Quality of Life in Diabetic Patients in the Primary Care Unit
Abstract
Material and Methods: A cross-sectional study was conducted in type 2 diabetes patients who were continuously followed up at the primary care unit. Quality of life was the primary outcome assessed by the World Health Organization Quality of Life Brief-Thai questionnaire and related factors were analyzed using the multivariate generalized linear model.
Results: This study included 158 patients who fit our eligibility criteria. The median age was 66 years old and median duration of diabetes was 10 years. Most had comorbidities and a quarter had diabetic complications. The results show 64.6% of the study sample had a good level of quality of life and no one had a bad level of quality of life. The results of multivariate generalized linear model show that no factors were associated with overall quality of life. Obesity was statistically significantly associated with a lower quality of life in the physical health dimension [odd ratio (OR)=0.35 (0.14, 0.89), p-value=0.027] and diabetic complications were associated with a lower quality of life in the psychological dimension [OR=0.27 (0.08, 0.85), p-value=0.025].
Conclusion: Most diabetic patients had a good quality of life. There were no factors associated with overall quality of life, but obesity and diabetic complications were statistically significantly associated with some dimensions of quality of life. Healthcare providers should assess aspects of quality of life in patients with chronic diseases.
Keywords
Full Text:
PDFReferences
Aekplakorn W. Thai national examination survey V. 2014 [monograph on the Internet]. Bangkok: NHESO; 2014 [cited 2018 Nov 30]. Available from: https://thaitgri.org/?p=37869
World Health Organization. Global report on diabetes [monograph on the Internet]. Geneva: WHO; 2016 [cited 2019 Jan 12]. Available from: https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf;jsessionid=
AB4673958329ECF35DC176E95AF355?sequence=1
Srichaijaroonpong S, Petchwisai A, Paisan R. Factors relating to the quality of life of the diabetic patients at Ban Chiang Kruea Pho Chai health promoting hospital, Chiang Kruea sub district, Muang district, Sakon Nakorn province. J Office DPC 7 Khon Kaen. 2016;3:23-33.
Prajapati VB, Blake R, Acharya LD, Seshadri S. Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQoL)-17 questionnaire. Braz J Pharm Sci 2017;53:e17144.
Pragodpol P, Suwannaka Y, Chaiyarit A, Sosome B, Sritan S, Sroisrisawasd M, et al. Levels of quality of life and method to develop quality of life in thai chronically ill patients [monograph on the Internet]. Bangkok: HSRI Knowledge
Bank; 2015 [cited 2019 Jan 1]. Available from: https://kb.hsri.or.th/dspace/handle/11228/4371?locale-attribute=en
Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev 1999;15:205-18.
Diabetes Association of Thailand. Clinical practice guideline for diabetes [homepage on Internet]. Bangkok: DAT; 2017 [cited 2019 Jan 1]. Available from: www.lpnh.go.th/newlp/wp-content/uploads/2013/10/CPG-2560-25-7-60-A5.pdf
World Health Organization. WHOQOL: measuring quality of life [homepage on the Internet]. Geneva: WHO; 2018 [cited 2018 Dec 1]. Available from: https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/
Trevittaya P. Concepts of quality of life. Bull Chiang Mai Assoc Med Sci 2016;49:171-84.
Konsantia S. Quality of life of diabetic mellitus persons: a case study at Muangyang Hospital, Nakhonratchasima. J Boromarajonani Coll Nurs Nakhonratchasima 2011;17:31-44.
Kiadaliri AA, Najafi B, Mirmalek-Sani M. Quality of life in people with diabetes: a systematic review of studies in Iran. J diabetes Metab Disord 2013;12:54.
Department of Mental Health. WHOQOL–BREF–THAI Questionaire [homepage on the Internet]. Bangkok: Department of Mental Health; 2002 [cited 2018 Nov 30]. Available from: https://www.dmh.go.th/test/download/view.asp?id=17
Solli O, Stavem K, Kristiansen IS. Health-related quality of life in diabetes: the associations of complications with EQ-5D scores. Health Qual Life Outcomes 2010;8:18.
Lee G, Park J, Oh SW, Joh HK, Hwang SS, Kim J, et al. Association between body mass index and quality of life in elderly people over 60 years of age. Korean J Fam Med 2017;38:181-91.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.