Johari Nuruljannah, Manaf Zahara Abdul, Ibrahim Norhayati, Shahar Suzana, Mustafa Norlaila
Dietetics Programme.
Health Psychology Programme, Faculty of Health Sciences.
Clin Interv Aging. 2016 Oct 17;11:1455-1461. doi: 10.2147/CIA.S105652. eCollection 2016.
Diabetes mellitus is prevalent among older adults, and affects their quality of life. Furthermore, the number is growing as the elderly population increases. Thus, this study aims to explore the predictors of quality of life among hospitalized geriatric patients with diabetes mellitus upon discharge in Malaysia.
A total of 110 hospitalized geriatric patients aged 60 years and older were selected using convenience sampling method in a cross-sectional study. Sociodemographic data and medical history were obtained from the medical records. Questionnaires were used during the in-person semistructured interviews, which were conducted in the wards. Linear regression analyses were used to determine the predictors of each domain of quality of life.
Multiple regression analysis showed that activities of daily living, depression, and appetite were the determinants of physical health domain of quality of life (=0.633, (3, 67)=38.462; <0.001), whereas depression and instrumental activities of daily living contributed to 55.8% of the variability in psychological domain (=0.558, (2, 68)=42.953; <0.001). Social support and cognitive status were the determinants of social relationship (=0.539, (2, 68)=39.763; <0.001) and also for the environmental domain of the quality of life (=0.496, (2, 68)=33.403; <0.001).
The findings indicated different predictors for each domain in the quality of life among hospitalized geriatric patients with diabetes mellitus. Nutritional, functional, and psychological aspects should be incorporated into rehabilitation support programs prior to discharge in order to improve patients' quality of life.
糖尿病在老年人中普遍存在，影响他们的生活质量。此外，随着老年人口的增加，这一数字也在不断上升。因此，本研究旨在探讨马来西亚住院老年糖尿病患者出院时生活质量的预测因素。
在一项横断面研究中，采用便利抽样法选取了110名60岁及以上的住院老年患者。社会人口学数据和病史从病历中获取。在病房进行面对面半结构化访谈时使用问卷。采用线性回归分析来确定生活质量各领域的预测因素。
多元回归分析表明，日常生活活动、抑郁和食欲是生活质量身体健康领域的决定因素（=0.633，(3, 67)=38.462；<0.001），而抑郁和日常生活工具性活动占心理领域变异性的55.8%（=0.558，(2, 68)=42.953；<0.001）。社会支持和认知状态是社会关系（=0.539，(2, 68)=39.763；<0.001）以及生活质量环境领域（=0.496，(2, 68)=33.403；<0.001）的决定因素。
研究结果表明，住院老年糖尿病患者生活质量的每个领域都有不同的预测因素。在出院前，营养、功能和心理方面应纳入康复支持计划中，以提高患者的生活质量。
