The Impact of Diabetic Related Retinopathy and Neuropathy on Patients` Quality of Life
Date Issued
2009
Date
2009
Author(s)
Tsai, Pi-Ling
Abstract
In view of the increasing prevalence of diabetes mellitus worldwide, diabetes mellitus (DM) induce retinopathy and neuropathy are a huge burden for persons and countries. Diabetic retinopathy and neuropathy are known to influence patients’ quality of life and safety, such as falling. However, lack of information have known in this field. Thus, the purposes of the study were to examine (1) the diabetic induce retinopathy and neuropathy and their impact on patients` life quality; and (2) the influence of DM induced neuropathy and retinopathy on patients’ falling. A cross-sectional study was conducted in a medical center in Taipei. A total of 200 diabetic retinopathy were recruited. Data was collected by National Eye Institute Vision Function Questionnaire（NEI VFQ-25）, 12-item short-form（SF-12）, Michigan Neuropathy Screening Instrument（MNSI）. The findings showed that（1）diabetic retinopathy’s vision related quality of life affect by worse-seeing eye, subscale of vision related quality of life and visual acuity are significantly (p<.01)except for ocular pain subscale. (2） The most common diabetic neuropathy sensory symptom is pain and numbness. The most common abnormal neuropathy sign was light touch sense.（3）Generally, patients’ quality of life (SF-12) is significantly related to the severity of patients’ retinopathy and neuropathy(p<.001).（4）Simultaneously calculating patients’ severity of neuropathy, retinopathy and balance ability on possibility of falling analyzed by logistic regression found: compare to binocular visual acuity difference<0.6 and MNSI clinical examination score<4 (a) MNSI clinical examination score>4 and binocular visual acuity difference > 0.6 the fall risk odds ratio=3;(b) MNSI clinical examination score <4 and binocular visual acuity difference > 0.6 the fall risk odds ratio=2.71;(c) MNSI clinical examination score>4 and binocular visual acuity difference <0.6 the fall risk odds ratio=2.61. The study provide information about diabetic retinopathy and neuropathy impact quality of life. We also provide further evidence the risk of falling among retinopathy and neuropathy. Overall we hope that the finding will improve the quality of life and reduce falls.
Subjects
diabetes
diabetic retinopathy
diabetic neuropathy
quality of life
falls
SDGs
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