Quality of life in diabetes mellitus and the International Classification of Functioning Disability and Health: a study of some aspects
DOI:
https://doi.org/10.11606/issn.2317-0190.v15i1a102896Keywords:
International Classification of Functioning, Disability and Health, Diabetes Mellitus, Quality of LifeAbstract
Diabetes mellitus (DM) can have a profound impact on the patients’ quality of life and the International Classification on Functioning, Disability and Health (ICF) is a valid tool to verify the influence of the health components on quality of life. Objective: The aim of this study is to present the frequency distribution of the ICF categories of the summarized Core Set for DM with severe involvement in a group of patients whose quality of life was deeply affected by DM. Methods: A total of 38 patients with DM were studied, of whom 76.3 % had DM2 and 23.7% had DM1, using the clinical data, information on the quality of life associated to DM from the AddQoL questionnaire and the disability associated to diabetes: categories of the summarized Core Set of the ICF with severe and complete involvement and categories of which information was insufficient to specify the severity of the involvement. Statistical analysis: The descriptive analysis of the data was performed. Results: The bodily function categories that were more severely affected were b130, b210, b530, b540; categories of body structures were s220, s410, s740; of activities/participation were d240, d570 and of environmental factors were e110, e115. The least classified structures were the pancreas (s550), ocular globe (s220) and parasympathetic nervous system (s150). Conclusion: In the studied group of patients with DM that presented chronic complications, inadequate metabolic control and quality of life that was deeply affected by the disease, the presence of disability in self-care and environmental barriers suggests that these factors can contribute to a worsening in the quality of life, although bodily function and structure involvements were the most prevalent ones.
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References
Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care. 1997;20(4):562-7.
Brown GC, Brown MM, Sharma S, Brown H, Gozum M, Denton P. Quality of life associated with diabetes mellitus in an adult population. J Diabetes Complications. 2000;14(1):18-24.
Coffey JT, Brandle M, Zhou H, Marriott D, Burke R, Tabaei BP, et al. Valuing health-related quality of life in diabetes. Diabetes Care. 2002;25(12):2238-43.
Bradley C, Todd C, Gorton T, Symonds E, Martin A, Plowright R. The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: the ADDQoL. Qual Life Res. 1999;8(1-2):79-91.
Organização Mundial de Saúde. CIF: Classificaçao Internacional de Funcionalidade, Incapacidade e Saúde. Sao Paulo: Edusp; 2003. 325 p.
Ruof J, Cieza A, Wolff B, Angst F, Ergeletzis D, Omar Z, et al. ICF Core Sets for diabetes mellitus. J Rehabil Med. 2004;(44 Suppl):100-6.
American Diabetes Association. Nutrition recommendations and principles for people with diabetes mellitus. Tenn Med. 2000;93(11):430-3.
Farias N, Buchalla, CM. A Classificaçao Internacional de Funcionalidade, Incapacidade e Saúde da Organizaçao Mundial da Saúde: conceitos, usos e perspectivas. Rev Bras Epidemiol. 2005;8(2):183-93.
Battistella LR, CMM Britto. Classificaçao Internacional de Funcionalidade (CIF). Acta Fisiatr. 2002;9(2):98-101. Doi: https://doi.org/10.5935/0104-7795.20020003
Buchalla CM. A Classificaçao Internacional de Funcionalidade, Incapacidade e Saúde. Acta Fisiatr. 2003;10(1):29-31. Doi: https://doi.org/10.11606/issn.2317-0190.v10i1a102426
Cieza A, Ewert T, Ustün TB, Chatterji S, Kostanjsek N, Stucki G. Development of ICF Core Sets for patients with chronic conditions. J Rehabil Med. 2004;(44 Suppl):9-11.
Wolff B, Cieza A, Parentin A, Rauch A, Sigl T, Brockow T, et al. Identifying the concepts contained in outcome measures of clinical trials on four internal disorders using the International Classification of Functioning, Disability and Health as a reference. J Rehabil Med. 2004;(44 Suppl):37-42.
Gross JL, Nehme M. Detecçao e tratamento das complicaçoes crônicas do diabetes melito: Consenso da Sociedade Brasileira de Diabetes e Conselho Brasileiro de Oftalmologia. Rev Assoc Med Bras. 1999;44(3):279-84.
Murussi M, Coester A, Gross JL, Silveiro SP. Nefropatia diabética no diabete melito tipo 2: fatores de risco e prevençao. Arq Bras Endocrinol Metab. 2003;47(3):207-19.
Schellini SA, Silva MRBM, Silva MAM. Diabetes, retinopatia diabética e cegueira. J Bras Med. 1994;67(2):171-4.
Silva I, Pais-Ribeiro J, Cardoso H, Ramos H. Qualidade de vida e complicaçoes crônicas da diabetes. Análise Psicol. 2003;2(XXI):185-94.
Quality of life in type 2 diabetic patients is affected by complications but not by intensive policies to improve blood glucose or blood pressure control (UKPDS 37). U.K. Prospective Diabetes Study Group. Diabetes Care. 1999;22(7):1125-36.
Weinberger M, Kirkman MS, Samsa GP, Cowper PA, Shortliffe EA, Simel DL, et al. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care. 1994;32(12):1173-81.
Klein BE, Klein R, Moss SE. Self-rated health and diabetes of long duration. The Wisconsin Epidemiologic Study of Diabetic Retinopathy. Diabetes Care. 1998;21(2):236-40.
Fleck MPA, Leal OF, Louzada S, Xavier M, Chachamovich E, Vieira G, et al. Desenvolvimento da versao em português do instrumento de avaliaçao de qualidade de vida da OMS ( WHOQOL-100). Rev Bras Psiquiatr. 1999;21(1)19-28.
Gómez PI, Del`Socorro A. Qualidade de vida em pessoas com diabetes mellitus tipo 2 [Tese]. Ribeirao Preto: Universidade de Sao Paulo, Escola de Enfermagem; 2004.
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