在贡德尔大学转诊医院的糖尿病患者的健康相关生活质量及其相关因素。
Health-related quality of life and associated factors among patients with diabetes mellitus at the University of Gondar referral hospital.
机构信息
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Health Qual Life Outcomes. 2020 Mar 10;18(1):62. doi: 10.1186/s12955-020-01311-5.
BACKGROUND
Diabetes mellitus, which has a wide range of effects on the physical, social and psychological aspects of the well-being of a person, is a common and challenging chronic disease that causes a significant rate of morbidity and mortality. However, studies in our country, by and large, focused on the impact of the disease in terms of mortality and morbidity alone. Therefore, the objective of this study was to assess the health-related quality of life (HRQOL) and associated factors of diabetic patients at the University of Gondar referral hospital, Ethiopia.
METHODS
A facility-based cross-sectional study was conducted at the University of Gondar referral hospital from April to May 2017. A generic World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to measure the HRQOL. The data were analyzed by Stata version 12. Multiple Linear Regression analysis with P-value 0.05 was used to measure the degree of association between HRQOL and independent variables.
RESULTS
A total of 408 patients with Diabetes Mellitus were included in the study. The HRQOL scores for physical, psychological, social and environmental domains were 50.9, 54.5, 55.8 and 47.3, respectively. Diabetes-related complications had a significant association with all except the psychological domain. Higher HRQOL was associated with exercising, following the recommended diet, foot care, sensible drinking and the absence of co-morbidities. However, old age, unemployment and being single and widower had a significant association with lower HRQOL.
CONCLUSION
The environmental and physical domains of HRQOL scores were the lowest compared to the social and psychological domains. Old age and living in rural area had a significant association with a lower HRQOL, whereas the absence of diabetes-related complications, exercising, general diet and foot care had a significant association with better HRQOL of patients. Therefore, strong advice on the recommended lifestyle is important, and old patients and rural dwellers should get due attention. In addition, the prevention of diabetes-related complications is important to improve the patient HRQOL which is an important outcome measurement from the patient's perspective related to the impact of the disease. Therefore, including HRQOL assessment as part of routine management is necessary.
背景
糖尿病对个人的身心健康和生活质量有着广泛的影响，是一种常见且具有挑战性的慢性病，会导致较高的发病率和死亡率。然而，我国的研究大多仅关注疾病的死亡率和发病率方面。因此，本研究旨在评估埃塞俄比亚贡德尔大学转诊医院糖尿病患者的健康相关生活质量（HRQOL）及其相关因素。
方法
本研究是 2017 年 4 月至 5 月在贡德尔大学转诊医院进行的一项基于机构的横断面研究。采用世界卫生组织生活质量（WHOQOL-BREF）量表评估 HRQOL。采用 Stata 版本 12 进行数据分析。采用 P 值<0.05 的多线性回归分析来衡量 HRQOL 与独立变量之间的关联程度。
结果
共有 408 名糖尿病患者纳入本研究。身体、心理、社会和环境领域的 HRQOL 评分分别为 50.9、54.5、55.8 和 47.3。糖尿病相关并发症与除心理领域外的所有领域均有显著关联。锻炼、遵循推荐饮食、足部护理、明智饮酒和无合并症与较高的 HRQOL 相关。然而，年龄较大、失业以及单身和丧偶与较低的 HRQOL 显著相关。
结论
与社会和心理领域相比，HRQOL 的环境和身体领域的得分最低。年龄较大和居住在农村地区与较低的 HRQOL 显著相关，而无糖尿病相关并发症、锻炼、一般饮食和足部护理与患者的 HRQOL 较好显著相关。因此，强烈建议患者遵循推荐的生活方式，老年患者和农村居民应得到应有的关注。此外，预防糖尿病相关并发症对于提高患者的 HRQOL 非常重要，因为 HRQOL 是从患者角度衡量疾病影响的一个重要结果指标。因此，有必要将 HRQOL 评估纳入常规管理。
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