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科威特成年糖尿病患者的健康相关生活质量。

Health-related quality of life of Kuwaiti adults living with diabetes.

机构信息

Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait City, Kuwait.

Department of Health Policy and Management, Faculty of Public Health, Kuwait University, Kuwait City, Kuwait.

出版信息

Front Public Health. 2023 Mar 23;11:1085928. doi: 10.3389/fpubh.2023.1085928. eCollection 2023.

Abstract

Diabetes is known to compromise patients' health-related quality of life (HRQoL). It is important to understand the HRQoL of Kuwaiti nationals living with diabetes and identify factors that negatively affect it. This study included 1,182 Kuwaiti nationals with diabetes, aged 18-80 years. Patients' demographic and HRQoL information was collected using the EuroQol EQ-5D-5L instrument. Mean values for each EQ-5D subscale were worst for mobility (1.9) and pain/discomfort (1.8). Most patients reported having no problems in self-care (84.4%). Older adults were most likely to report severe problems with mobility ( < 0.001). Females were more likely to report severe problems with anxiety and depression than males ( < 0.006). The EQ visual analog scale (EQ VAS), which reports perceived overall health on a 0-100 scale, showed a mean of 74.7 (±19.6). Patients with comorbidities and/or complications perceived their health to be worse, with VAS scores significantly lower ( < 0.001). Other factors that negatively affected VAS scores were being female, obesity, insulin usage, and lower levels of education. In conclusion, patients with diabetes who have comorbidities and/or complications perceived their health to be worse. Further research is required to evaluate if current diabetes management interventions help improve patients' HRQoL.

摘要

糖尿病会损害患者的健康相关生活质量(HRQoL)。了解科威特糖尿病患者的 HRQoL 并确定对其产生负面影响的因素非常重要。这项研究纳入了 1182 名年龄在 18-80 岁的科威特糖尿病患者。使用 EuroQol EQ-5D-5L 工具收集患者的人口统计学和 HRQoL 信息。每个 EQ-5D 子量表的平均值最差的是移动性(1.9)和疼痛/不适(1.8)。大多数患者表示在自我护理方面没有问题(84.4%)。年龄较大的成年人最有可能报告严重的移动性问题(<0.001)。女性比男性更有可能报告焦虑和抑郁问题严重(<0.006)。EQ 视觉模拟量表(EQ VAS)报告了 0-100 分的整体健康感知,平均得分为 74.7(±19.6)。患有合并症和/或并发症的患者认为自己的健康状况更差,VAS 评分明显较低(<0.001)。对 VAS 评分产生负面影响的其他因素是女性、肥胖、使用胰岛素和受教育程度较低。总之,患有合并症和/或并发症的糖尿病患者认为自己的健康状况更差。需要进一步研究来评估当前的糖尿病管理干预措施是否有助于改善患者的 HRQoL。

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