COMPARATIVE STUDY OF QOL IN TYPE 2 DIABETES MELLITUS PATIENTS WITH AND WITHOUT FOOT ULCERS ATTENDING NAVODAYA MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE

Abstract

Background: Diabetic foot syndrome is not only an important factor of mortality among patients with diabetes but also decreased the quality of life. Present study was aimed to compare QOL (Quality of Life) in type 2 diabetes mellitus patients with and without foot
ulcers attending Navodaya medical college hospital and research centre. Material and
Methods: Present study was hospital-based case control study, conducted in patients with type 2 diabetes mellitus, with diabetic foot ulcer (cases) & without diabetic foot ulcer (controls) 30 participants in each group. Results: Mean duration of disease in cases and
controls was 4.7yrs and 6yrs respectively. 22% and 70% of the participants in cases and controls were having RBS within normal limits. 10% and 16%of the cases and controls do physical exercise respectively and shows statistically significant association. 73.3% and
66.6% of the cases and controls occasionally maintain diet. 80% and 90% of the cases and controls do regular blood checkup respectively. 6% of the participants delayed treatment due to unavailability of services, thought of self-healing and lack of support. Foot care is poor in both cases and controls but better in controls than when compared to cases. Quality of life is better in Controls than in Cases. All the domains are affected by ulcer. Quality of life is better in controls than in cases. Quality of life is better in females than in males. Gender has significantly associated with Ulcer. Physical activity is less in cases than in controls and it significantly associated with quality of life. Waist circumference shows significant negative correlation in controls. Conclusion: QoL is better in controls than in cases, factors which affect the quality of life were: habit of tobacco chewing, less physical activity (sedentary life style), uncontrolled sugar levels ,increased BMI, increased waist circumference.