Frequency of Fall Risk in Patients with Diabetic Peripheral Neuropathy and its Impact on Quality of Life
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Abstract
Background: Diabetic Peripheral Neuropathy (DPN) is a common complication of diabetes mellitus, leading to a significant risk of falls and adversely affecting the quality of life (QOL). Understanding the frequency of fall risk and its impact on QOL among patients with DPN is essential for developing targeted interventions.
Objective: The study aimed to determine the frequency of fall risk in patients with diabetic peripheral neuropathy and assess its impact on their quality of life.
Methods: A descriptive cross-sectional study was conducted over six months at AIMS Diabetic Centre, Hayatabad Peshawar. A total of 246 patients with DPN, aged 40 years and above, were enrolled using a non-probability convenience sampling technique. Fall risk was evaluated using the Functional Reach Test (FRT), and quality of life was assessed through the Short Form-36 (SF-36) questionnaire. Data were analyzed using SPSS version 25, focusing on descriptive and inferential statistics.
Results: Among the participants, 69.5% (n=171) were identified at risk of falling. The FRT scores indicated that 13.0% (n=32) had a high fall risk, 45.93% (n=113) had a moderate fall risk, and 10.52% (n=26) had a low fall risk. Quality of life assessments revealed impairments across all domains of the SF-36, with significant variations observed between genders and DPN severity. The mean SF-36 score for physical functioning was notably lower among patients with a high fall risk.
Conclusion: The study underscores a significant association between DPN and an increased risk of falls, with a consequential negative impact on the quality of life. These findings highlight the need for integrated care strategies focusing on fall prevention and quality of life improvement for patients with diabetic peripheral neuropathy.
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