Profile of disabilities and their associated factors in patients with type 2 diabetes evaluated by the Canadian occupational performance measure: the Rio De Janeiro type 2 diabetes cohort study
| العنوان: | Profile of disabilities and their associated factors in patients with type 2 diabetes evaluated by the Canadian occupational performance measure: the Rio De Janeiro type 2 diabetes cohort study |
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| المؤلفون: | Camila Barros de Miranda Moram, Ana Cristina Franzoi, Priscila C. Rodrigues, Gil F. Salles, Claudia R.L. Cardoso, Fernanda de Sousa Marinho |
| المصدر: | Disability and Rehabilitation. 38:2095-2101 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Male, Canada, 030506 rehabilitation, medicine.medical_specialty, Pain, Work Capacity Evaluation, 030209 endocrinology & metabolism, Type 2 diabetes, Logistic regression, Cohort Studies, Tertiary Care Centers, Disability Evaluation, 03 medical and health sciences, 0302 clinical medicine, International Classification of Functioning, Disability and Health, Interquartile range, medicine, Humans, Disabled Persons, Mobility Limitation, Pain Measurement, business.industry, Rehabilitation, Peripheral Nervous System Diseases, Odds ratio, Middle Aged, medicine.disease, Self Care, Cross-Sectional Studies, Logistic Models, Peripheral neuropathy, Diabetes Mellitus, Type 2, Multivariate Analysis, Quality of Life, Physical therapy, Female, Canadian occupational performance measure, 0305 other medical science, business, Cohort study |
| الوصف: | To investigate the profile of disability in patients with type 2 diabetes and to evaluate its associated variables.The Canadian Occupational Performance Measure (COPM) assessed disabilities in 475 type 2 diabetic individuals. The activities were categorised by the International Classification of Functioning, Disability and Health. The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) was used to evaluate pain, emotional and physical functioning domains of life-quality. Multivariable logistic regression assessed the independent correlates of better/worse performance.Median COPM score was 4.5 (interquartile range 3-6). Problems in mobility (53.6%), self-care (21.1%) and daily-life (13.0%) were most frequently self-reported. Presence of restriction/pain in the upper limbs (odds ratio [OR]: 1.66; 95% CI: 1.11-2.47; p=0.013) and of peripheral neuropathy (OR: 1.64; 95% CI: 1.06-2.53; p=0.026) were associated with greater chance of worse performance. Higher values of SF-36 in pain and emotional domains (each 10 point increase; OR: 0.92 95% CI: 0.85-0.98; p=0.011; OR: 0.96; 95% CI: 0.92-1.00; p=0.063, respectively) and physical activity (OR: 0.63; 95% CI: 0.41-0.98; p=0.042) were associated with better performance.Type 2 diabetic patients frequently reported disabilities in mobility, self-care and daily-life domains; and its associated factors were the presence of depression, upper limb pain and diabetic peripheral neuropathy. Implications for Rehabilitation The Canadian Occupational Performance Measure (COPM) instrument can be applied to patients with diabetes, as it identifies several disabilities, mostly in mobility, self-care and domestic life areas. Rehabilitation directed to upper limb pain/limitation and to lower limb peripheral neuropathy shall be implemented and may improve diabetic patients' performance and quality of life. A patient-centered rehabilitation strategy, guided by the COPM, may enable greater independence and autonomy, but this should be confirmed in future intervention studies. |
| تدمد: | 1464-5165 0963-8288 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c639f56d14868eba9213dcbd41e99456Test https://doi.org/10.3109/09638288.2015.1111440Test |
| رقم الانضمام: | edsair.doi.dedup.....c639f56d14868eba9213dcbd41e99456 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14645165 09638288 |
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