seven days of the week, 9% incorporated fruits/vegetables in the diet on all days of the week, 89% did not consume high fat food or full-fat dairy products and 38% spaced carbohydrate evenly throughout the day on all days of the week. 34% had a good practice of participation in at least 30 minutes of physical activity and 8% participated in specific exercise sessions. Regarding blood sugar testing, only 3% of study participants had a good practice of checking their blood sugar regularly. In the domain of foot care, 14% checked their feet, 6% inspected the inside of shoe, 99% washed their feet regularly and 86% dried in between their toes after washing their feet. 52% of study participants took their recommended diabetes medication regularly, 8% took their insulin injections regularly and 46% regularly took their diabetes pills. Conclusion: The socio-demographic variables had an influencing impact on the self-care practices of the study participants. The better the self-care practices amongst the study participants, the healthier the outcome and they can lead a better life averting the complications associated with the disease.
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