Cheah Wl, Lee Py, Lim Py, Fatin Nabila Aa, Luk Kj, Nur Iwana At
Malays Fam Physician. 2012 Aug 31;7(2-3):21-30. eCollection 2012.
Diabetes is a chronic disease that affects a patient's quality of life. This cross-sectional study aimed to determine the socio-demographic and disease profile factors associated with poor quality of life among patients with diabetes. The study was conducted at a primary health care clinic in Kuching between August to November 2010. Short Form - 36 (SF - 36) questionnaire was used to assess the quality of life of diabetic patients aged ≥ 18. A total of 142 respondents participated in the survey. After adjusting for age, those with no education scored lower at vitality (p=0.043) and emotional health (p=0.033) compared with those who have tertiary education. Those working in the private sector scored better for physical functioning (p=0.042) compared with pensioners and the unemployed. Patients with uncontrolled diabetes scored lower in the role-emotional domain (p=0.003). Participants who were on <3 (p=0.014) and ≥3 (p=0.024) oral medications had better score for role-physical than those on insulin. Those on insulin had worse score for bodily pain than those on oral medication only (vs <3 oral drugs, p=0.026; vs ≥3 oral drugs, p=0.001). Various socio-demographic factors, uncontrolled diabetes and insulin usage were found to have negative impact on a diabetic patient's quality of life. Programmes addressing the physical and emotional needs of diabetic patients at the primary health care setting are essential to help improve their quality of life.
糖尿病是一种影响患者生活质量的慢性疾病。这项横断面研究旨在确定与糖尿病患者生活质量差相关的社会人口统计学和疾病特征因素。该研究于2010年8月至11月在古晋的一家初级卫生保健诊所进行。使用简短健康调查问卷-36(SF-36)对年龄≥18岁的糖尿病患者的生活质量进行评估。共有142名受访者参与了调查。在对年龄进行调整后,未受过教育的患者在活力(p=0.043)和情绪健康(p=0.033)方面的得分低于受过高等教育的患者。与领取养老金者和失业者相比,在私营部门工作的患者在身体功能方面得分更高(p=0.042)。糖尿病未得到控制的患者在角色-情绪领域得分较低(p=0.003)。服用<3种(p=0.014)和≥3种(p=0.024)口服药物的参与者在角色-身体方面的得分高于使用胰岛素的参与者。使用胰岛素的患者在身体疼痛方面的得分比仅服用口服药物的患者更差(与<3种口服药物相比,p=0.026;与≥3种口服药物相比,p=0.001)。发现各种社会人口统计学因素、糖尿病未得到控制以及胰岛素的使用对糖尿病患者的生活质量有负面影响。在初级卫生保健机构开展满足糖尿病患者身体和情感需求的项目对于帮助改善他们的生活质量至关重要。