Engel-Yeger Batya, Darawsha Najjar Sanaa, Darawsha Mahmud
a Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences , University of Haifa , Haifa , Israel.
b Department of Family Medicine , Clalit Health Services , Sachnin , Israel.
Disabil Rehabil. 2018 Dec;40(25):3005-3011. doi: 10.1080/09638288.2017.1365382. Epub 2017 Aug 13.
(1) To profile sensory deficits examined in the ability to process sensory information from daily environment and discriminate between tactile stimuli among patients with controlled and un-controlled diabetes mellitus. (2) Examine the relationship between the sensory deficits and patients' health-related quality of life.
This study included 115 participants aged 33-55 with uncontrolled (n = 22) or controlled (n = 24) glycemic levels together with healthy subjects (n = 69). All participants completed the brief World Health Organization Quality of Life Questionnaire, the Adolescent/Adult Sensory Profile and performed the tactile discrimination test.
Sensory deficits were more emphasized among patients with uncontrolled glycemic levels as expressed in difficulties to register sensory input, lower sensation seeking in daily environments and difficulties to discriminate between tactile stimuli. They also reported the lowest physical and social quality of life as compared to the other two groups. Better sensory seeking and registration predicted better quality of life. Disease control and duration contributed to these predictions.
Difficulties in processing sensory information from their daily environments are particularly prevalent among patients with uncontrolled glycemic levels, and significantly impacted their quality of life. Clinicians should screen for sensory processing difficulties among patients with diabetes mellitus and understand their impacts on patients' quality of life. Implications for Rehabilitation Patients with diabetes mellitus, and particularly those with uncontrolled glycemic levels, may have difficulties in processing sensory information from daily environment. A multidisciplinary intervention approach is recommended: clinicians should screen for sensory processing deficits among patients with diabetes mellitus and understand their impacts on patients' daily life. By providing the patients with environmental adaptations and coping strategies, clinicians may assist in optimizing sensory experiences in real life context and elevate patients' quality of life. Relating to quality of life and emphasizing a multidisciplinary approach is of major importance in broadening our understanding of health conditions and providing holistic treatment for patients.
（1）剖析在处理日常环境中的感觉信息以及区分触觉刺激能力方面，控制血糖和未控制血糖的糖尿病患者的感觉缺陷。（2）研究感觉缺陷与患者健康相关生活质量之间的关系。
本研究纳入了115名年龄在33 - 55岁之间的参与者，其中血糖未控制（n = 22）或已控制（n = 24）的患者以及健康受试者（n = 69）。所有参与者均完成了简短的世界卫生组织生活质量问卷、青少年/成人感觉概况评估，并进行了触觉辨别测试。
血糖未控制的患者中感觉缺陷更为突出，表现为难以记录感觉输入、在日常环境中寻求感觉的能力较低以及难以区分触觉刺激。与其他两组相比，他们的身体和社会生活质量也最低。更好的感觉寻求和记录能力预示着更好的生活质量。疾病控制情况和病程对这些预测有影响。
在处理日常环境中的感觉信息方面存在困难，在血糖未控制的患者中尤为普遍，并对他们的生活质量产生了显著影响。临床医生应筛查糖尿病患者的感觉处理困难情况，并了解其对患者生活质量的影响。康复意义糖尿病患者，尤其是血糖未控制的患者，在处理日常环境中的感觉信息时可能会遇到困难。建议采用多学科干预方法：临床医生应筛查糖尿病患者的感觉处理缺陷，并了解其对患者日常生活的影响。通过为患者提供环境适应措施和应对策略，临床医生可以协助在现实生活情境中优化感觉体验，提高患者的生活质量。在拓宽我们对健康状况的理解以及为患者提供整体治疗方面，与生活质量相关并强调多学科方法至关重要。
