Shah Sangita, Jha Nilambar, Yadav Deepak Kumar, Pyakurel Prajjwal, Sharma Sanjib Kumar, Singh Suman Bahadur
School of Public Health and Community Medicine, B.P.Koirala Institute of Health Sciences, Dharan, Nepal.
Department of Internal Medicine, B.P.Koirala Institute of Health Sciences, Dharan, Nepal.
Int J Endocrinol. 2020 Dec 24;2020:8839905. doi: 10.1155/2020/8839905. eCollection 2020.
Diabetes mellitus is a major cause of morbidity and mortality and places huge burden on public health funding. Diabetes affects quality of life through associated complications, comorbidity, and disease burden. Consequently, people have frequent healthcare visits. This study assessed quality of life and healthcare utilization patterns among type 2 diabetic populations in an urban area of eastern Nepal.
A cross-sectional study was conducted among 270 participants of age ≥20 years with type 2 diabetes in Itahari using a semistructured questionnaire. A D-39 questionnaire was used to assess quality of life. Five wards were selected by systematic random sampling, and the population was proportionate according to the sample size. Multiple linear regressions were conducted to identify the factors associated with quality of life and its domains.
The highest mean score ± SD was found in the domain anxiety and worry (57.34 ± 11.08). About 18.5% of the participants perceived extremely affected quality of life. Hypertension (55.55%) was the most common comorbidity. Age, marital status, literacy, alcohol, disease duration, comorbidity, and complications were significantly associated with overall quality of life. In last 6 months of duration, 93.7% had hospital visits. Among them, 8.1% had emergency visit and 5.9% were admitted in the hospital.
People with diabetes in this study were more affected in the domain anxiety and worry. The frequency of healthcare access and utilization in patients with type 2 diabetes was high. The quality of life among them could be improved by taking care on healthy behavior, comorbid conditions, and complications.
糖尿病是发病和死亡的主要原因，给公共卫生资金带来巨大负担。糖尿病通过相关并发症、合并症和疾病负担影响生活质量。因此，人们需要频繁就医。本研究评估了尼泊尔东部一个城市地区2型糖尿病患者的生活质量和医疗利用模式。
在伊塔哈里对270名年龄≥20岁的2型糖尿病患者进行了一项横断面研究，使用半结构化问卷。采用D-39问卷评估生活质量。通过系统随机抽样选择了五个病房，人群根据样本量按比例选取。进行多元线性回归以确定与生活质量及其领域相关的因素。
在焦虑和担忧领域发现最高平均得分±标准差（57.34±11.08）。约18.5%的参与者认为生活质量受到极大影响。高血压（55.55%）是最常见的合并症。年龄、婚姻状况、识字率、饮酒、病程、合并症和并发症与总体生活质量显著相关。在过去6个月期间，93.7%的人有过就诊。其中，8.1%有过急诊就诊，5.9%曾住院治疗。
本研究中的糖尿病患者在焦虑和担忧领域受影响更大。2型糖尿病患者的医疗就诊和利用频率较高。通过关注健康行为、合并症和并发症，可以改善他们的生活质量。
