VIMS Health Science Journal

Quality of Life among Type II Diabetes Mellitus Patients Using the Modified Diabetes Quality of Life (MDQOL-17): An Observational Study

Dr. Simran Singh, Dr. Simran Mishra, Dr. Sana Rai, Dr. Suvarna Ganvir — Thu, 28 Mar 2024 00:00:00 +0000

Background: Diabetes mellitus (DM) is a chronic disorder that requires constant management. To achieve good metabolic control and avoid acute and chronic complications, the patient must follow a diet plan, up their physical activity, and take medication. A growing amount of research on the impact of diabetes on health-related quality of life. Patient health, complications, and attitude all have an effect on health-related quality life of either directly or indirectly. Aim: To find out which aspects of life are commonly affected among patients with Diabetes using MDQoL-17 scale. Methodology: 100 patients with Diabetes Mellitus type II participated in the study. Patients with associated comorbid conditions were excluded. MDQoL-17 Scale was then administered on the patients. The entire inquiry was delivered in a language that the patient could understand, and their responses were recorded on the scale. Each domain's percentage of the overall score was computed. Results: According to the answer to the affirmative question number 4, which indicates daily activity, more patients in this study engaged in daily activities that improved their quality of life (75%) than did not. According to the results of negative question 16 (which implies financial stress), (56%) of the patients had this problem, making it difficult for them to receive the appropriate care. Conclusion: Study concludes that specific aspects of QOL that has been found affected than other after diabetes are Physical, Role Physical, Role Emotional, Social and General Health. Resolution of the factors associated with these aspects will help to improve the quality of life in these patients

Effect of Musculoskeletal Disorders on ADLs of Patients with Diabetes

Sakshi Chandrakant Akare, Dr. Sana Rai, Dr. Suvarna Ganvir — Fri, 30 Jun 2023 00:00:00 +0000

Background: An increased prevalence of musculoskeletal disease is recognised in diabetes and is a common source of disability. It is known to predominantly affect the upper limbs especially the hand and shoulder. The relationship with other complications of diabetes and glycaemic control is uncertain. Physical disability is a useful measure of the overall effect of diabetes on health. Disability can be defined in several ways, including difficulties with activities of daily living (ADL), difficulties with instrumental activities of daily living (IADL), and mobility limitations. Therefore, in this study, the effect of musculoskeletal disorder on patients with diabetes was investigated. Objective: To evaluate the effect of musculoskeletal disorders on ADLs of patients with diabetes. Method: After getting the ethical approval from the institutional ethical committee, subjects were screened based on the inclusion and exclusion criteria. Subjects willing to participate in the study were enrolled and a written informed consent was obtained from all the participants. Demographics of the patients were noted in the data collection sheet. ADLs, IADLs and Nordic scale were taken on patients. Result: Mostly involved joint is shoulder joint and knee joint and due to this patient face difficulty in their ADLs like overhead activities (dressing and bathing) and toileting. Conclusion: The risk of musculoskeletal disorders is more in diabetic patients due to poor glycemic control and according to the involved joint they face difficulty in their activities of daily living.

Quality of life in patients with total knee replacement - A Cross-Sectional Study

Dr. Shantanu Shirude, Dr. Deepak Anap — Fri, 30 Jun 2023 00:00:00 +0000

Background: The study is based on the Quality of life in patients operated with total knee replacement between 50 to 65 years. Total knee replacement is one of the common procedures performed globally and is considered cost-effective with excellent long-term survivorship. Although most patients have a favorable clinical outcome after TKR, several studies have reported that more than 20% of patients are dissatisfied with the outcome after the procedure. Therefore, measuring patients' Quality of life and their perception of the procedure is paramount to improving this procedure and increasing the proportion of patients who have successful outcomes and improved Quality of life. Methods: Patients operated with total knee replacement were included in the study and were screened with inclusion and exclusion criteria. A total of 20 individuals were assessed by using the Oxford knee score questionnaire, and their responses were noted. The result was found by descriptive statistical analysis. Result: On analysis using descriptive statistical analysis, the mean score of Oxford Knee Score is 30.95. Hence, the Quality of Life is considered fair in patients at 2 months after total knee replacement. Conclusion: From the results, we conclude that Quality of life remains fair in patients at 2 months after being operated with total knee replacement at a tertiary care hospital.

Methylmalonic acidemia: A Rare Case Report from Rural India