Unidad de Conocimiento y Evidencia (CONEVID), Faculty of Medicine Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru. ORCID: 0000-0002-1910-1501.
Unidad de Conocimiento y Evidencia (CONEVID), Faculty of Medicine Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru. ORCID: 0000-0003-1721-4673.
Medwave. 2021 Mar 22;21(2):e8133. doi: 10.5867/medwave.2021.02.8132.
Quality of life and self-efficacy assessments are increasingly applied in research with type 2 diabetes mellitus patients due to the impact of the disease on their lives. This study aimed to describe the quality of life and self-efficacy in type 2 diabetes mellitus patients and describe the association of quality of life and self-efficacy with demographic, metabolic, and clinical variables. This is a secondary data analysis from a cross-sectional study: Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country. Data were obtained by standardized interviews and evaluation of medical records. The evaluation tools used were the Diabetes 39 questionnaire (D-39) to measure the quality of life and the General Self-Efficacy scale (GSE) for self-efficacy. The median scores of the D-39 and GSE were 34.6 and 34, respectively. The D-39 dimension with the highest score was anxiety and concern. Better quality of life was associated with being older than 65 years old, not having complications, and the absence of depression. No significant association was found between self-efficacy and the quality of life score. Results suggest patients with type 2 diabetes mellitus have a poor quality of life. Patient-centered strategies for type 2 diabetes mellitus care must consider these psychosocial factors to improve disease control and quality of life.
由于 2 型糖尿病对患者生活的影响,生活质量和自我效能评估在 2 型糖尿病患者的研究中越来越多地得到应用。本研究旨在描述 2 型糖尿病患者的生活质量和自我效能,并描述生活质量和自我效能与人口统计学、代谢和临床变量的相关性。这是一项来自横断面研究的二次数据分析:秘鲁一家公立医院 2 型糖尿病患者的代谢控制:中低收入国家的横断面研究。数据通过标准化访谈和病历评估获得。使用的评估工具是糖尿病 39 项问卷(D-39)来衡量生活质量和一般自我效能感量表(GSE)来衡量自我效能。D-39 和 GSE 的中位数评分分别为 34.6 和 34。得分最高的 D-39 维度是焦虑和担忧。更好的生活质量与年龄大于 65 岁、无并发症和无抑郁有关。自我效能与生活质量评分之间没有发现显著相关性。结果表明,2 型糖尿病患者的生活质量较差。以患者为中心的 2 型糖尿病护理策略必须考虑这些社会心理因素,以改善疾病控制和生活质量。