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Health Related Quality of Life in Patients With Type - 2 Diabetes

This document summarizes a study on health-related quality of life in patients with type 2 diabetes. It presents information on: - The introduction, symptoms, types and comorbidities of diabetes - How data was collected from 50 patients using the SF-36 instrument and analyzed using SPSS - The 8 health domains measured by SF-36: physical functioning, role limitations, pain, general health, vitality, social functioning, emotional wellbeing and mental health - Results of the data analysis showing differences in quality of life scores between age groups but not gender, and significant differences associated with diabetes duration.

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Arshdeep Singh
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45 views16 pages

Health Related Quality of Life in Patients With Type - 2 Diabetes

This document summarizes a study on health-related quality of life in patients with type 2 diabetes. It presents information on: - The introduction, symptoms, types and comorbidities of diabetes - How data was collected from 50 patients using the SF-36 instrument and analyzed using SPSS - The 8 health domains measured by SF-36: physical functioning, role limitations, pain, general health, vitality, social functioning, emotional wellbeing and mental health - Results of the data analysis showing differences in quality of life scores between age groups but not gender, and significant differences associated with diabetes duration.

Uploaded by

Arshdeep Singh
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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HEALTH RELATED QUALITY OF LIFE IN PATIENTS WITH TYPE -2 DIABETES

PRESENTED BY: HARJIT SINGH Roll No: 5649

INTRODUCTION

DIABETES MELLITUS IS A METABOLIC DISORDER IT IS CHARACTERIZED BY:

INCREASED BLOOD GLUCOSE LEVEL INSULLIN DEFICIENCY MOBILIZATION OF FATS FROM ADIPOSE TISSUE DEPLETION OF PROTEINS FROM THE TISSUE

SYMPTOMS

POLYURIA POLYPHAGY ASTHENIA KUSSMAUL BREATHING OSMOTIC DIURESIS

TYPES

TYPE-1 OR IDDM (INSULIN DEPENDENT DIABETES MELLITUS) OR JUVENILE ONSET] TYPE-2 OR NIDDM (NON INSULIN DEPENDENT DIABETES MELLITUS) OR MATURITY ONSET

COMORBIDITIES

ATHEROSCLEROSIS NEPHROPATHY NEUROPATHY RETINOPATHY DIABETIC FOOT

DATA COLLECTION

DATA WAS COLLECTED BY SF-36 INSTRUMENT STUDY TOOK PLACE IN GURU NANAK DEV HOSPITAL, AMRITSAR. 50 PATIENTS WERE CHOSEN WITH VARIATION IN :

AGE GENDER DURATION OF DIABETIES

All analysis were performed using SPSS V 17.0

MEASUREMENT OF HRQoL

TWO PARAMETERS ARE STUDIED:

PHYSICAL HEALTH MENTAL HEALTH

THEY ARE FURTHER CLASIFIED AS:


PHYSICAL FUNCTION (PF) ROLE PHYSICAL (RP) BODILY PAIN (BP) GENERAL HEALTH PERCEPTION (GH) VITALITY (VT) SOCIAL FUNCTIONING (SF) ROLE EMOTIONAL (RE) MENTAL HEALTH (MH)

HOW TO SCORE SF36


QUESTION NO. 1, 2, 20, 22, 34, 36 1 2 3 4 5 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 1 2 3 13, 14, 15, 16 ,17, 18, 19 1 2 21, 23, 26, 27, 30 1 2 3 4 5 6 ORIGIONAL RESPONSE 100 75 50 25 0 0 50 100 0 100 100 80 60 40 20 0 RECORDED VALUE

QUESTION NO.

ORIGIONAL RESPONSE

RECORDED VALUE

24, 25, 28, 29, 30

1 2 3 4 5 6

0 20 40 60 80 100 0 25 50 75 100

32, 33, 35

1 2 3 4 5

AVERAGING ITEMS TO FORM 8 SCALES


SCALE NUMBER OF ITEMS AFTER RECORDING AS PER TABLE 1, AVERAGE THE FOLLOWING ITEMS 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 13, 14, 15, 16 17, 18, 19 23, 27, 29, 31 24, 25, 26, 28, 30 20, 32 21, 22 1, 33, 34, 35, 36

PHYSICAL FUNCTIONING ROLE LIMITATION DUE TO PHYSICAL HEALTH ROLE LIMITATION DUE TO EMOTIONAL PROBLEMS ENERGY/FATIGUGE EMOTIONAL WELLBEING SOCIAL FUNCTIONING PAIN GENRAL HEALTH

10 4 3 4 5 2 2 5

DATA QUALITY
Scale Physical Function (PF) SF-36 Item Vigrous Activity Walking more than A kilometer Climbing several Flights of stairs Bending, kneeling and stooping Lifiting or carring grocieries Moderate activities Walking more than 100 m Climbing one Flight of stairs Walking 100m Bathing or dressing Role Physical (RP) Accomplishing less than would like Difficulty performing work activities Cut down time spend on work Limited in kind of work Bodily Pain (BP) Intensity of Bodily pain Extent pain with interfered work BP1 BP2 RP1 RP2 RP3 RP4 PF1 PF2 PF3 PF4 PF5 PF6 PF7 PF8 PF9 PF10 % Missing 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.66 2.18 1.02 1.34 1.6 1.64 1.64 1.64 0.49 0.48 0.48 0.48 Mean 1.94 2.1 1.88 2.38 2.64 2.4 2.08 2.54 2.6 2.82 SD 0.79 0.84 0.75 0.73 0.66 0.81 0.83 0.68 0.57 0.39

General Health (GH) Rating of General Health My health is excellent I seem as healthy as anyone I know I seem to get sick easier than others I expect my health to get worse Vitality (VT) Have a lot of energy Full of Life Feel worn out Feel Tired Social Functioning (SF) Extent health problem interfered frequency health problem interfered Role Emotional (RE) SF1 SF2 VT1 VT2 VT3 VT4 GH1 GH2 GH3 GH4 GH5

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.36 3.44 1.52 1.05 3.46 3.44 4.04 3.86 1.61 1.73 1.43 1.40 3.04 3 2.88 3.24 2.44 1.05 1.37 1.45 1.44 1.01

Accomplishing less than would like


Cut down time spend on work Work not done as carefully as usual

RE1
RE2 RE3

0
0 0

1.6
1.64 1.68

0.49
0.48 0.47

Mental Health (MH)

Felt calm and Peaceful

MH1

3.44

1.31

Been a happy person

MH2

3.1

1.33

Been a very Nervous person

MH3

4.14

1.32

Felt down hearted and blue Felt down in the dumps

MH4 MH5

0 0

4.54 4.64

1.51 1.74

TEST FOR SCALING ASSUMPTIONS

PF N Valid Missing Mean Median Std. Deviation 50 0 66.9000 80.0000 31.4430 2

RP 50 0 63.0000 100.000 0 46.0811 2

BP 50 0 70.1200 74.0000 31.6863 7

GH 50 0 49.9200 62.0000 30.2613 4

VT 50 0 55.0000 65.0000 29.8123 4

SF 50 0 59.7500 62.5000 23.8631 8

RE 50 0 64.0000 100.000 0 45.0950 1

MH 50 0 63.1200 76.0000 25.5843 1

OPH 50 0 60.9880 76.6000 32.2741 9

OMH 50 0 58.3580 73.2500 29.6436 9

OTS 50 0 61.4762 76.0625 31.3836 3

Skewness
Std. Error of Skewness Range Minimum Maximum

-.679
.337 95.00 5.00 100.00

-.573
.337 100.00 .00 100.00

-.489
.337 90.00 10.00 100.00

-.213
.337 95.00 .00 95.00

-.317
.337 90.00 10.00 100.00

-.643
.337 100.00 .00 100.00

-.622
.337 100.00 .00 100.00

-.639
.337 80.00 16.00 96.00

-.497
.337 93.00 6.00 99.00

-.506
.337 92.20 5.20 97.40

-.546
.337 91.75 6.63 98.38

RELIABLITY
items
PF

alpha

Standardized items

Variance

10
RP BP

0.967 0.96

0.97 0.961

0.103 0

2
GH

0.955

0.959

0.016

5
VT

0.956

0.958

0.094

4
SF

0.975

0.977

0.059

2
RE MH

0.818 0.96

0.818 0.961

0.005 0

0.928

0.931

0.201

CONCLUSION

THREE AGE GROUP ARE COMPARED AS AGE BELOW 50 YEARS, 50-60 YEARS & AGE ABOVE 60

THE DATA WAS SIGNIFICANT ACCORDING KRUSHAL-WALLIS NON PARAMETRIC TEST.

TO

SECOND VARIABLE WAS GENDER,RESULTS OBTAINED ARE NON SIGNIFICANT THIRD VARIABLE WAS DURATION OF DIABETES THEY ARE:- LESS THAN 2 YEARS, 2-5 YEARS, 510 YEARS, ABOVE 10 YEARS.RESULT OBTAINED WAS SIGNIFICANT.

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