Kiadaliri Aliasghar A, Najafi Baharak, Mirmalek-Sani Maryam
Division of Health Economics, Department of Clinical Sciences, Malmö University Hospital, Lund University, Malmö, Sweden.
J Diabetes Metab Disord. 2013 Dec 19;12(1):54. doi: 10.1186/2251-6581-12-54.
Evaluation of health-related quality of life (HRQoL) among people with diabetes has been growing in Iran over the last decade. The main aim of the current study was to systematically review the characteristics of these studies and examine quality of their findings. Persian (SID, Magiran) and English (Pubmed, Medline, Web of Science, CINAHL, Scopus, PsycINFO and ERIC) databases were systematically searched using the search terms: "diabetes" AND "quality of life" AND "Iran". The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. A total of 46 studies passed the inclusion criteria and were included in the review. The included studies were conducted in 20 out of 30 provinces of the country. Most studies investigated HRQoL among people with type 2 diabetes. The Short Form Health Survey (SF-36) and WHO quality of life instruments (WHOQOL) were the main instruments used in these studies. Studies showed that people with diabetes had lower HRQoL than people without diabetes. Better socioeconomic status and better control of cardiovascular risk factors were associated with better HRQoL among the patients with diabetes. In general, the predictors of HRQoL among Iranian patients were similar to their international counterparts implying that diabetes patients share many common features. The reviewed studies suffer from major methodological and reporting flaws which limit validity and generalizability of their findings.
在过去十年中，伊朗对糖尿病患者健康相关生活质量（HRQoL）的评估一直在增加。本研究的主要目的是系统回顾这些研究的特点，并检验其研究结果的质量。使用搜索词“糖尿病”、“生活质量”和“伊朗”，对波斯语数据库（SID、Magiran）和英语数据库（PubMed、Medline、Web of Science、CINAHL、Scopus、PsycINFO和ERIC）进行了系统检索。遵循系统评价和Meta分析的首选报告项目（PRISMA）指南。共有46项研究通过纳入标准并被纳入综述。纳入的研究在该国30个省中的20个省进行。大多数研究调查了2型糖尿病患者的HRQoL。简短健康调查问卷（SF-36）和世界卫生组织生活质量量表（WHOQOL）是这些研究中使用的主要工具。研究表明，糖尿病患者的HRQoL低于非糖尿病患者。更好的社会经济地位和更好地控制心血管危险因素与糖尿病患者更好的HRQoL相关。总体而言，伊朗患者HRQoL的预测因素与其国际同行相似，这意味着糖尿病患者有许多共同特征。所综述的研究存在重大的方法学和报告缺陷，这限制了其研究结果的有效性和普遍性。
