RESEARCH PAPER
Effect of diabetes and diabetes complications on hand dexterity and quality of life – a quantitative study
1
Department of Integrated Medical Care, Medical University, Bialystok, Poland
2
School of Medical Science, Bialystok, Poland
3
Department of Surgical Nursing, Medical University, Bialystok, Poland
4
Faculty of Medicine with the Division of Dentistry and Division of Medical Education in English, Medical University,
Bialystok, Poland
Corresponding author
J Pre Clin Clin Res. 2019;13(2):61-66
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Introduction. Diabetes and diabetes complications can cause many symptoms impairing the patient’s mobility and cause difficulties in performing daily activities. .
Objective:
The aim of the study was to assess the effect of diabetes and diabetes complications on hand dexterity and quality of life in a group of patients in their place of residence.
Material and methods:
The studied group consisted of 100 people with diabetes – 47 women (47%) and 53 men (53%). The respondents were patients at the Non-Public Health Care Centre of Environmental and Family Nursing in Bialystok, north-east Poland. The study used questionnaires pertaining to disabilities of the upper limbs: QuickDASH, and SF-36v2 Health Survey.
Results:
Significant, inversely proportional correlations between the results of the QuickDASH and the general results of the SF-36v2 Health Survey were shown, which means that the correlation coefficient r=-0.847 and the quality of life results in PCS (physical component summery) and MCS (mental component summery), the correlation coefficients were r=-0.489 and r=-0.842, respectively. The greater the disability in hand dexterity was, the lower the quality of life in the physical and mental health domains. Existence of one complication did not significantly affect the outcome of the QuickDASH, while the occurrence of two or three complications had a significant impact on this result (p <0.05).
Conclusions:
Patients’ quality of life declines significantly when two or more complications occur, both in the physical and mental domains. Older age groups reported worse sensing within the hands. Patients with comorbidities assessed their quality of life considerably worse.
Introduction. Diabetes and diabetes complications can cause many symptoms impairing the patient’s mobility and cause difficulties in performing daily activities. .
Objective:
The aim of the study was to assess the effect of diabetes and diabetes complications on hand dexterity and quality of life in a group of patients in their place of residence.
Material and methods:
The studied group consisted of 100 people with diabetes – 47 women (47%) and 53 men (53%). The respondents were patients at the Non-Public Health Care Centre of Environmental and Family Nursing in Bialystok, north-east Poland. The study used questionnaires pertaining to disabilities of the upper limbs: QuickDASH, and SF-36v2 Health Survey.
Results:
Significant, inversely proportional correlations between the results of the QuickDASH and the general results of the SF-36v2 Health Survey were shown, which means that the correlation coefficient r=-0.847 and the quality of life results in PCS (physical component summery) and MCS (mental component summery), the correlation coefficients were r=-0.489 and r=-0.842, respectively. The greater the disability in hand dexterity was, the lower the quality of life in the physical and mental health domains. Existence of one complication did not significantly affect the outcome of the QuickDASH, while the occurrence of two or three complications had a significant impact on this result (p <0.05).
Conclusions:
Patients’ quality of life declines significantly when two or more complications occur, both in the physical and mental domains. Older age groups reported worse sensing within the hands. Patients with comorbidities assessed their quality of life considerably worse.
REFERENCES (22)
1.
Sękowska A, Malec-Milewska M. Zastosowanie duloksetyny w leczeniu bólu neuropatycznego – bolesna polineuropatia cukrzycowa. Neuroedu. pl. Serwis Edukacyjny Polskiego Towarzystwa Neurologicznego 2016, s. 1–7.
2.
Szczyrba S, Kozera G, Bieniaszewski L, Nyka WM. Neuropatia cukrzycowa – patogeneza, rozpoznawanie, zapobieganie, leczenie. Forum Medycyny Rodzinnej 2010; 4(5): 339–355.
3.
Rajewski P, Rajewski P. Etiologia i patogeneza neuropatii cukrzycowej w świetle aktualnych badań. Przegląd Kardiodiabetologiczny 2007; 2(4): 267–272.
4.
Witek P. Algorytmy postępowania w neuropatii cukrzycowej. Diabetologia Praktyczna 2009; 10(5): 186–195.
5.
Kim RP, Edelman SV, Kim DD. Musculoskeletal Complications of Diabetes Mellitus. Clin Diabet. 2001: 19(3): 132–135.
6.
Jude EB, Jacob K. Managing painful neuropathy in diabetes. Pol Arch Med Wewn 2008, 118(5): 1–2.
7.
Golicki D, Krzysiak M, Strzelczyk P. Translation and cultural adaptation of the Polish version of the Disabilities of the Arm, Shoulder and Hand (DASH) and QuickDASH questionnaires. Ortop Traumatol Rehabil 2014; 16(4): 387–95. doi: 10.5604/15093492.1119616.
9.
Ware JE, Kosiński M, Dewey JE. How to score Version 2 of the SF-36 Health Survey. Lincoln, RI: QualityMetric Incorporated; 2000.
10.
Czechura J. Terapia ciągły podskórnym wlewem insuliny z zastosowaniem pomp insulinowych a jakość życia pacjentów. Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego i Narodowego Instytutu Leków w Warszawie. 2010; 4: 435–443.
11.
Dąbrowska A, Jurkowska B, Nowicki G, Prystupa A, Bednarski J, Pietryka-Michałowska E. Ocena wybranych elementów psychicznej jakości życia pacjentów leczonych z powodu cukrzycy typu 2. Curr Probl Psychiatry 2012; 13(2): 128–133.
12.
Bergman K, Olender K, Odrowąż-Sypniewska G. Rola otyłości i stanu zapalnego w cukrzycy typu 2 – znane fakty, nowe kontrowersje. J Lab Diagn. 2012. 48(3): 313–322.
13.
Bansal V, Kalita J, Misra UK. Diabetic neuropathy. Postgrad Med J 2006; 82(964): 95–100.
14.
Szybiński Z, Dziatkowiak H, Wąsikowa R, Kinalska I, Korman E, Grzywa M, Korniszewski L, Trippenbach H, Bandurska-Stankiewicz E, Pach D, Płaczkiewicz E, Ciechanowska M, Bieniarz J, Kowalska I, Stankiewicz W, Sobel-Maruniak A, Orłowska-Florek R, Staniszewski A, Symonides-Ławecka A, Dziubińska-Kolender, Kiełtyka A, Walczycka L. Wieloośrodkowe badania nad zapadalnością na cukrzycę typu 1 w grupie wiekowej 0–14 lat w Polsce w latach 1998–1999. Pol Arch Intern Med. 2001; 106:751–758.
15.
Lewko J, Krajewska-Kułak E. Wielowymiarowa ocena jakości życia chorych na cukrzycę. Pol Merk Lek. 2010, 28(168): 486–489.
16.
Kurpas D, Czech T, Mroczek B. Jakość życia pacjentów z cukrzycą – jakie znaczenie mają powikłania? Fam Med Prim Care Rev, 2012, 14(2): 177–181.
17.
Chien-Ju Y, Hsiu-Yun H, Chieh-Hsiang L, Yen-Li C, Haw-Yen C, LiChieh K. Do we underestimate influences of diabetic mononeuropathy or polyneuropathy on hand functional performance and life quality? J Diabetes Investigation 2017; doi: 10.1111/jdi.12649.
18.
Papanas N, Maltezos E. The diabetic hand: a forgotten complication? J Diabetes Complications 2010; 24(3): 154–162.
19.
Lewko J, Kochanowicz J, Zarzycki W, Mariak Z, Górska M, KrajewskaKulak E. Poor hand function in diabetics. Its causes and effects on the quality of life. Saudi Med J. 2012; 33(4): 429–435.
20.
Gamstedt A, Home-Glad J, Ohison C.G, Sundström M. Hand abnormalities are strongly associated with the duration of diabetes mellitus. J Intern Med 1993; 234: 189–193.
21.
Padua L, Saponara C, Ghirlanda G, Aprile I, Padua R, Pauri F, Tonali P. Health-related quality of life type 1 diabetic patients and influence of periheral nerve involvement. Neuro Sci. 2001; 22: 239–245.
22.
Fal AM, Jankowska B, Uchmanowicz I, Sen M, Panaszek B, Polanski J. Type 2 diabetes quality of life patients treated with insulin and oral hypoglycemic medication. Acta Diabetol. 2011; 48(3): 237–242.
Share
RELATED ARTICLE
| eISSN: | 1898-7516 |
| ISSN: | 1898-2395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
