Biopsychosocial and Economic Factors Affecting the Quality of Life in Patients with Type II Diabetes Mellitus

2020 ◽  
Author(s):  
Rahsunji Intan Nurvitasari ◽  
◽  
Didik Gunawan Tamtomo ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Family Support ◽  
Economic Factors ◽  
Independent Variables ◽  
Central Java ◽  
Type 2 Dm

Background: Type 2 diabetes mellitus (DM) is a chronic metabolic disease that has a major impact on the quality of life (QoL). The type 2 DM patients to know their capacity to manage the disease and maintain their health and well-being. This study aims to determine biological, psychological, social and economic factors on the quality of life in type 2 DM patients. Subjects and Method: A cross-sectional study was conducted in Surakarta, Central Java. A sample of 100 type 2 DM patients was selected by purposive random sampling. The dependent variable was quality of life. The independent variables were quality of life (QoL). The independent variables were body mass index (BMI), HbA1C, occupation, education, physical activity, and family support. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple logistic regression. Results: Quality of life in type 2 DM patients increased with high physical activity (OR= 6.33; 95% CI= 1.92 to 20.87; p= 0.002), strong family support (OR= 3.94; 95% CI= 1.21 to 12.78; p= 0.023), employed (OR= 4.17; 95% CI= 1.15 to 15.19; p= 0.030), and high education (OR= 4.37; 95% CI= 1.49 to 12.76; p= 0.007). Quality of life in type 2 DM patients decreased with obesity (OR= 0.37; 95% CI= 0.12 to 1.20; p= 0.099) and HbA1c (OR= 0.16; 95%= 0.05 to 0.53; p= 0.003). Conclusion: Quality of life in type 2 DM patients increases with high physical activity, strong family support, employed, and high education. Quality of life in type 2 DM patients decreases with obesity and HbA1c. Keywords: quality of life, type 2 diabetes melitus, biopsychosocial Correspondence: Rahsunji Intan Nurvitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281232599161.

scholarly journals Factors Affecting the Quality of Life in Patients with Type 2 Diabetes Mellitus in Surakarta, Central Java

2020 ◽  
Author(s):  
Devi Marlina ◽  
◽  
Didik Gunawan Tamtomo ◽  
RB. Soemanto ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Family Support ◽  
Peer Support ◽  
Central Java ◽  
Type 2 Dm

ABSTRACT Background: Previous studies have shown that better glycemic control in type 2 diabetes mellitus (DM) is associated with fewer physical symptoms and better well being. The purpose of this study was to determine factors affecting the quality of life in patients with type 2 diabetes mellitus in Surakarta, Central Java. Subjects and Method: A cross-sectional study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from February to March 2020. A sample of 200 patients with type 2 DM aged ≥18 years was selected by simple random sampling. The dependent variable was quality of life. The independent variables were self-care, family support, peer support, length of disease, body mass index (BMI), and education. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Quality of life in type 2 DM patients increased with good self care (OR= 14.34; 95% CI= 1.47 to 140.06; p= 0.022), strong family support (OR= 21.52; 95% CI= 2.98 to 155.44; p=0.002), strong peer support (OR= 31.03; 95% CI= 3.14 to 306.78; p=0.003), length of disease <6 years (OR= 0.05; 95% CI= 0.01 to 0.45; p= 0.007), normal BMI (OR= 0.08; 95%= 0.01 to 0.60; p= 0.014), and education ≥Senior high school (OR= 11.76; 95% CI= 2.05 to 67.41; p= 0.006). Conclusion: Quality of life in type 2 DM patients increases with good self care, strong family support, strong peer support, length of disease <6 years, normal BMI, and education ≥Senior high school. Keywords: quality of life, type 2 diabetes mellitus Correspondence: Devi Marlina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: [email protected]. Mobile:+6281340983044 DOI: https://doi.org/10.26911/the7thicph.05.39

scholarly journals IMPORTANCE OF EXERCISE FOR PEOPLE WITH DIABETES MELLITUS

2019 ◽  
Vol 34 (4) ◽  
pp. 1099-1102
Author(s):  
Nikola Todorović
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Strength Training ◽  
Aerobic Training ◽  
Type 2 Dm ◽  
The World

Diabetes mellitus (DM) is probably one of the oldest diseases known to man. There are two types of diabetes, insulin-dependent or type 1 diabetes mellitus, and insulin-independent or type 2 diabetes mellitus. About 90% of diabetic patients have type 2 DM. The chronic metabolic disorder caused by other factors such as malnutrition, stress, an insufficient level of physical activity and genetics. Diabetes is not a disease of modern times. It was first reported in an Egyptian manuscript about 3000 years ago, but with the development of technology and industry has led to an increasing number of people suffering from the disease. As a result of this trend, it is rapidly becoming an epidemic in some countries in the world with a tendency to grow more. The number of people with diabetes is expected to double in the next decade. The main reason for this assumption is the aging of the population. Developing countries are especially at high risk, as a consequence of a sudden increase in quality of life can lead to an increase in patients with type 2 DM. Sedentary lifestyles are associated with an increased prevalence of diabetes and metabolic syndrome. In contrast, lifestyle change programs that include physical activity and exercise play an important role in the prevention and treatment of type 2 DM syndrome as well as macrovascular complications of type 2 DM. Physical exercise is emerging as a new tool in the fight against diabetes. This review paper outlines the importance and types of physical activity, the recommendations, and the benefits it brings. The literature review was performed on the PubMed (Medline) platform. Only English language articles are included. Usually, the term exercise refers to aerobic exercise in the general population. In this work, in addition to aerobic training and the benefits it brings, the effects of other training methods, such as strength training, yoga or tai chi, are also analyzed. Physical activity and exercise are one of the most effective agents in the fight against diabetes. The impact of training on blood glucose control can last up to 72 hours after training has ended. Moderate to high levels of aerobic activity are significantly associated with lower cardiovascular and overall mortality risks for type 1 and type 2 DM. The general recommendation of the World Health Organization (WHO) is 150 min per week of moderate to intense physical activity. Aerobic training increases cardiorespiratory fitness and has the effect of reducing insulin resistance. Strength training leads to improved balance, strength, and assists in the daily activities of life. More intense strength training with free weights and trainers can improve glycemic control. Flexibility and balance exercises are important for maintaining joint movement and balance, reducing the risk of falls and improving the quality of life. People with DM should exercise daily. It is recommended that aerobic training should be combined with strength training 2 to 3 times a week. It is especially important to suggest and encourage the active lifestyles of people with DM. Physical activity is a cure and improves all parameters of health and quality of life.

scholarly journals INTERRELATION BETWEEN THE CHANGES IN QUALITY OF LIFE AND ARTERIAL STIFFNESS IN PATIENTS WITH DIABETES MELLITUS TYPE 2 AND CONCOMITANT OBESITY

2018 ◽  
Vol 18 (4) ◽  
pp. 71-75
Author(s):  
I.M. Fushtey ◽  
Ye.A. Solovyuk ◽  
A.O. Solovyuk
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Emotional State ◽  
Eating Behaviour ◽  
Overweight And Obesity ◽  
Healthy Individuals ◽  
Patients With Diabetes

The purpose of this work was to study the general characteristics of quality of life (QoL), the effect of overweight on QoL, the nature of eating behaviour in patients with diabetes mellitus (DM) type 2 and   concomitant overweight (OW) and obesity, as well as to establish the correlation with indicators of functional state of the arterial vessels. 64 people (34 women and 30 men) with DM and concomitant  overweight and obesity (average age 56.3 ± 10.23 years) formed the 1 group, 34 people (19 women and 15 men), whose average age was 55.6 ± 11.92 years constituted the 2 group, and  28 healthy individuals formed the control group. SF-36v2 questionnaires were used to evaluate QoL. The effect of overweight on QoL was analyzed according to the IWQOL-Lite questionnaire data, the patterns of eating behaviour were determined by the COEQ4 for 7 days using FPRS questionnaire. The functional state of the arterial vessels was assessed by estimating the pulse wave velocity using the automated rheographic complex ReoCom (KhAI Medika (Ukraine)). The patients with DM and concomitant overweight and obesity were found to experience some changes in QoL according to the SF-36v2 questionnaire. The changes were primarily characterized by a decrease in physical activity, as well as in social and emotional status. These changes differed not only from the QoL assessment by healthy individuals, but also from those of patients with DM and normal body weight. The nature of eating behaviour in overweight or obese patients with DM was characterized by an increased hunger in parallel with a worsened emotional state and an increased desire to eat certain types of foods that can contribute to weight gain. Structural changes in arterial vessels that typically are indicative of arterial stiffness correlate with indicators of emotional state and physical activity in patients with DM and comorbid overweight and obesity.

Synergistic Effect of Low Neutrophil–Lymphocyte Ratio With Physical Activity on Quality of Life in Type 2 Diabetes Mellitus: A Community-Based Study

2020 ◽  
Vol 22 (3) ◽  
pp. 378-387 ◽  
Author(s):  
Yohanes Andy Rias ◽  
Maria Dyah Kurniasari ◽  
Victoria Traynor ◽  
Shu Fen Niu ◽  
Bayu Satria Wiratama ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Synergistic Effect ◽  
Inflammatory Biomarkers ◽  
Neutrophil Lymphocyte Ratio

Background: Physical inactivity and Type 2 diabetes mellitus (T2DM)–associated inflammatory biomarkers are correlated with poor quality of life (QoL). However, no study has investigated the synergistic effect of physical activity (PA) and lower neutrophil–lymphocyte ratio (NLR) on QoL. Objective: We examined the independent and synergistic effects of PA and inflammatory biomarkers on three domains of QoL in T2DM. Methods: This cross-sectional study included 294 patients with T2DM from community clinics in Indonesia. The 36-item Short Form Survey and a questionnaire about PA engagement were used to measure QoL and metabolic equivalent of task (MET)-hr/week, respectively. Inflammatory biomarkers were measured in fasting blood. Adjusted coefficients β and 95% confidence interval (CI) were estimated using multiple linear regression. The synergistic effect was analyzed using additive interaction for linear regression. Results: Patients with PA ≥ 7.5 MET-hr/week exhibited significantly higher total QoL (β = 8.41, 95% CI = [6.04, 10.78]) and physical component score (PCS; β = 13.90, 95% CI = [10.52, 17.29]) than those with PA < 7.5 MET-hr/week. Patients with NLR < 1.940 had significantly higher total QoL (β = 4.76, 95% CI = [3.41, 6.11]), mental component score (MCS; β = 2.62, 95% CI = [0.75, 4.49]), and PCS (β = 6.89, 95% CI = [4.97, 8.82]) than patients with NLR ≥ 1.940. PA ≥ 7.5 MET-hr/week and NLR < 1.940 exhibited a synergistic effect on total QoL, MCS, and PCS. Conclusions: High PA level and low NLR had a positive synergistic effect on QoL among patients with T2DM.

scholarly journals Kepatuhan dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 di Rumah Sakit di Jawa Tengah

2020 ◽  
Vol 17 (2) ◽  
pp. 165-173
Author(s):  
Nurul Mutmainah ◽  
Muhammad Al Ayubi ◽  
Anggie Widagdo
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Short Form ◽  
Chi Square ◽  
Central Java ◽  
Chi Square Test

Diabetes mellitus is a chronic disease that requires treatment for a long period of time. Adherence to consuming drugs is one of the most important things in achieving treatment goals. This study aims to determine the level of adherence and quality of life and determine the relationship to the quality of life of patients with type 2 DM in hospitals in Central Java. This study uses analytic design by asking cross-sectional. Samples were taken at two hospitals in Central Java. Sampling was purposive sampling with the criteria of type 2 diabetes mellitus patients who are undergoing outpatient care in the hospital, have undergone therapy for at least 3 months, and can communicate well. As a measurement used the Medication Adherence Rating Scale (MARS) questionnaire while the quality of life measure used the Short Form 36 (SF-36) questionnaire. Score data received and quality of life that has been obtained was processed with the SPSS (Product Statistics and Service Solutions) chi-square test. Research results in 200 respondents found 9 people (4.5%) had low adherence, 46 people (23%) were moderately related and 145 people (72.5%) have high adherence. While the quality of life found 41 people (20.5%) had a poor quality of life and 159 people (79.5%) had a good quality of life. The lowest aspect of quality of life is physical limitations and the highest aspect of quality of life is mental health. From the results of the analysis on the chi square test, the p value was obtained: 0.00. This shows that there is a significant relationship between adherence and quality of life in patients with Type 2 diabetes mellitus at the hospitals and a Prevalence Ratio value of 23.47.

scholarly journals INCREASING SELF EMPOWERMENT AND QUALITY OF LIFE OF PATIENTS WITH TYPE 2 DIABETES MELLITUS WITH DIABETES EMPOWERMENT EDUCATION BASED ON HEALTH PROMOTION MODEL

2018 ◽  
Vol 2 (1) ◽  
pp. 52
Author(s):  
Nian Afrian Nuari
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Diabetes Education ◽  
Rank Test ◽  
Control Group ◽  
Type 2 Dm ◽  
Individual Ability ◽  
Diabetes Empowerment

Introduction. Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM.Method. This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sample recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05.Result. The results showed that there were differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients.Discussion. It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Keywords: diabetes, education, self empowerment, quality of life, DEE, HPM

Dukungan keluarga dan kualitas hidup pasien diabetes mellitus

2017 ◽  
Vol 33 (1) ◽  
pp. 25
Author(s):  
Fatma Nuraisyah ◽  
Hari Kusnanto ◽  
Theodola Baning Rahayujati
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Center ◽  
Family Support ◽  
Pearson Correlation ◽  
Cross Sectional ◽  
Emotional Appraisal ◽  
Patients With Diabetes

Family support and quality of life of diabetes mellitus patients in Panjatan II public health center, Kulon ProgoPurposeThis study aimed to determine the relationship between family support in terms of four dimensions (emotional, appraisal, instrumental, and information) to the quality of life of patients with type 2 diabetes at the health center II Panjatan Kulon Progo regency.MethodsThis research was a cross-sectional analytical study with sample size of 150 patients with diabetes mellitus type 2. Data analysis used Pearson correlation coefficient, independent t-test and simple linear regression tests.ResultsThere were correlations between the presence of family support and complications with the quality of life of diabetes mellitus patients. There were correlations of emotional, awarding, and instrumental dimensions of family support to the quality of life of diabetes mellitus patients.ConclusionIncreased support of emotional dimensions, reward dimensions and instrumental dimensions will improve the quality of life of patients with diabetes mellitus.

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