Assessment of Variance in Quality of Life of Post-Pulmonary Tuberculosis Patients with Type Ii Diabetes Mellitus
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Abstract
Background:
Tuberculosis remains an important cause of morbidity and mortality globally. Many patients who have completed treatment for tuberculosis and have been declared microbiologically cured still continue to have symptoms as a consequence of sequelae of the disease. There is a two-to four-fold higher risk of active TB in individuals with DM compared to non-diabetic individuals.
Aim:
To assess the role of Pulmonary Rehabilitation on the Quality of Life of Post Pulmonary Tuberculosis Patients With Type II Diabetes Mellitus.
Methodology:
A prospective observational study was conducted among 88 post-pulmonary tuberculous patients, including those with comorbid Type II Diabetes Mellitus. All participants underwent pulmonary rehabilitation and their quality of life was assessed using St. George's Respiratory Questionnaire at baseline, 12 weeks, and 3 months' follow-up, and then compared.
Results:
88 participants were enrolled in the study. 60.23 % were males and 39.77 % were females. 31.82% of participants were known cases of Type II Diabetes Mellitus. A statistically significant improvement was observed in the Quality of Life of Post-Pulmonary Tuberculosis patients after 12 weeks of Pulmonary Rehabilitation. [Two-tailed P value < 0.0001]. The improvement in quality of life of non-diabetic participants was found to be statistically significantly better than in diabetic participants at 12 weeks (p < 0.05) with weak statistically significantly better improvement at 3 months' follow up (p = 0.051).