Department of Health Education and Health Promotion, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Sci Rep. 2023 Apr 3;13(1):5447. doi: 10.1038/s41598-023-32348-3.
Quality of life (QOL) in patients with diabetes is affected by multiple factors, and this study aimed to determine the effect of health locus of control points (HLOC) and diabetes health literacy (DHL) on QOL in Iranian patients with type 2 diabetes. This cross-sectional study was conducted between October 2021 and February 2022 among 564 people with type 2 diabetes. Patients were selected using proportional stratified sampling and simple random sampling methods. Data were collected using three questionnaires: (1) Multidimensional Health Locus of Control scale (form C), (2) World Health Organization Quality of Life Scale, and (3) Diabetes Health Literacy Scale. Data were analyzed by software's of SPSS and AMOS . There was a positive and significant correlation between DHL and QOL. There was a positive and significant correlation between the subscales of internal HLOC, and doctors HLOC with QOL. According to the Path analysis results, all variables showed 58.93% of the direct effects and 41.07% of indirect effects of the final model. Numerate health literacy, informational health literacy, communicative health literacy, internal HLOC, other powerful people HLOC, chance HLOC, and doctors HLOC were able to predicted 49% variance of diabetes QOL (R2 = 0.49). The subscales of communicative health literacy, informational health literacy, internal HLOC, doctors HLOC, and chance HLOC had the greatest impact on QOL of people with diabetes. Based on the results of Path analysis, diabetes health literacy and HLOC play an effective role in QOL of diabetic. Therefore, there is a need to design and implement programs to improve the health literacy of patients as well as HLOC to improve QOL of patients.
生活质量（QOL）在糖尿病患者中受到多种因素的影响，本研究旨在确定健康控制点（HLOC）和糖尿病健康素养（DHL）对伊朗 2 型糖尿病患者 QOL 的影响。这项横断面研究于 2021 年 10 月至 2022 年 2 月期间在 564 名 2 型糖尿病患者中进行。采用比例分层抽样和简单随机抽样方法选择患者。使用三个问卷收集数据：（1）多维健康控制点量表（C 型），（2）世界卫生组织生活质量量表，（3）糖尿病健康素养量表。数据使用 SPSS 和 AMOS 软件进行分析。DHL 与 QOL 呈正相关。内部 HLOC 和医生 HLOC 与 QOL 呈正相关。根据路径分析结果，所有变量均显示最终模型的直接效应为 58.93%，间接效应为 41.07%。数量健康素养、信息健康素养、交流健康素养、内部 HLOC、其他权威人物 HLOC、机会 HLOC 和医生 HLOC 可以预测糖尿病 QOL 的 49%方差（R2=0.49）。交流健康素养、信息健康素养、内部 HLOC、医生 HLOC 和机会 HLOC 的子量表对糖尿病患者的 QOL 影响最大。基于路径分析的结果，糖尿病健康素养和 HLOC 在糖尿病患者的 QOL 中发挥了有效的作用。因此，需要设计和实施方案来提高患者的健康素养以及 HLOC，以提高患者的 QOL。
