Akinci Fevzi, Yildirim Aysegul, Gözü Hulya, Sargin Haluk, Orbay Ekrem, Sargin Mehmet
Department of Health Policy and Administration, Washington State University, P.O. Box 1495, Spokane, WA 99210-1495, USA.
Diabetes Res Clin Pract. 2008 Jan;79(1):117-23. doi: 10.1016/j.diabres.2007.07.003. Epub 2007 Aug 20.
We measured the health-related quality of life (HRQoL) in a sample of 376 type 2 diabetes patients in Turkey using the Diabetes Quality of Life (DQOL) instrument and examined which patient socio-demographic and diabetes-related clinical characteristics are associated with better quality of life (QoL). The influence of patient socio-demographic and clinical characteristics on QoL was examined using independent sample t-tests and one-way analysis of variance. Diabetes significantly affected the HRQoL of patients included in this study. The mean score of the total DQOL measure was higher among patients who were less than 40 years of age, male, married, had less than 8 years of education, lived with their family and had no family history of diabetes (p<0.05). Similarly, patients with less than 5 years of disease duration, no complications or prior hospitalization, receive insulin, and with HbA(1)c<7 reported significantly better overall HRQoL (p<0.05). Patients with BMI<24 had higher levels of satisfaction with diabetes than those with BMI>or=24 (p<0.05). Diabetes-related HRQoL information is clearly of supreme importance to family physicians and policy makers to identify and implement appropriate interventions for achieving better management of diabetes and ultimately improving the QoL of diabetes patients.
我们使用糖尿病生活质量(DQOL)工具对土耳其376例2型糖尿病患者的样本进行了健康相关生活质量(HRQoL)测量,并研究了哪些患者的社会人口统计学和糖尿病相关临床特征与更好的生活质量(QoL)相关。使用独立样本t检验和单因素方差分析研究了患者社会人口统计学和临床特征对生活质量的影响。糖尿病显著影响了本研究中患者的健康相关生活质量。在年龄小于40岁、男性、已婚、受教育年限少于8年、与家人同住且无糖尿病家族史的患者中,DQOL总测量的平均得分更高(p<0.05)。同样,病程少于5年、无并发症或既往住院史、接受胰岛素治疗且糖化血红蛋白(HbA1c)<7的患者报告的总体健康相关生活质量明显更好(p<0.05)。体重指数(BMI)<24的患者对糖尿病的满意度高于BMI≥24的患者(p<0.05)。糖尿病相关的健康相关生活质量信息对于家庭医生和政策制定者确定和实施适当干预措施以更好地管理糖尿病并最终改善糖尿病患者的生活质量显然至关重要。