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Abstract

A STUDY TO ASSESS THE QUALITY OF LIFE IN TYPE II DIABETES MELLITUS PATIENTS USING APPRAISAL DIABETES SCALE IN TERTIARY CARE TEACHING HOSPITAL.

Satish S., Devika M. Nirmal* and A. R. Shabaraya

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Abstract

The Appraisal of Diabetes Scale (ADS) is a 7-item self-report scale evaluating the individual's appraisal of his or her diabetes. The purpose of the study was to assess the quality of life (QOL) in diabetes mellitus using Appraisal Diabetes Scale (ADS). The present study was a prospective observational study which involved in 100 patients with Type II Diabetes Mellitus was conducted in a tertiary care hospital in Mangalore. Patients of age ≥18 years and diagnosed with type II diabetes mellitus for ≥ 6 months (with and without comorbidities) were enrolled in the study. The sociodemographic and clinical characters were noted in the self-designed proforma. The QOL was assessed by ADS. Participants met inclusion criteria were enrolled in the study. Majority of study participants were age range of 40-60. When analysing 7 variables with have 5point scale in ADS the first variable was related to influence of diabetes on routine that is how upsetting is having diabetes for them, 45% of the participants before intervention found having diabetes extremely upsetting them whereas 44% of the patients after intervention not at all felt upset. Observing control on DM, 45% of the patients had no control before intervention and 4% had total control. When observing self-assurance, it was noted that 6% of the patients before intervention has uncertainty in life due to diabetes and 60% of them had no uncertainty with diabetes. 4th variable was self-prediction on DM over several years, 35% of the participants before intervention are expected to worsen their diabetes over the years when compared to 8% of the patients after interventions. Voluntary effect is one of the major criteria to have QOL in DM, this was measured with 5th variable suggest that 80% of the participants believe that achieving good diabetic control due to individual effort as compared to other factors before intervention and other 80% of the patients after intervention felt that the effect on QOL is due to their effort and the other factors. While perceiving individual effectiveness in coping with DM, it was noted that participants before intervention (70%) agreed that they are not at all effective in coping up with the diabetes whereas 25% participants are effectively coping up with diabetes after intervention. Usually, Chronic disease interfere with achieving life goals, 7th variable collected informed viz. to what degree does the DM influencing it were identified. 98% (slight amount (6%), moderate amount (50%), large amount (28%), extremely large amount (14%)) of the patients before intervention felt that diabetes get in their way of developing their life goals and 96% (not at all (55%), slight amount (20%), moderate amount (15%), large amount (6%)) after intervention could achieve their life goals. The study concludes that QOL in DM patients before intervention was low which suggest that clinical pharmacist intervention can play a major role to increase the quality of life in Diabetes Mellitus patients.

Keywords: Appraisal Diabetes Scale (ADS), Type II Diabetes Mellitus, Quality of Life.


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