Thomas Zachariah, Mathew Anna, Jowil Gabrin, Sriram M Karthick, Ranjan Manogya, Dhinagar Manoj J, Abraham Vinod J
Department of Community Medicine, Christian Medical College, Bagayam, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2022 Nov;11(11):7204-7211. doi: 10.4103/jfmpc.jfmpc_597_22. Epub 2022 Dec 16.
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.
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.
The prevalence of good QoL was estimated to be 51.7% ( = 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 ( < 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.
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.
糖尿病（DM）会影响人的生活质量（QoL）。关于农村社区II型糖尿病患者的生活质量与药物依从性和饮食质量之间关联的文献较少。本研究旨在确定在泰米尔纳德邦一家二级医院门诊就诊的II型糖尿病患者的生活质量。
对II型糖尿病患者进行了一项基于访谈的横断面研究。通过系统随机抽样选择参与者，并向他们发放了一份包含世界卫生组织简明健康调查工具（WHO-BREF）、糖尿病健康饮食指数、希尔-博恩药物依从性量表的问卷。
估计生活质量良好的患病率为51.7%（n = 45，95%置信区间：41.20 - 62.20）。生活质量良好与药物依从性之间没有关联。没有患者的饮食质量良好。双变量分析显示，生活质量良好与高等教育（OR = 2.70）、未因并发症用药（OR = 2.81）以及降低的随机血糖（GRBS）监测频率（OR = 2.44）之间存在显著关联（P < 0.05）。在对性别、教育程度、并发症治疗/用药、糖尿病住院情况和GRBS频率进行调整的多变量分析中，生活质量良好、无并发症/合并症用药以及降低的GRBS监测频率之间存在显著关联，似然比分别为3.25和3.44。
观察到的生活质量下降可能是由于新冠疫情的影响。考虑到医疗干预对II型糖尿病患者生活质量的影响，初级医生必须考虑适合其社会经济状况的饮食和治疗计划。
