THE INFLUENCE OF SUBCLINICAL NEPHROPATHY ON THE SUBJECTIVE HEALTH’S EVALUATION OF PATIENTS WITH MELLITUS DIABETES
Abstract
The aim of study. To assess the influence of subclinical nephropathy on the quality of life of patients with mellitus diabetes and cardiovascular diseases.
Materials and methods. 86 patients with mellitus diabetes and cardiovascular diseases were examined. Patients were examined two times at intervals of 12 months. Two groups of patients were formed: group 1 - patients with newly diagnosed kidney damage markers (n = 28); group 2 - without markers of kidney damage (n = 58). To assess the quality of life, a Russified version of the EQ-5D questionnaire was used. The statistical analysis of the results was carried out by using the computer program Statistica for Windows 6.0 (StatSoft Inc., USA).
Results. The compared groups haven’t differed in quality of life signs at the moment of inclusion. Patients assigned to group 1 had the higher score in the Visual analogical scale than patients assigned to group 2.
After 12 months, the group 1 hasn’t showed scores’ changes on the visual analogue scale, negative deviation of quality of life’s components was found out; in group 2, the quality of life improved statistically significantly, assessed by patients on a visual analogue scale. In group 1, a large part of people who had reduced indicators characterized the physical components of the quality of life was identified. These components were mobility, self-care, daily activities, pain or discomfort. Significant deterioration of the psychosocial components in the presence of renal dysfunction’s signs was not observed.
On the contrary, in group 2, the quality of life has improved in terms of physical and psycho-emotional components. So although the absence of a specific clinic in patients with signs of nephropathy, its negative impact on the quality of life’s components was detected.
The conclusion. The appearance of kidney dysfunction signs in patients with mellitus diabetes and cardiovascular diseases is associated with a decline in the quality of life. The health questionnaire can be used to assess the condition’s dynamics of patients with mellitus diabetes and cardiovascular diseases and also to evaluate the quality of treatment and to identify potential signs of organ damage. The findings emphasize the importance of kidney dysfunction’s development prevention, correction of risk factors and the progression of nephropathy.
References
Pomerancev V.P. Diagnoz, lechenie i kachestvo zhizni [Diagnosis, treatment and quality of life]. Klinicheskaja medicina [Clinical medicine]. 1989. № 9. Р. 3-8.
Evsina O.V. Kachestvo zhizni v medicine – vazhnyj pokazatel' sostojanija zdorov'ja pacienta (obzor literatury) [The quality of life in medicine is an important indicator of the patient's state of health (literature review)]. Lichnost' v menjajushhemsja mire: zdorov'e, adaptacija, razvitie [Personality in a changing world: health, adaptation, development]. 2013. №1. P.119-133.
Guryleva M.Je., Zhuravleva M.V., Aleeva G.N. Kriterii kachestva zhizni v medicine i kardiologii [Criteria of quality of life in medicine and cardiology]. Russkij medicinskij zhurnal [Medical journal of the Russian Federation]. 2006. №10, V. 14. Р.761-763.
Liga M.B. Metodiki ocenki kachestva zhizni [Methods for assessing the quality of life]. Vestnik ChitGU [Messenger CHit GU]. 2010. №9 (66). Р. 92-99.
Novik A.A., Ionova T.I. Rukovodstvo po issledovaniju kachestva zhizni v medicine: rukovodstvo [A guide to the study of quality of life in medicine: a guide]. M.: Izd-vo «OLMA Media Grupp», 2007. 320 р.
Rogova N. V., Butranova O. I., Kulikova I. V., Stacenko V.I., Ostrovskaja V. O. Ocenka kachestva zhizni bolnyh saharnym diabetom 2 tipa kak kriterij jeffektivnosti farmakoterapii [Assessment of the quality of life of patients with type 2 diabetes mellitus as a criterion for the effectiveness of pharmacotherapy]. V pomoshh prakticheskomu vrachu [To help a practical doctor]. 2011. N 1(37). Р. 111-114.
Mjasoedova N.A, Thosova Je.B., Belousov Ju.B. Ocenka kachestva zhizni pri razlichnyh serdechno sosudistyh zabolevanijah [Assessment of the quality of life for various cardiovascular diseases]. Kachestvennaja klinicheskaja praktika [Qualitative clinical practice]. 2002. №1. 5р.
Shishkova Ju.A., Surkova E.V., Motovilin O.G., Majorov A.Ju. Kachestvo zhizni pri saharnom diabete: opredelenie ponjatija, sovremennye podhody k ocenke, instrumenty dlja issledovanija [Quality of life in diabetes mellitus: definition of the concept, modern approaches to evaluation, tools for research]. Saharnyj diabet [Diabetes]. 2011. №3. Р.70-75.
Singh H., Bradley C. Quality of life in diabetes. International Journal of Diabetes in Developing Countries. 2006. Vol. 26. P. 7-10.
Coffey J.T., Brandle M., Zhou H., Marriott D. et al. Valuing Health-Related Quality of Life in Diabetes. Diabetes care. 2002. Vol. 25. P. 2238—2243.
Ospanova T.S., Zaozerskaja I.V. Izmenenie pokazatelej kachestva zhizni bolnyh na raznyh stadijah hronicheskoj bolezni pochek pri saharnom diabete [Changes in the quality of life of patients at different stages of chronic kidney disease in diabetes mellitus]. Nauchnye vedomosti. Serija Medicina Farmacija [Scientific Bulletin. Series Medicine. Pharmacy]. 2013. № 25 (168). №24. Р 60-65.
Diagnostika i lechenie arterialnoj gipertenzii. Rossijskie rekomendacii (chetvertyj peresmotr) [Diagnosis and treatment of hypertension. Russian recommendations (the fourth revision)]. Zhurnal Sistemnye gipertenzii [Journal of Systemic Hypertension]. 2010. № 3. Р.5-26.
Diagnostika i lechenie ishemicheskoj bolezni serdca. Nacionalnye klinicheskie rekomendacii. Sbornik [Diagnosis and treatment of coronary heart disease. National clinical recommendations. Collection]. ed. R.G. Oganov. M.: Izd-vo «Siliceja-Poligraf». 2009. Р. 1-98.
Nacionalnye rekomendacii OSSN, RKO I RNMOT po diagnostike I lecheniju HSN (chetvertyj peresmotr) [National recommendations of OSSN, RKO and RNMOT on diagnosis and treatment of CHF (fourth revision)]. Zhurnal Serdechnaja Nedostatochnost [Journal of Heart Failure]. 2013. V. 14. №7 (81). Р. 1-102.
Inzucchi S.E., Matthews D.R., Bergenstal R.M. et al. Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach: Position Statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care. 2012. Vol. 35(6). Р. 1364-1379.
Garber A.J., Abrahamson M.J., Barzilay J.I. et al. AACE Comprehensive Diabetes Management Algorithm 2013. J. Endocr. Pract. 2013. Vol. 19. № 2. P. 327-336.
Lang R.M., Bierig M., Devereux R.B. et al. Recommendations for chamber quantifi cation. Guidelines. Eur. J. Echocardiography. 2006. Vol. 7. № 2. P. 79–108.
Usova S.V., Rodionova T.I. Sovremennye podhody k ocenke kachestva zhizni pri saharnom diabete 2 tipa [Modern Approaches to the Assessment of the Quality of Life in Type 2 Diabetes Mellitus]. Sovremennye problemy nauki i obrazovanija [Modern Problems of Science and Education]. 2014. № 6. 6 р.
КDOQI clinical practice guideline for diabetes and CKD: 2012 update. Am J of Kidn Dis. 2012. Vol. 60(5). Р. 850–886.
Coffey, J.T., Brandle, M., Zhou, H. et al. Valuing health-related quality of life in diabetes. Diabetes Care. 2002. Vol. 25. P. 2238–2243.
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