Diabetes, Nutrition and Metabolic Diseases, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Diabetes, Nutrition and Metabolic Diseases, "Sf. Spiridon" Emergency Hospital, 700111 Iași, Romania.
Int J Environ Res Public Health. 2021 Mar 21;18(6):3249. doi: 10.3390/ijerph18063249.
Type 2 diabetes mellitus (T2DM) undermines health and quality of life (QoL). This cross-sectional study surveyed 138 consenting T2DM patients from North-Eastern Romania with regard to their satisfaction with treatment, diabetes-related impact on QoL, and general health. The Romanian versions of Diabetes Treatment Satisfaction Questionnaire (DTSQ), Audit of Diabetes Dependent Quality of Life (ADDQoL-19), and 36-Item Short Form Health Survey (SF-36) questionnaires were used. Self-reports were analyzed in conjunction with clinical and metabolic profiling. The patients were 57.86 ± 8.82 years old, 49.3% men, treated with oral glucose-lowering drugs, presenting with inadequate glycemic control but without cardiovascular manifestations. The mean DTSQ and ADDQoL scores were 25.46 ± 0.61 and -2.22 ± 1.2, respectively. Freedom to eat, holidays, journeys, leisure, physical health, sex life, freedom to drink, and feelings about the future scored below average. The mean SF-36 physical and mental health scores were 47.78 ± 1.03 and 50.44 ± 1.38, respectively. The mean SF-6D score was 0.59 ± 0.04 (generated retrospectively using SF-36 data). Negative associations were significant between ADDQoL, age (r = -0.16), and body mass index (r = -0.23), < 0.01. Overall scores did not correlate with diabetes duration (except DTSQ, r = -1.18, = 0.02) or HbA. The results confirm other researchers' findings in Europe and nearby countries. Our patients seemed satisfied with treatment despite glycemic imbalance and viewed diabetes as a burden on QoL and especially freedom to eat.
2 型糖尿病(T2DM)损害健康和生活质量(QoL)。本横断面研究调查了罗马尼亚东北部的 138 名同意参与的 T2DM 患者,以了解他们对治疗的满意度、糖尿病对 QoL 的影响以及总体健康状况。使用了罗马尼亚语版糖尿病治疗满意度问卷(DTSQ)、糖尿病依赖生活质量评估量表(ADDQoL-19)和 36 项简明健康调查问卷(SF-36)。将自我报告与临床和代谢特征分析相结合。患者年龄为 57.86 ± 8.82 岁,49.3%为男性,接受口服降糖药物治疗,血糖控制不佳但无心血管表现。平均 DTSQ 和 ADDQoL 评分为 25.46 ± 0.61 和 -2.22 ± 1.2。饮食自由、假期、旅行、休闲、身体健康、性生活、饮酒自由和对未来的感觉得分低于平均值。SF-36 心理健康和生理健康评分的平均值分别为 47.78 ± 1.03 和 50.44 ± 1.38。SF-6D 平均得分为 0.59 ± 0.04(使用 SF-36 数据回顾性生成)。ADDQoL 与年龄(r = -0.16)和体重指数(r = -0.23)呈显著负相关,P < 0.01。总体评分与糖尿病病程(除 DTSQ 与病程呈负相关,r = -1.18,P = 0.02)或 HbA1c 无相关性。研究结果与欧洲和附近国家的其他研究结果一致。尽管血糖失衡,我们的患者似乎对治疗满意,并认为糖尿病是 QoL 的负担,尤其是饮食自由的负担。