Sousa Fabianne, de Araujo Lucianne Nascimento, de Oliveira Tainá Sayuri Onuma, Gomes Mateus Cunha, Ferreira Glenda, Aben-Athar Cintia, da Silva Silvio Eder Dias, Cruz Ramos Aline Mp, Rodrigues Diego Pereira
Nursing School, Federal University of Para, Belém, Brazil.
JMIR Form Res. 2023 Nov 16;7:e49817. doi: 10.2196/49817.
Diabetes mellitus, one of the main diseases that affects the Brazilian population older than 60 years, is defined as a divergent group of metabolic disorders that present a high level of glycemia (hyperglycemia), causing damage to various organs and systems of the body, including the heart, kidneys, eyes, and nervous system. It is believed that in 2025, in Brazil alone, there will be more than 18.5 million individuals diagnosed with diabetes mellitus. Therefore, it is important to know the individuals' quality of life in the context of life and culture.
This study aimed to assess the demographic, clinical, and quality of life profiles of older adults with diabetes during the COVID-19 pandemic in a university hospital complex in the northern Amazon region.
We conducted a cross-sectional, exploratory, noninterventional, descriptive, and analytical study using a nonrandom sample of 54 older people diagnosed with diabetes mellitus at the geriatrics outpatient clinic of the medium and high complexity university hospital in the western Brazilian Amazon between 2020 and 2022. We used 3 instruments, namely, a sociodemographic questionnaire, a clinical conditions questionnaire, and Diabetes-39. Qualitative data were described using absolute and relative frequencies. The Kolmogorov-Smirnov normality test was applied, and the z test was used for inferential analysis. SPSS software (version 27) was used for data analysis, and the significance level was 5%.
Of the 54 interviewees, the majority were women, married, retired, and had a good quality of life. Of these, 48.1% (n=26) were infected by COVID-19, 61.5% (n=16) of whom progressed to long COVID, presenting with fatigue or muscle weakness. As for the quality of life, the "social overload" (P<.001) and "sexual functioning" (P<.001) dimensions had with low scores compared to the "energy and mobility" (P=.005), "diabetes control" (P<.001), and "anxiety and worry" (P<.001) dimensions. Quality of life was negatively impacted in the "anxiety and worry" dimension. Among those affected by COVID-19, most progressed to long COVID; however, there was a lack of data on this theme in the population of older people with diabetes.
The majority of interviewees progressed to long COVID, with their quality of life negatively impacted in the "anxiety and worry" dimension, reflecting that health actions prioritizing mental health should be implemented by health professionals.
糖尿病是影响巴西60岁以上人群的主要疾病之一，被定义为一组不同的代谢紊乱疾病，其血糖水平较高（高血糖），会对身体的各个器官和系统造成损害，包括心脏、肾脏、眼睛和神经系统。据信，仅在巴西，到2025年，被诊断患有糖尿病的人数将超过1850万。因此，了解个体在生活和文化背景下的生活质量很重要。
本研究旨在评估亚马逊地区北部一所大学医院综合体内，在新冠疫情期间糖尿病老年患者的人口统计学、临床和生活质量概况。
我们进行了一项横断面、探索性、非干预性、描述性和分析性研究，使用了2020年至2022年期间在巴西亚马逊西部一所中高复杂性大学医院老年门诊被诊断患有糖尿病的54名老年人的非随机样本。我们使用了3种工具，即社会人口学问卷、临床状况问卷和糖尿病39项问卷。定性数据用绝对频率和相对频率进行描述。应用柯尔莫哥洛夫-斯米尔诺夫正态性检验，并使用z检验进行推断分析。使用SPSS软件（版本27）进行数据分析，显著性水平为5%。
在54名受访者中，大多数为女性、已婚、退休，生活质量良好。其中，48.1%（n = 26）感染了新冠病毒，其中61.5%（n = 1）发展为长期新冠，表现为疲劳或肌肉无力。至于生活质量，与“能量和活动能力”（P = 0.005）、“糖尿病控制”（P < 0.001）和“焦虑和担忧”（P < 0.001）维度相比，“社会负担过重”（P < 0.001）和“性功能”（P < 0.001）维度得分较低。生活质量在“焦虑和担忧”维度受到负面影响。在感染新冠病毒的人群中，大多数发展为长期新冠；然而，糖尿病老年人群中缺乏关于这一主题的数据。
大多数受访者发展为长期新冠，其生活质量在“焦虑和担忧”维度受到负面影响，这反映出健康专业人员应实施优先考虑心理健康的健康行动。
