The quality of life in patients with diabetes mellitus type 2

Background/Aim. Through its various activities, World Health Organization (WHO) contributed to increasing the understanding of the concept of quality of life. People with diabetes have a lower quality of life than people without chronic illnesses. The aim of this study was to examine the differences in the quality of life, related to health, in patients with diabetes mellitus (DM) type 2 by age, gender and type of therapy. Methods. We performed a cross-sectional study at the outpatient department of the Clinical Center in Novi Sad and the Health Center Ruma - General Practice. The group consisted of 90 patients with DM type 2, 41 men and 49 women. The age of respondents was from 40 to 80 years and they were classifed into four groups according to the ten-year age intervals. We applied WHO Quality of life questinnaire - BREF 100 composed of four domains: physical health, psychological health, social relationships and environment. The general questionnaire asks questions about socio-demographic data, duration of diabetes, the last value of blood glucose and glycosylated hemoglobin, training for self-control and its implementation, informing patients about their disease, therapy and its impact on daily activities and the presence of comorbidity. In statistical analysis the following tests were used: Student?s t-test, Ftest, ANOVA (one way). Results. The average duration of DM type 2 was 11.2 ? 9.2 years. Most of the patients (76%) were trained to self-control and 91% received enough information about their disease. Oral hypoglycemic preparations were used by 49%, insulin by 21%, and oral drugs and insulin by 29% patients while 1% were on a special regime of a diet therapy. Daily activities were performed without difficulties by over 29%, with some difficulties by 41% and 30% of patients who could not perform daily activities. The patients with DM type 2 had significantly lower scors in all 4 domains of quality of life (physical health, psychological health, social relations, environment). The biggest influence was on physical domains (51.31). Education level had an impact on physical and psychological domains. Comorbidity was found in 83% of the respondents. The most common were: arterial hypertension (63%), chronic cardiovascular disease (46%), neuropathy (23%), impaired vision 24%, elevated blood lipids (39%) and amputation of toes or feet (2.2%). The average value HbA1C in the group with comorbidity was 8.47% and in the group without comorbidity 6.46%. The subjects with comorbidity had low quality of life assessment in relation to the group without comorbidity: the domain of physical health (45.64 vs 79.66), psychological health (50.3 vs 76.86), social relations (52.97 vs 75.46) and environment (52.7 vs 75.06). Conclusion. Diabetes mellitus type 2 has negative influence on the quality of life. It contributes to the presence of comorbidity. The occurrence of comorbidity was associated with higher glucosylated HbA1C values. There was no difference in the assessment of quality of life regarding gender, age, or the type of therapy used. The quality of life was assessed as low in patients with comorbidity. However, certain personality characteristics play a decisive role in self-evaluation.

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Age categories differences in subjective quality of life of women with physical disabilities

Slovenian Journal of Public Health ◽

10.2478/sjph-2021-0018 ◽

2021 ◽

Vol 60 (2) ◽

pp. 124-130

Author(s):

Dagmar Nemček ◽

Patrícia Shtin Baňárová ◽

Petra Kurková

Keyword(s):

Quality Of Life ◽

Physical Health ◽

Social Relations ◽

Psychological Health ◽

Physical Disabilities ◽

Subjective Quality ◽

Subjective Quality Of Life ◽

The Social ◽

Women With Physical Disabilities

Abstract Objective The objective of the study was to analyse and compare the subjective quality of life (S-QoL) of women with physical disabilities (PDs) through satisfaction with the quality of life domains and the overall quality of life assessment. Methods The sample comprised of women with PDs (n=137), divided into 4 age categories: 19-29 yrs. (n=53); 30-44 yrs. (n=25); 45-59 yrs. (n=24) and over 60 yrs. (n=35). The Subjective Quality of Life Analyses questionnaire and the WHO User Manual were used as a primary research method. The Wilcoxon Signed Rank Test was used to assess the differences between QoLDs, Kruskal Wallis test to assess differences in S-QoL among four independent groups and Mann Whitney U-test between two age categories. Results The highest satisfaction in all age categories of women was found in the social relations domain, and in the 19-29 yr-old women equally in the social relations and physical health domains. The highest dissatisfaction was reported with the psychological health and environment domains. The key finding is that the main differences are between the youngest category (aged 19-29 yrs) and the three older categories with regard to physical health, environment and overall QoL. Conclusions It is necessary to continue this line of research with a greater focus on exploring the ways in which the psychological health domain can be improved as an integral part of S-QoL, and to also focus on the QoL indicators that make up the environment domain and search for ways to enhance these.

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Dynamics of Psychological Status and Quality of Life Indicators in Patients with Diabetes Mellitus Type 2 and Chronic Gastritis Before and After the Treatment

Galician Medical Journal ◽

10.21802/gmj.2020.1.10 ◽

2020 ◽

Vol 27 (1) ◽

pp. E2020110

Author(s):

Yelizaveta Sirchak ◽

Silviya Patskun

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Stress Resistance ◽

Diabetes Mellitus Type 2 ◽

Diabetes Mellitus Type ◽

Psychological Status ◽

Patients With Diabetes ◽

Dm Type 2

Depression increases the risk of diabetes mellitus type 2 development and the subsequent risks of hyperglycemia, insulin resistance, micro- and macro-vascular complications. The association between depression and diabetes mellitus type 2 may include autonomic and neurohormonal dysregulation, weight gain, inflammation, and structural changes in the hippocampus. Objective of the work. To evaluate the psychological status and quality of life indicators in patients with diabetes mellitus type 2 and chronic gastritis before and after the treatment with the use of medicine Magnicum-Antistress. Materials and methods. Based on the Endocrinology Department of the Transcarpathia Regional Clinical hospital named after A.Novak there were examined 40 patients, whose average age was to 53.7±4.1 years. All patients with diabetes mellitus type 2 and chronic gastritis were assessed for quality of life, psychological status, and stress levels using questionnaires, namely using the SF-36, “PSM-25 Psychological Stress Scale methodology”, Holmes and Rahe stress test. After the survey, all patients were treated with Magnicum-Antistress medicine on the background of pathogenetic treatment. Results. Thus, after the course of treatment during 1 month, the level of stress decreased, so in the male patients the high level of stress was observed in 58.3% of patients, and among female patients – 35.8%. Also, the level of stress-resistance increased, so in male patients, the low stress-resistance level was observed in 66.7% of patients, and among female patients – 25%. After the course of treatment according to the Quality of Life Assessment Scale (SF-36), patients showed a positive tendency in the indicators of the psychological and physical health components. Conclusions. The level of chronic stress in patients with DM type 2 and CG is mostly high (52.5%). The level of stress-resistance in the vast majority of patients with DM type 2 and CG is low (52.5%). Complex therapy with the use of the medicine Magnicum-Antistress in patients with DM type 2 and CG is pathogenetically justified, and also leads to an improvement in the quality of life and stress-resistance in these patients.

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Pengaruh APGAR Family Terhadap Quality of Life Pasien Diabetes Mellitus Tipe 2

CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal ◽

10.37148/comphijournal.v1i1.5 ◽

2020 ◽

Vol 1 (1) ◽

pp. 22-28

Author(s):

Feny Tunjungsari ◽

Isbandiyah ◽

Farajihan

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Urban Areas ◽

Simple Random Sampling ◽

The Republic ◽

Dm Type 2 ◽

Spearman Test ◽

The City

Introduction: Indonesia was a country from 10 countries that possesses the most dm prevalence of diabetes mellitus(DM) in urban areas amounting to 5.7 %. According to data center and health of the republic of indonesia, that theproportion of diabetes mellitus in the city of malang 2,3 %. The high number of diabetes mellitus in the city ofmalang is because the lack of the application of the family function well in people with DM type 2. Obstacles arisingthat is the majority of the community ignore this metabolic types of disease so that it cannot be detected earlier .Therole of family in aim diabetics mellitus type 2 believed to have the effect on the quality of life of sufferers DM. Aim ofstudy: This study aimed toanalyze function offamilies according to familyAPGAR to quality of life dm patients type2. Method: this study used an observational analytic with cross the sectional approach, 95 subjects were werechosen by simple random sampling. Data was analyzed using Spearman test. Results and Discussions: the resultsshowed a value of significance APGAR against quality of life as much as 0.000, which means there were asignificant relation exists (p < 0.05). A correlation coefficient APGAR against quality of life as much as 0.93, whichmeans of the nature of the strength of the relations is very strong. Conclusions: It can be concluded that there is avery strong influence (0.000) between APGAR family against quality of life the patient DMtype 2.

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Pengaruh Jalan Sehat terhadap Kualitas Hidup Penderita Diabetes Mellitus Tipe 2 di Puskesmas

Jurnal Kesehatan Metro Sai Wawai ◽

10.26630/jkm.v11i1.1736 ◽

2018 ◽

Vol 11 (1) ◽

pp. 1

Author(s):

Ihsan Taufiq

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Psychological Health ◽

Control Group ◽

Test Design ◽

Post Test

Background: Diabetes Mellitus (DM) causes a decrease in quality of life in all domains. The most often overlooked cause of DM patients is not carrying out physical activity regularly. Purpose: The purpose of this study was to determine the effect of healthy pathways on the quality of life of type 2 DM patients in the Health Center in Kotabumi North Lampung in 2017. Methods: This study used quasi-experimental pre-post test design with a control group. The number of samples consisted of treatment groups and control groups, each group of 22 respondents. The treatment group was the respondents who carried out healthy walks of intervention, then measured the quality of life of patients with type 2 diabetes mellitus, while the control group did not carry out healthy walking activities. Data analysis uses t test dependent. Results: The results showed that there was an effect of healthy pathways on the quality of life of patients with type 2 diabetes mellitus in the health centers in Kotabumi, North Lampung (p = 0.007). Conclusions: Healthy paths improve the quality of life for patients with type 2 diabetes, including aspects of physical health, psychological health, social and environmental relations. Latar Belakang: Penyakit Diabetes Mellitus (DM) menyebabkan penurunan kualitas hidup disemua domain. Penyebab yang paling sering diabaikan penderita DM adalah tidak melaksanakan aktivitas fisik secara teratur. Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara Tahun 2017. Metode: Penelitian ini menggunakan kuasi eksperimen pre post test design dengan kelompok kontrol. Jumlah sampel terdiri atas kelompok perlakuan dan kelompok kontrol masing-masing kelompok 22 responden. Kelompok perlakuan adalah responden yang dilakukan intervensi jalan sehat, kemudian dilakukan pengukuran kualitas hidup penderita DM tipe 2, sedangkan kelompok kontrol tidak melakukan kegiatan jalan sehat. Analisis data menggunakan t test dependent. Hasil: Hasil penelitian menunjukkan terdapat pengaruh jalan sehat terhadap kualitas hidup penderita DM tipe 2 di Puskesmas wilayah Kotabumi Lampung Utara (p=0,007). Simpulan: Jalan sehat meningkatkan kualitas hidup penderita DM tipe 2 meliputi aspek kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan.

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Assessment of health-related quality of life among adult patients with type 2 diabetes mellitus

Биомедицинска истраживања ◽

10.7251/bii1701032s ◽

2017 ◽

Vol 8 (1) ◽

Author(s):

Kosana Stanetić ◽

Maja Račić ◽

Vesna Kević

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Status ◽

Psychological Health ◽

Living Environment ◽

The Mean

Introduction.The aim of the study was to find out the determinants of thequality of life in primary health care patients with type 2 diabetes.Methods. The cross-sectional study included 181 patients, aged 37 to 89 years,with diabetes mellitus type 2, registered with four family medicine practices.The assessment of health status was conducted using medical history, objectiveexamination, laboratory analyses, dilated eye exam, screening for distalsymmetric neuropathy and ankle-brachial index measurement. In evaluatingthe impact of diabetes mellitus on patients’ health status, a generic instrument,the self-administered WHOQOL-BREF questionnaire, was used. Multivariatelinear regression models were used to analyze the variables associated withthe quality of life.Results. Out of 181 adult patients with type 2 diabetes mellitus, 73 (40.3%)had diabetes for less than 5 years. The mean glycated hemoglobin (A1C) was7.55% and the mean serum levels of fasting glucose, total cholesterol, LDL-cholesterol,HDL-cholesterol and triglycerides were above the recommendedvalues. Most of the patients had comorbidities, chronic diabetes complicationsand used oral hypoglycemic agents in combination with insulin. Themultivariate regression analysis showed that the age, psychological health,nephropathy and environment were associated with the domain of physicalhealth. The determinants of psychological health were age, marital statusand environment. Older and single patients had lower scores, whereas thosewith a better living environment had higher scores in the domain of socialrelationship. The levels of glycemic control and gender have not been shownto be significant determinants of any of the four domains.Conclusion. The factors associated with the different domains of quality oflife in patients with type 2 diabetes are multiple, but mainly relate to age,living environment and diabetes complications. The results can be used as aguideline for defining measures that can improve the quality of life of patientswith type 2 diabetes

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Gambaran Kualitas Hidup Penderita Kanker Serviks Setelah Pengobatan di Rumah Sakit Islam Faisal Makassar Tahun 2016

Jurnal Midwifery ◽

10.24252/jmw.v1i1.7534 ◽

2019 ◽

Vol 1 (1) ◽

Author(s):

Besse Ainul Mardiyah Kadir ◽

Rini Fitriani

Keyword(s):

Quality Of Life ◽

Cervical Cancer ◽

Cancer Patient ◽

Physical Health ◽

Social Relations ◽

Psychological Health ◽

Cervical Cancer Patient ◽

Health Quality ◽

Health Quality Of Life

Pendahuluan penelitian gambaran kualitas hidup penderita kanker serviks setelah pengobatan di Rumah Sakit Islam Faisal Makassar bertujuan untuk mengetahui gambaran kualitas hidup penderita kanker serviks setelah pengobatan dari aspek kesehatan fisik, psikologis, sosial, dan lingkungan.Metode penelitian ini merupakan survay deskriptif, untuk mengetahui gambaran kualitas hidup penderita kanker serviks setelah pengobatan di Rumah Sakit Islam Faisal Makassar dengan jumlah sampel 42 orang yang dilaksanakan pada bulan Oktober – Desember 2016.Hasil penelitian gambaran kualitas hidup penderita kanker serviks setelah pengobatan dari segi kesehatan fisik kualitas hidup cukup sebanyak15 responden (35,7%) dan responden yang memiliki kualitas hidup kurang sebanyak 27 responden (64,3%), dari segi kesehatan psikologis kualitas hidup cukup sebanyak 29 responden (69%) dan kualitas hidup kurang sebanyak 13 responden (31%), dari segi hubungan sosial kualitas hidup baik sebanyak 18 responden (42,8%), kualitas hidup cukup sebanyak 23 responden (54,8%), dari segi lingkungan kualitas hidup cukup sebanyak 3 responden (7,1%) dan kualitas hidup kurang sebanyak 39 responden (92,9%).Kesimpulan dari empat aspek terdapat kualitas hidup baik 18 responden (42,8%) dari segi hubungan sosial, kualitas hidup cukup 29 responden (69%) dari segi kesehatan psikologis, kualitas hidup kurang 39 responden (92,9%) dari segi kesehatan lingkungan, dan dari segi kesehatan fisik sebanyak 27 responden (64,3%) kualitas hidup kurang.ABSTRACTIntroduction research picture of quality of life of cervical cancer patient after treatment at Islamic Hospital Faisal Makassar aims to know picture quality of life of cervical cancer patient after treatment from aspect of physical health, psychological, social, and environment.Method this research is descriptive survey, to know the picture of quality of life of cervical cancer patient after treatment at Faisal Makassar Islamic Hospital with total sample 42 people conducted in October - December 2016.The results of the study of the quality of life of cervical cancer patients after treatment in terms of physical health quality of life is quite as much as 15 respondents (35.7%) and respondents who have quality of life less as much as 27 respondents (64.3%), in terms of psychological health quality of life is enough As many as 29 respondents (69%) and quality of life less 13 respondents (31%), in terms of social relations quality of life both as many as 18 respondents (42.8%), quality of life is quite as much as 23 respondents (54.8%), In terms of quality of life environment is quite as much as 3 respondents (7.1%) and quality of life is less as much as 39 respondents (92.9%). From the four aspects, there is a good quality of life of 18 respondents (42.8%) in terms of social relations, quality of life is enough 29 respondents (69%) in terms of psychological health, quality of life is less 39 respondents (92.9%) in terms of environmental health, And in terms of physical health as much as 27 respondents (64.3%) poor quality of life.

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Quality of Life and Anxiety in Military Personnel

Serbian Journal of Experimental and Clinical Research ◽

10.1515/sjecr-2017-0068 ◽

2019 ◽

Vol 20 (2) ◽

pp. 47-54

Author(s):

Aleksandra Vojvodic ◽

Gordana Dedic

Keyword(s):

Quality Of Life ◽

Physical Health ◽

Social Relations ◽

Military Personnel ◽

Psychological Health ◽

Mental Health Problems ◽

Armed Forces ◽

Life Assessment ◽

World Health

Abstract The quality of life of military personnel represents their self-evaluation of the quality of their own mental and physical health, social relations, and the environment in which they live and work. The aim of our study was to evaluate the relationship between quality of life and anxiety levels in military personnel of the Serbian Armed Forces. The cross-sectional study included a total of 311 randomly selected professional military personnel (officers, non-commissioned officers and professional soldiers) between 23 and 53 years of age (mean, 35.3±7 years) without current mental health problems. For the purpose of this study, we used the World Health Organization Abbreviated Instrument for Quality of Life Assessment (WHOQOL-BREF) and the Beck Anxiety Inventory (BAI). The statistical analysis included parametric and non-parametric descriptive statistics. Professional military personnel showed high satisfaction with their quality of life in the categories of social relations (82.52), psychological health (82.10) and physical health (81.68), while the satisfaction scores in the category environment category were the lowest (62.77). The average value for the total BAI score was 4.83±5.66. Quality of life decreased, while anxiety increased, with increasing age of the military personnel. Higher BREF score values were associated with lower scores on the BAI questionnaires in all subscales (p<0.001). Military personnel of the Serbian Armed Forces showed a high degree of satisfaction with their own quality of life. Learning techniques to easily overcome everyday stress would reducedreduce anxiety and improve the quality of life in military personnel of the Serbian Armed Forces.

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