Levterova Boryana A, Dimitrova Donka D, Levterov Georgi E, Dragova Elena A
Department of Health Management, Health Economics and Primary Care, Faculty of Public Health, Medical University, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2013 Jan-Mar;55(1):83-92. doi: 10.2478/folmed-2013-0010.
Diabetes mellitus is a disease which carries a considerable social impact in Bulgaria and across the world because of its high prevalence. Research literature has recently included lots of studies investigating the effects of diabetes mellitus on the quality of life of diabetic patients and also many instruments to assess these effects. Quality of life is a concept that encompasses an individual's subjective perception of physical, emotional and social wellbeing, including both a cognitive component (satisfaction) and an emotional component (happiness). We review and analyse in the present article major determinants of disease-specific quality of life in patients with type 2 diabetes mellitus and the tools used for assessment.
Fourteen instruments for measuring quality of life in type 2 diabetes mellitus (T2DM) met our search criteria. Their contents covered different quality-of-life domains or indicators-- typical diabetes symptoms, general health and quality of life, personality traits, physical functioning, mental and social well-being, treatment and quality of life. Most of the disease-specific tools had been field tested and data about their reliability and validity have been reported. Few tools had been subjected to formal assessment of their adaptability to changes.
Of the instruments we assessed the most promising approaches for measuring the diabetes-specific quality of life are offered by ADDQoL, DCP and WBQ. Patients were involved in the development of these tools which have been shown by a number of studies to have good internal reliability, external and construct validity. Efforts are being continually made worldwide to develop a standard ensuring valid, reliable, easy to use tool for assessing quality of life in patients with type 2 diabetes mellitus in order to promote patients integration into society.
糖尿病是一种在保加利亚乃至全球都具有重大社会影响的疾病，因其高患病率所致。近期研究文献中有大量关于糖尿病对糖尿病患者生活质量影响的研究，也有许多评估这些影响的工具。生活质量是一个涵盖个人对身体、情感和社会幸福感主观认知的概念，包括认知成分（满意度）和情感成分（幸福感）。在本文中，我们回顾并分析2型糖尿病患者特定疾病生活质量的主要决定因素以及所使用的评估工具。
十四种用于测量2型糖尿病（T2DM）患者生活质量的工具符合我们的检索标准。它们的内容涵盖了不同的生活质量领域或指标——典型糖尿病症状、总体健康和生活质量、人格特质、身体功能、心理和社会幸福感、治疗与生活质量。大多数特定疾病工具都经过了实地测试，并且已报告了其可靠性和有效性的数据。很少有工具经过正式的适应性变化评估。
在我们评估的工具中，ADDQoL、DCP和WBQ提供了测量糖尿病特定生活质量最有前景的方法。这些工具在开发过程中纳入了患者参与，多项研究表明它们具有良好的内部可靠性、外部有效性和结构效度。全球正在不断努力开发一种标准，以确保有一个有效、可靠、易于使用的工具来评估2型糖尿病患者的生活质量，从而促进患者融入社会。
