EFFECT OF COMPREHENSIVE CARE ON DIABETIC PATIENTS IN UHTC OF A TERTIARY CARE HOSPITAL IN TIRUVALLUR- AN OBSERVATORY-COMPARISON STUDY

Abstract

Background: Diabetes is a chronic, metabolic disease that over time causes serious damage to vital organs of the body which requires comprehensive care to manage. Thus, the study assessed the effect of Comprehensive care on diabetic patients with respect to their quality of life.

Methodology: An Observatory study was conducted for 396 Diabetic Patients, who registered in the Urban health training centre of a tertiary care hospital in Thiruvallur from April 2022- April 2023. Among those who were registered, those who consented to get comprehensive care for diabetes was 200. Comprehensive care for these patients included components such as Yoga, Diet Counselling, Physical exercise, Smoking and Tobacco Cessation, and Regular follow-up with adherence to medications. The quality of life of these patients following comprehensive care was assessed by using QOLID (quality of life in diabetes patients) and compared with the non-beneficiaries of comprehensive care. Independent sample t-tests were used to express the difference in QOLID scores among the participants, and multivariate logistic regression was performed.

Results: In our study, 396 patients enrolled for the NCD clinic, out of which 200 were beneficiaries of the comprehensive care and 196 were non-beneficiaries. The mean ± SD age of the study participants was 47 ± 4 (Range: 43 – 51 years) and 204 (52%) were females. The Mean QOLID scores for the beneficiaries after the period of comprehensive care were found to be 68.33 ± 10.16 for the non-beneficiaries it was 60.81 ± 6.28. The difference in mean scores was found to be statistically significant with p value of < 0.01.

Conclusion: Comprehensive care for diabetic patients has a positive impact on their quality of life. It should be up-scaled and provided for the masses across the globe.