Abstract:
Background: Type 2 Diabetes Mellitus (T2DM) affects over 537 million people
worldwide, with rising cases in Bangladesh. This chronic condition impairs ADL
performance, reducing quality of life. However, its impact in Bangladesh remains
underexplored. This study examines how T2DM affects daily functioning in Bangladesh.
Aim: This study aims to quantitatively assess the impact of Type 2 diabetes on the ability
of individuals in Bangladesh to perform Activities of Daily Living (ADLs). The research
will focus on identifying which ADLs are most affected by the condition.
Methods: A cross-sectional quantitative research design will be used to collect data from
Type 2 diabetes patients in hospitals in Dhaka, Bangladesh. The Katz Index of
Independence in ADLs will assess participants' independence in bathing, dressing,
toileting, transferring, continence, and feeding. Sociodemographic data, including age,
gender, and diabetes duration, will also be collected to analyze their impact on ADL
impairment.
Results: The study found that 82.0% of participants were independent in bathing, 81.4%
in dressing, and 90.4% in feeding. However, 38.3% of participants were dependent in
toileting, 23.4% on transferring, and 25.1% on incontinence. Overall, 44.3% of participants
were fully independent, 41.9% were partially dependent, and 13.8% were fully dependent
in their ADLs. Age and the severity of diabetes significantly impacted ADL performance,
with older participants and those with uncontrolled diabetes showing higher levels of
dependency. This highlights the need for targeted interventions, including lifestyle changes
and physical activity, to improve ADL independence among diabetic patients in
Bangladesh.
Conclusion: This study highlights how Type 2 Diabetes Mellitus (T2DM) affects ADL
performance in Bangladesh. Older age and severe diabetes increase dependency, especially
in toileting and transferring. Targeted interventions, like lifestyle changes, are crucial to
improving independence and quality of life.
Keywords: Type 2 Diabetes Mellitus (T2DM), Activities of Daily Living (ADLs), Katz
Index of Independence, Lifestyle modifications.
Description:
This dissertation is submitted in partial fulfillment of the requirements for the Degree of Bachelor of Science in Occupational therapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.
