PrasannaKumar H R, Mahesh M G, Menon V B, Srinath K M, Shashidhara K C, Ashok P
Department of General Medicine, JSS Hospital, JSS University, Mysore, Karnataka, India.
Department of Clinical Pharmacy, JSS Hospital, JSS University, Mysore, Karnataka, India.
Niger J Clin Pract. 2018 Mar;21(3):343-349. doi: 10.4103/njcp.njcp_433_16.
Quality of life (QoL) is an important outcome measure to assess the diabetic care and is increasingly replacing the traditional indicators of health.
The aim is to evaluate the QoL in patients with type 2 diabetes mellitus (DM) using a third generation individualized QoL instrument like an audit of diabetes-dependent QoL (ADDQoL) questionnaire and to determine the predictors.
Patients who met the inclusion and exclusion criteria were recruited from a tertiary care hospital by convenience sampling. Sociodemographic and other relevant details were collected from the study patients, and ADDQoL questionnaire were administered to them.
A total of 200 patients were included in the study among which 66% of patients had uncontrolled type 2 DM as suggested by their glycated hemoglobin (HbA1c) values. The mean QoL score was 0.07 (0.91) and diabetes-dependent QoL was -1.33 (0.58). Approximately 38% were associated with poor health-related QoL with a mean average weighted impact score of -0.51 (0.51). Most frequently affected life domain was the freedom to eat. A positive correlation was observed between QoL and gender, age, domicile, education status, occupation, family structure, duration of type 2 DM, HbA1c, insulin treatment, and the presence of comorbidities.
The study highlights the impact of type 2 DM on QoL. Improving QoL of type 2 diabetic patients is important and knowledge of these preventable risk factors help to implement strategies to better management of type 2 DM and ultimately improve therapeutic outcome.
生活质量(QoL)是评估糖尿病护理的一项重要结果指标,并且越来越多地取代传统的健康指标。
旨在使用第三代个性化生活质量工具,如糖尿病相关生活质量(ADDQoL)问卷审计,评估2型糖尿病(DM)患者的生活质量,并确定预测因素。
通过便利抽样从一家三级护理医院招募符合纳入和排除标准的患者。收集研究患者的社会人口学和其他相关详细信息,并对他们进行ADDQoL问卷调查。
共有200名患者纳入研究,其中66%的患者糖化血红蛋白(HbA1c)值表明其2型糖尿病未得到控制。生活质量平均得分为0.07(0.91),糖尿病相关生活质量为-1.33(0.58)。约38%的患者与健康相关生活质量差有关,平均加权影响得分为-0.51(0.51)。受影响最频繁的生活领域是饮食自由。生活质量与性别、年龄、住所、教育程度、职业、家庭结构、2型糖尿病病程、HbA1c、胰岛素治疗以及合并症的存在之间存在正相关。
该研究突出了2型糖尿病对生活质量的影响。改善2型糖尿病患者的生活质量很重要,了解这些可预防的风险因素有助于实施策略以更好地管理2型糖尿病并最终改善治疗效果。