College of Nursing, Hanyang University, Seoul, South Korea.
College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea.
Nurs Open. 2023 Oct;10(10):6945-6956. doi: 10.1002/nop2.1948. Epub 2023 Aug 2.
To examine health-related quality of life trajectories among older adults with diabetes mellitus (DM).
A sequential explanatory mixed method study protocol.
In the quantitative phase, health-related quality of life trajectory over 5 years, from 2009 to 2013, of a national representative sample (N = 440) of older adults with DM was analysed using group-based modelling. Next, a qualitative multiple case study (N = 10) was conducted between November 2017 and April 2018. In the mixed phase, by linking the quantitative and qualitative data, similarities and differences among the four trajectories were identified.
Four distinctive health-related quality of life trajectories could be distinguished: high then decrease, high stable, medium stable and low then increase. These differed in attitude towards DM, self-management of DM-related tasks, comorbidity-related health-related quality of life, coping with DM and financial concerns about medical needs.
Our results help illuminate the heterogeneity of health-related quality of life trajectories in older adults with DM. This research may help healthcare providers understand the need to assess the HR-QoL comprehensively and promote HR-QoL for older adults with DM.
探讨老年糖尿病患者的健康相关生活质量轨迹。
一项顺序解释性混合方法研究方案。
在定量阶段，使用基于群组的建模分析了来自于 2009 年至 2013 年的全国代表性样本（N=440）的老年糖尿病患者 5 年的健康相关生活质量轨迹。接下来，于 2017 年 11 月至 2018 年 4 月进行了一项定性的多项案例研究（N=10）。在混合阶段，通过将定量和定性数据联系起来，确定了四个轨迹之间的异同。
可以区分出四种不同的健康相关生活质量轨迹：高然后下降、高稳定、中稳定和低然后增加。这些轨迹在对糖尿病的态度、糖尿病相关任务的自我管理、与合并症相关的健康相关生活质量、应对糖尿病和对医疗需求的财务担忧方面存在差异。
我们的研究结果阐明了老年糖尿病患者健康相关生活质量轨迹的异质性。这项研究可以帮助医疗保健提供者全面评估健康相关生活质量的需求，并促进老年糖尿病患者的健康相关生活质量。
