Browsing by Author "Kaphle, Maheshor"
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Publication Good Quality of Life among People Living with Diabetes Mellitus Visiting the Outpatient Department of Endocrinology in a Tertiary Care Centre(Nepal Medical Association, 2023) Aryal, Sumitra; Bhandari, Roshan; Paudel, Sabin; Khadka, Radhika; Adhikari, Sita; Kaphle, MaheshorAbstract Introduction: Assessing the quality of life of individuals living with diabetes is crucial for ensuring optimal care and effective management of complications related to their condition. Diabetes is one of the leading causes of preventable mortality and morbidity among non-communicable diseases. The study aims to find out the prevalence of the good quality of life of people living with Diabetes mellitus visiting a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among type 2 diabetic patients visiting the Outpatient Department of Endocrinology in a tertiary care centre from 30 June 2022 to 20 July 2022. Ethical approval was obtained from the Institutional Review Committee. A systematic random sampling technique was used. D-39 questionnaires were administered via face-to-face interviews. Point estimate was calculated at 95% Confidence Interval. Results: Among 118 patients living with diabetes, good quality of life was seen in 97 (82.20%) (75.30-89.10, 95% Confidence Interval). This study found that the energy and mobility domain has the highest mean score of 26.7±7.8. Conclusions: The prevalence of good quality life of people living with Diabetes mellitus was found to be higher than other similar studies done in similar settings.Publication Prevalence of depression among Geriatric Population in a Rural Municipality of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Kaphle, Maheshor; Karki, Rajesh; Thapa, Anjana; Bhatta, RameshAbstract Introduction: Depression is a major public health concern among the elderly, affecting their quality of life and overall well-being. Despite the increasing elderly population in Nepal, data on the prevalence of depression in rural areas is limited. Therefore, this study aims to assess the prevalence of depression among the geriatric population. Methods: A cross-sectional study was conducted among individuals aged 60 years and above in three randomly selected wards of Shivapuri Rural Municipality. Respondents were selected using consecutive sampling. The Nepali version of the Geriatric Depression Scale (GDS-15) was administered through face-to-face interviews. Ethical approval was obtained from the Institutional Review Committee (Reference number 080/81-437). Descriptive analysis was conducted for categorical variables using the Statistical Package for the Social Sciences (SPSS). Results: The overall prevalence of geriatric depression was 115 (28.75%; 95% CI: 24.36%-33.46%), with a mean depression score of 3.54±3.17. Among those with depression, majority reported mild depression 79 (68.70%) reported mild depression, 79 (31.22%) were male, 88 (30.66%) were under 75 years of age, 46 (35.66%) self-rated their health as not good, 16 (32.66%) had COPD and 33 (30%) were hypertensive elderly. Conclusions: About one third of the elderly reported of having depression and more than 50% had mild depression. The depression was more in age group less than 75 years, male, married and in nuclear family.