Tonetto Isabela Fernandes de Aguiar, Baptista Marcelo Henrique Barbosa, Gomides Danielle Dos Santos, Pace Ana Emilia
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil.
Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Programa de Pós-Graduação em Enfermagem Fundamental, Ribeirão Preto, SP, Brazil.
Rev Esc Enferm USP. 2019 Jan 31;53:e03424. doi: 10.1590/S1980-220X2018002803424.
To analyze the quality of life of people with type 2 diabetes mellitus in the three levels of the healthcare system.
A quantitative, cross-sectional and descriptive study carried out in primary, secondary and tertiary healthcare units with individuals in outpatient care. The validated Diabetes-39 instrument was used to evaluate quality of life.
The sample consisted of 53 people. There was a decreasing tendency in the quality of life impairment from the primary to the tertiary care levels. In the total sample, there were differences between domains of quality of life with the variables gender, insulin use and occupation, greater perception of quality of life impairment and disease severity in people with higher rates of glycated hemoglobin.
Quality of life tends to worse as the disease worsens. The results suggest that quality of life is related to sociodemographic and clinical variables, therefore, these should be considered in the care.
分析医疗保健系统三个层级中2型糖尿病患者的生活质量。
对初级、二级和三级医疗保健单位的门诊患者开展一项定量、横断面描述性研究。采用经验证的Diabetes-39工具评估生活质量。
样本包括53人。从初级保健到三级保健水平,生活质量受损呈下降趋势。在整个样本中,生活质量各领域在性别、胰岛素使用和职业变量方面存在差异,糖化血红蛋白率较高的人群对生活质量受损和疾病严重程度的感知更强。
生活质量往往随疾病恶化而变差。结果表明,生活质量与社会人口学和临床变量相关,因此,在护理中应考虑这些因素。