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在中欧国家,性别会影响 2 型糖尿病患者的健康相关生活质量(ADDQoL)吗?

Does gender affect health-related quality of life in patients with type 2 diabetes (ADDQoL) in Central European countries?

机构信息

Department of Clinical Nursing, Faculty of Health Science, Medical University, Wrocław, Poland.

Faculty of Health Sciences, University of Bielsko-Biala, Poland.

出版信息

Ann Agric Environ Med. 2023 Jun 26;30(2):296-305. doi: 10.26444/aaem/161584. Epub 2023 Mar 14.

Abstract

OBJECTIVE

The aim of this study was to compare the impact of type 2 diabetes on quality of life (QoL), taking into account gender differences in relation to individual domains of Diabetes-Related Quality of Life Audit (ADDQoL) in adult men and women in Poland, the Czech Republic and Republic of Slovakia.

MATERIAL AND METHODS

The participants were 608 patients from the three countries, of whom 278 were women and 330 men with type 2 diabetes mellitus. The tool used was the Audit of Diabetes-Dependent Quality of Life (ADDQoL).

RESULTS

The overall average QoL was slightly higher in men than in women. In ADDQoL scores, mean weighted impact scores were negative for all domains. The domain which was the most affected by type 2 diabetes in both men and women from all three countries was the 'freedom to eat', while the 'living conditions' domain was the least affected. Diabetes had a slightly negative average weighted impact on most men and women - AWI<-3.0. Except for the different AWI scores in men with type 2 diabetes depending on their education, neither men nor women revealed any significant changes in terms of the impact of education, residence, marital status, smoking, hypertension, or taking anti-hypertensive drugs.

CONCLUSIONS

Type 2 diabetes mellitus negatively affects all the domains of life, in both men and women in all three countries; however, this impact is insignificant. The participants assessed their quality of life as good and very good.

摘要

目的

本研究旨在比较 2 型糖尿病对生活质量(QoL)的影响,同时考虑到波兰、捷克共和国和斯洛伐克共和国成年男性和女性个体糖尿病相关生活质量评估(ADDQoL)领域的性别差异。

材料与方法

参与者来自三个国家的 608 名患者,其中 278 名女性和 330 名男性患有 2 型糖尿病。使用的工具是糖尿病依赖生活质量评估(ADDQoL)。

结果

总体而言,男性的平均 QoL 略高于女性。在 ADDQoL 评分中,所有领域的平均加权影响评分均为负值。在所有三个国家的男性和女性中,受 2 型糖尿病影响最大的领域是“饮食自由”,而受影响最小的领域是“生活条件”。糖尿病对大多数男性和女性的平均加权影响略为负面(AWI<-3.0)。除了不同教育程度的男性 2 型糖尿病患者的 AWI 评分不同外,男性和女性的教育、居住、婚姻状况、吸烟、高血压或服用抗高血压药物等因素对其生活质量影响均无显著变化。

结论

2 型糖尿病对所有三个国家的男性和女性的生活各个领域都有负面影响,但这种影响并不显著。参与者对自己的生活质量评价良好且非常好。

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