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在埃塞俄比亚西部 Nekemte 专科医院接受随访的糖尿病患者健康相关生活质量的预测因素:一项横断面研究。

Predictors of health-related quality of life among patients with diabetes on follow-up at Nekemte specialised Hospital, Western Ethiopia: a cross-sectional study.

机构信息

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia.

出版信息

BMJ Open. 2020 Jul 28;10(7):e036106. doi: 10.1136/bmjopen-2019-036106.

Abstract

OBJECTIVE

To assess health-related quality of life (HRQoL) and its predictors among patients with diabetes on follow-up at Nekemte Specialised Hospital in Western Ethiopia.

DESIGN, SETTING AND PARTICIPANTS: This facility-based cross sectional study was conducted among 224 patients with diabetes mellitus (types I and II) on follow-up at one of the public hospitals in western Ethiopia. Respondents were selected by systematic random sampling and interviewed with the aid of a questionnaire.

MAIN OUTCOME MEASURED

HRQoL was measured by using the Medical outcomes study 36-item Short Form (SF-36) Health Survey from 15 April to 5 June 2019. A structured questionnaire was used for data collection from participants selected by systematic random sampling. Multiple linear regression was used for the final model.

RESULT

A total of 215 patients with diabetes consented and completed the study, giving a response rate of 96%. The mean score of the overall HRQoL of the study participants was 50.3±18.1. The highest mean score was obtained in the physical functioning domain and the lowest mean score in the general health domain. Age, education status, history of smoking, feeling of stigmatisation and body mass index were inversely associated with the overall HRQoL. Gender (male), marital status (currently married), absence of comorbidity and absence of chronic complications related to diabetes mellitus were positively associated with overall HRQoL.

CONCLUSION

The overall HRQoL of patients with diabetes on follow-up at the study area was found to be moderate. General health, mental health, bodily pain and vitality were the most affected domains. Both the mental and physical components need to be considered when caring for the patients with diabetes on follow-up beyond provision of treatment.

摘要

目的

评估在埃塞俄比亚西部 Nekemte 专科医院接受随访的糖尿病患者的健康相关生活质量(HRQoL)及其预测因素。

设计、地点和参与者:这是一项基于设施的横断面研究,在埃塞俄比亚西部的一家公立医院接受随访的 224 名 1 型和 2 型糖尿病患者中进行。采用系统随机抽样选择受访者,并通过问卷进行访谈。

主要观察指标

使用医疗结局研究 36 项简短健康调查问卷(SF-36)于 2019 年 4 月 15 日至 6 月 5 日期间测量 HRQoL。采用结构化问卷从系统随机抽样选择的参与者中收集数据。采用多元线性回归建立最终模型。

结果

共有 215 名糖尿病患者同意并完成了研究,应答率为 96%。研究参与者整体 HRQoL 的平均得分为 50.3±18.1。最高平均得分出现在身体功能领域,最低平均得分出现在一般健康领域。年龄、教育程度、吸烟史、污名感和体重指数与整体 HRQoL 呈负相关。性别(男性)、婚姻状况(已婚)、无合并症和无与糖尿病相关的慢性并发症与整体 HRQoL 呈正相关。

结论

在研究区域接受随访的糖尿病患者的整体 HRQoL 被发现处于中等水平。一般健康、心理健康、身体疼痛和活力是受影响最大的领域。在为接受随访的糖尿病患者提供治疗之外的护理时,需要考虑到心理和身体两个方面。

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