ASSESMENT OF QUALITY OF LIFE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND DIABETIC POLYNEUROPATHY

Nikolay Kostadinov, Tzvetelina Totomirova
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Abstract

Diabetes mellitus is a chronic disease that has a great effect on the quality of life of patients. It is one of the most progressively increasing chronic diseases of the 21st century. Modern medical practice defines the disease as an important risk factor for the development of severe debilitating complications, reduced quality of life. Predominant among the health-related complications reducing the quality of life is diabetic neuropathy. It is a serious and frequent complication of diabetes mellitus, with a chronic progressive course of development, which without adequate treatment can lead to potentially life-threatening complications, significant morbidity and increased mortality among people with diabetes. The aim of the present study was to assess satisfaction and health-related quality of life in individuals suffering from type 2 diabetes and a realized neurological complication. Researched and surveyed during the period November 2022 – April 2023, there are 20 patients, respectively 10 men and 10 women with type 2 diabetes mellitus and a diagnosed complication - diabetic neuropathy. With the help of a questionnaire consisting of 69 questions, divided into 3 groups of previously formulated questions, the patients were surveyed. Medical records were also used. Regarding general health, 80%(8) of men and 80%(8) of women rated it as good. 20%(2) of men and 20%(2) of women rated it as poor. 60% (6) of men and 20% (2) of women have no difficulty in daily walking of more than 1 mile (1.6 km) as a result of the disease and the complication. 40%(4) of women report very limited motor activity as a result of the polyneuropathy. 40%(4) of men and 40%(4) of women reported minor difficulties in motor activity. When asked if they had experienced pain in the last 4 weeks, 40%(4) of men answered that it was mild. 40% (4) of men and 100% (10) of women reported moderate pain, 20% (2) of men reported experiencing very severe pain in the past 4 weeks. Patients with DM and a realized neurological complication are not only physically sick, but also have a lower self-assessment of quality of life, compared to the healthy population. Diabetes has an effect on patients' quality of life. Pain, discomfort and impaired mobility are among the most common complaints that alter the quality of life.
2型糖尿病合并糖尿病多发性神经病患者的生活质量评价
糖尿病是一种严重影响患者生活质量的慢性疾病。它是21世纪增长最快的慢性病之一。现代医学实践将该疾病定义为严重衰弱并发症发展的重要风险因素,降低了生活质量。在降低生活质量的健康相关并发症中,主要是糖尿病性神经病变。它是糖尿病的一种严重和常见的并发症,具有慢性进行性发展过程,如果没有适当的治疗,可能导致潜在的危及生命的并发症,糖尿病患者的发病率很高,死亡率也会增加。本研究的目的是评估患有2型糖尿病和已实现的神经系统并发症的个体的满意度和健康相关的生活质量。研究调查于2022年11月至2023年4月期间,共有20例2型糖尿病患者,男10例,女10例,诊断为并发症-糖尿病性神经病变。问卷共69个问题,根据事先制定的问题分为3组,对患者进行调查。还使用了医疗记录。在总体健康方面,80%的男性和80%的女性认为良好。20%的男性和20%的女性认为它很差。60%的男性和20%的女性由于该疾病及其并发症,每天行走超过1英里(1.6公里)没有困难。40%(4)的女性报告由于多发性神经病变导致运动活动非常有限。40%的男性和40%的女性报告了轻微的运动困难。当被问及在过去4周内是否经历过疼痛时,40%(4)的男性回答是轻微的。40%(4)的男性和100%(10)的女性报告中度疼痛,20%(2)的男性报告在过去4周内经历过非常严重的疼痛。与健康人群相比,糖尿病和神经系统并发症患者不仅身体不适,而且对生活质量的自我评估也较低。糖尿病对患者的生活质量有影响。疼痛、不适和行动不便是改变生活质量的最常见的抱怨。
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