Esen İrfan, Aktürk Esen Selin
Internal Medicine, Yildirim Beyazit University Yenimahalle Research and Training Hospital, Ankara, TUR.
Medical Oncology, Health of Science Ankara City Hospital, Ankara, TUR.
Cureus. 2020 Oct 9;12(10):e10860. doi: 10.7759/cureus.10860.
Aim The aim of this study was to investigate the relationship between health literacy (HL) and quality of life (QoL) in type 1 diabetes mellitus (DM) patients. Method This study was conducted between February 2020 and May 2020 at the University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, in Turkey. A total of 155 patients with type 1 DM between the ages of 18-65 were included in the study. QoL was evaluated with the Audit of Diabetes Dependent QoL questionnaire and HL was evaluated with the Newest Vital Sign (NVS) questionnaire and obtained results were compared. Results The weighted impact score for the overall QoL scale was higher for patients who did not have complications than those with complications (p=0.004). Retinopathy and nephropathy were higher in the group with low HL (p=<0.001; p=0.032; p=0.012, respectively). The weighted impact score for the overall QoL scale was lower in married individuals (p=0.040) and it was higher for high school and above education levels than those with lower education levels (p=0.004). The sex life weighted impact score was higher in the group with DM less than 10 years (p=0.045). Conclusion Patients with high HL status are more adaptable to their physician's recommendations, less frequent complications will occur in these patients and the QoL of the patients will be better in the absence of complications.
目的 本研究旨在调查1型糖尿病（DM）患者的健康素养（HL）与生活质量（QoL）之间的关系。方法 本研究于2020年2月至2020年5月在土耳其布尔萨尤克斯伊蒂萨斯培训与研究医院健康科学大学进行。共有155名年龄在18 - 65岁之间的1型糖尿病患者纳入研究。使用糖尿病相关生活质量调查问卷评估生活质量，使用最新生命体征（NVS）问卷评估健康素养，并对所得结果进行比较。结果 无并发症患者的总体生活质量量表加权影响得分高于有并发症的患者（p = 0.004）。低健康素养组的视网膜病变和肾病发生率更高（分别为p < 0.001；p = 0.032；p = 0.012）。已婚个体的总体生活质量量表加权影响得分较低（p = 0.040），高中及以上教育水平者的得分高于教育水平较低者（p = 0.004）。糖尿病病程小于10年组的性生活加权影响得分更高（p = 0.045）。结论 健康素养高的患者更能适应医生的建议，这些患者并发症发生率较低，且无并发症时患者的生活质量更好。
