ASSESSMENT OF QUALITY OF LIFE IN COMORBIDITY CONDITIONS IN OLDER PEOPLE WITH 2 TYPE OF DIABETES MELLITUS ON THE SAMPLE OF ORLOVKA AND BISHKEK
Abstract
The aim of this study was to assess the level of QOL in conditions in older people with 2 type of diabetes mellitus on the sample of Orlovka and Bishkek cities in KR. 60 patients from low income households were examined. All patients underwent clinical examination, glycemia, postprandial glycemia and glicated hemoglobin, assessment of comorbidity with Charlson comorbidity index and QOL using SF-36v2™ in Kyrgyz and Russian languages. Results of survey showed poor glycemic control with high level of glycemia, postprandial glycemia and glicated hemoglobin high rate of hypertension and obesity among older patients. The essential role of age and comorbodity in impairment of QOL was revealed. In comorbid conditions in older person the mortality risks increased with age and comorbid index. For patients with DM in elderly it is necessary personal approach with proper selection of medicine, prevention of complications with consideration of comorbidity and mortality. Development of program on treatment and prevention of diabetes should be integrated to the other program on non - communicable diseases.
Keywords:
quality of life, diabetes mellitus, comorbidity.References
1. Один В.И.Сахарный диабет в пожилом и старческом возрасте: медико-социальные, патофизиологические и клинические аспекты: автореф. дисс.докт.мед.наук.-2005-С.8.
2. Boyd, C. M., Darer, J., Boult, C., Fried, L. P., Boult, L., & Wu, A. W. (2005). Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: Implications for pay for performance. Journal of the American Medical Association, 294(6), C. 716-724.
3. Белялов Ф.И. Двенадцать тезисов коморбидности. Клиническая медицина.-2009.-12: 69-71.
4. Терехова А.Л., Зилов А.В., Верткин А.Л., Мельниченко Г.А., Основные причины смерти и сопутствующая патология смерти у больных сахарным диабетом 2 типа по результатам аутопсий //Сахарный диабет, 4/2011.-С.61-64.
5. В.Б.Мычка, В.В. Горностаев, И.Е. Чазова, Сердечно-сосудистые осложнения сахарного диабета 2-го типа / /Кардиология. - 2002. -Том: 42,N: 4. - С. 3-77
6. Peter Gæde, M.D., D.M.Sc., Henrik Lund-Andersen, M.D., D.M.Sc., Hans-Henrik Parving, M.D., D.M.Sc., and Oluf Pedersen, M.D., D.M.Sc. Effect of a Multifactorial Intervention on Mortality in Type 2 Diabetes//N Engl J Med.- 2008.- 358 :580-591
7. Wandell PE, Quality of life of patients with diabetes mellitus. An overview of research in primary health care in the Nordic countries Scandinavian Journal of Primary Health Care.- 2005.-23: 68/74
8. Martha Bayliss, Regina Rendas-Baum, Health-related quality of life (HRQL) for individuals with self-reported chronic physical and/or mental health conditions: panel survey of an adult sample in the United StatesHealthQual Life Outcomes.- 2012.- 10: 154.
9. Charlson M.E., Pompei P., Ales H.L. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation //Journal Chronic Disease, 1987; 40:373-383
10. Ware, J.E., Kosinski, M. and other, SF-36v2 Health Survey: a primer for health care providers. Lincoln, RI:QualityMetric Incorporated, 2008.-C.1-7.
