Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes

Al-Khaledi, Maha; Al-Dousari, Hussah; Al-Dhufairi, Shaikhah; Al-Mousawi, Taiba; Al-Azemi, Rehab; Al-Azimi, Farah; Badr, Hanan E.

doi:10.1159/000489310

Cited by 27 publications

(40 citation statements)

References 23 publications

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“…The variables that have been demonstrated to affect HRQOL in patients with DM are diabetes self-management (DSM), diabetes distress (DD), depression, selfefficacy, and family support [10,[14][15][16][17]. Although the predictors of HRQOL in patients with DM have been studied, it remains unclear whether they apply to both younger and older adult patients.…”

Section: Introductionmentioning

confidence: 99%

The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia

Sari

Isworo

Upoyo

et al. 2021

Health Qual Life Outcomes

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Background It is well known that diabetes mellitus (DM) affects health-related quality of life (HRQOL) in both younger (aged 18–64 years) and older adults (aged ≥ 65 years). However, to date, no study has compared HRQOL and its predictors between younger and older adults with DM in Indonesia. Such a comparison is important because the results can guide nurses and clinicians to establish evidence-based educational programs that are specific and suitable for patients. Therefore, the aim of this study was to investigate the difference in HRQOL and its predictors in younger and older adults with DM in Indonesia. Methods A cross-sectional study was conducted on 641 patients with type 2 diabetes mellitus (T2DM) who were recruited via simple random sampling from 16 primary health centers in Banyumas Regency, Indonesia. A self-administered questionnaire containing the Summary of Diabetes Self-Care Activities, the DDS17 Bahasa Indonesia, the Beck Depression Inventory II, the Self-Efficacy for Diabetes Scale, the Family APGAR, and the 36-item Short-Form Health Survey was used to measure diabetes self-management (DSM), diabetes distress (DD), depression, self-efficacy, family support, and HRQOL, respectively. Independent t-tests were used to compare the physical component summary (PCS) and mental component summary (MCS) scores between younger and older adults with T2DM. Hierarchical multiple regression analyses were used to examine the factors associated with HRQOL in both groups. Results PCS scores were significantly different between the two groups. Older adults reported lower PCS scores than younger adults. No differences between the two groups were observed in the MCS scores. The hierarchical multiple regression analysis showed that level of education, employment status, number of diabetes-related complications, DSM, DD, depression, and self-efficacy were significant predictors of HRQOL in younger adults, while income, depression, DD, and self-efficacy were significant predictors of HRQOL in older adults. DD was the strongest predictor of HRQOL in younger adults, and depression was the strongest predictor in older adults. Conclusion Older adult patients had lower PCS scores than younger adult patients. This study is the first to show that the predictors of HRQOL differ between younger and older adults with T2DM. It provides insights for nurses and clinicians in Indonesia to establish evidence-based, age-specific educational programs.

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Section: Introductionmentioning

confidence: 99%

The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia

Sari

Isworo

Upoyo

et al. 2021

Health Qual Life Outcomes

View full text Add to dashboard Cite

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“…A study in Kuwait by Al-Khaledi 11 reported that diabetes self-management (DSM), gender, and diabetes complications were significant independent correlates to health-related quality of life. Another study conducted in King Saud Medical City, Riyadh, Saudi Arabia, 12 revealed positive associations between medication adherence and diabetes knowledge; self-management behaviors (glucose management and healthcare use) and diabetes knowledge; self-management behaviors (dietary control) and fasting blood glucose levels; and age and blood glucose levels (both fasting and HbA1c).…”

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confidence: 99%

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Al-Qahtani

2020

SMJ

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To investigate the frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus (T2DM). Methods: A cross-sectional study was conducted on a sample of 355 patients with T2DM, using multistage cluster sampling, attending the Najran University Original Article Hospital and Primary health care centres in Najran, Saudi Arabia, from January to May 2019. The assessment of self-care behaviors was conducted using the 16-item diabetes self-management questionnaire (DSMQ). Results: The majority (85.1%) of the patients with T2DM were uncontrolled, 42% were obese, and 5.9% were morbidly obese. Based on DSMQ criteria, the majority of patients (90.1%) had poor self-care behaviors. The mean sum of DSMQ was 5.04 out of 10. Among the DSMQ subscales, health care use had the highest mean score of 5.63, followed by glucose management with a score of 5.12, while dietary control had lower mean scores of 4.96 and physical activity had 4.46, all were inadequate. Being married (OR=2.178, p=0.035) and having DM for more than 5 years (OR=2.711, p<0.006) were the significant independent factors associated with poor self-care behavior. Conclusion: Inadequate self-care behavior is widely prevalent in Najran city, Saudi Arabia. All the DSMQ subscales were poorly managed by most of the diabetic patients. Furthermore, being married and having a longer DM duration are the significant independent factors associated with poor self-care behaviors.

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“…So, because of the multifactorial reasoning of DSM and complexity of the relationship between DSM and various factors, having good DSM behaviors and improving them are challenging issues for healthcare providers and patients. Good compliance with DSM behaviors leads to better control of the disease, preventing or delaying diabetes-related complications, and promoting patients' quality of life [7,12,14].…”

Section: Discussionmentioning

confidence: 99%

“…A statistically significant negative correlation has been reported between diabetes self-management behaviors with HbA1c level [12]. Studies have shown that good DSM leads to improving metabolic control and quality of life in diabetes patients [13,14].…”

Section: Introductionmentioning

confidence: 99%

Diabetes Self-management and Its Related Factors among Type 2 Diabetes Patients in Primary Health Care Settings of Kerman, Southeast Iran

Khalooei

Benrazavy

2019

JPRI

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Aims: Diabetes self-management (DSM) plays a crucial role in diabetes control. The present study was conducted to evaluate DSM and its related factors among type 2 diabetes mellitus (T2DM) patients. Methods: A cross-sectional study was carried out among T2DM patients from January to March 2017 in urban healthcare centers of Kerman city, southeast Iran. A total of 600 T2DM patients were enrolled in the study using a multistage sampling method. Valid and reliable diabetes selfmanagement questionnaire (DSMQ) was employed for data collection. Results: The mean (±SD) score of DSM was 6.92 (±1.17) out of 10 with inter quartile range 6.25-7.70. DSM mean score was higher in patients with higher educational level and household income significantly. Employed subjects (mean=7.18) had a higher DSM mean score than unemployed Khalooei and Benrazavy; JPRI, 29(4): 1-9, 2019; Article no.JPRI.50714 2 ones (mean=6.84). Moreover, DSM was better in patients who receive insulin and those with diabetes-related complications. DSM had a direct correlation with the number of visits by specialist physicians (r = 0.257, P < 0.001) and treatment duration (r = 0.103, P = 0.013). University education (Beta = 0.243, P < 0.001) was the strongest predictor of DMS, followed by high school education (Beta = 0.226, P < 0.001) and number of annual visits in primary healthcare centers (Beta = 0.205, P < 0.001). Conclusion: Self-Management behaviors were suboptimal among the diabetes patients. Therefore, designing and implementing effective interventions to improve self-care behaviors of diabetic patients is necessary in the first level of health delivery system in Iran. Original Research Article

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Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes

Cited by 27 publications

References 23 publications

The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia

The differences in health-related quality of life between younger and older adults and its associated factors in patients with type 2 diabetes mellitus in Indonesia

Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia

Diabetes Self-management and Its Related Factors among Type 2 Diabetes Patients in Primary Health Care Settings of Kerman, Southeast Iran

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