Awadalla Abdel W, Ohaeri Jude U, Tawfiq Adel M, Al-Awadi Shafika A
Department of Psychiatry, Faculty of Medicine, Kuwait University, P.O. Box 24923, Safat, Kuwait 13110.
J Natl Med Assoc. 2006 May;98(5):737-45.
There is a paucity of studies on comparison of quality of life (QOL) of type-1 and type-2 diabetes patients, and the impact of family caregivers' impressions on the QOL of patients.
To assess the subjective QOL of Sudanese diabetics using the WHOQOL-Bref, compared with a general population sample; examine caregiver-patient concordance; and assess the variables that impact on QOL.
The responses of 105 outpatients with type-1 diabetes and 136 with type-2 diabetes were compared with their family caregivers' impressions and 139 general population subjects.
Patients were predominantly dissatisfied with their life circumstances. Type-1 diabetics had significantly lowest QOL scores, while the control group had highest scores. Having additional medical problems; having diminished sexual desire; and being young, unemployed and single were associated with poor QOL, but illness duration was not. Type-2 diabetics had lesser concordance with caregivers. The only predictor of patients' QOL was the caregivers' impression of patients' QOL.
Caregivers' impression of patients' QOL impacted on outcome. Caregiver education is, therefore, important. The factors associated with QOL indicate a group that needs focused attention. The good QOL for type-2 and nonsignificance of illness duration encourage therapeutic optimism.
关于1型和2型糖尿病患者生活质量（QOL）的比较，以及家庭照顾者的看法对患者生活质量的影响的研究较少。
使用世界卫生组织生活质量简表（WHOQOL-Bref）评估苏丹糖尿病患者的主观生活质量，并与普通人群样本进行比较；检查照顾者与患者的一致性；并评估影响生活质量的变量。
将105名1型糖尿病门诊患者和136名2型糖尿病门诊患者的回答与其家庭照顾者的看法进行比较，并与139名普通人群受试者进行比较。
患者对其生活状况大多不满意。1型糖尿病患者的生活质量得分显著最低，而对照组得分最高。患有其他医疗问题、性欲减退、年轻、失业和单身与生活质量差有关，但病程无关。2型糖尿病患者与照顾者的一致性较低。患者生活质量的唯一预测因素是照顾者对患者生活质量的看法。
照顾者对患者生活质量的看法影响结果。因此，照顾者教育很重要。与生活质量相关的因素表明这是一个需要重点关注的群体。2型糖尿病患者良好的生活质量以及病程无显著性差异，这鼓励了治疗上的乐观态度。
