<p>Comparison of Diabetes-Dependent Quality of Life (ADDQoL) in Patients with T2DM in Poland, The Czech Republic, and Slovakia</p>

Abstract

The purpose of the paper was to perform a comparative analysis of the impact of T2DM on QoL, including specific ADDQoL domains and associations between QoL, selected socio-demographic factors (including gender, age, education, residence, marital status, professional activity) or clinical parameters (HbA1c levels, fasting blood glucose, BMI, duration of DM, complications, treatment used), in adult diabetic patients from Poland, the Czech Republic and Slovakia. The study group included 608 patients diagnosed with T2DM. There were 214 patients from Poland, 196 from the Czech Republic and 198 from Slovakia. Results: Overall, respondents from all three countries rated their QoL as good or very good. The mean scores for the item "If I did not have diabetes, my quality of life would be" were slightly higher for Poles than for Slovaks and Czechs. In the ADDQoL results, the weighted impact scores were negative for all domains. The lowest scores in all three countries were found for "freedom to eat" for all patients; the highest for "living conditions". For Polish patients, the linear regression model demonstrated the following significant AWI predictors: pre-university education and past smoking. For Czech patients, the linear regression model demonstrated that none of the characteristics analyzed were significant independent predictors of AWI. In the For Slovak patients, the linear regression model demonstrated the following significant AWI predictors: higher education and concurrent heart failure. Conclusion: In summary, our findings demonstrate that T2DM has a negative impact on all aspects of patients' QoL, which is the strongest in terms of the freedom to eat and dietary habits, regardless of the country. Education, past smoking, and concurrent heart failure were the only independent predictors of QoL in our study. This suggests a need for further research that would include more variables and a larger number of patients.

Effect of Diabetes Distress and Self-care Activities on the Quality of Life of Type 2 Diabetic Patients: A Structural Equation Model

“…In this study, the mean score of diabetes-dependent quality of life indicates a relatively good quality of life in our T2DM patients. The results of Krzeminska et al showed that ADDQoL in T2DM patients in Poland, the Czech Republic, and Slovakia was good or very good (21). Further, "good," "very good," and "excellent" levels of the present general quality of life were declared by 65% of women and 52% of men with T2DM in Bak et al study (22).…”

Acceptance of illness and quality of life in patients with type 2 diabetes

“…When QoL and/or satisfaction with treatment are affected by the therapeutic regimen, it may have a negative impact on the perception of the quality of life and cause an increase in the risk of complications. [2] Such factors as patient's beliefs, attitude towards the disease and acceptance of the limitations imposed by it are important factors in the self-assessment of the quality of life in patients with type 2 diabetes. The assessment of the quality of life and the disease makes it possible to identify the actual problems and observations of patients as well as their needs.…”

Health-Related Quality of Life In Patients With Type 2 Diabetes (ADDQoL) In Poland, The Czech Republic And Slovakia - Gender Differences

“…[3] Restrictions related to compliance with therapy rules based on diet, regular use of medications or insulin therapy and optimal physical activity combined with blood glucose measurements can result [4] in a negative impact of diabetes on the quality of life in patients. [5] Gender differences are an important factor in the assessment of the health-dependent quality of life because gender plays a major role in decisions concerning health, as well as in the perception of health in different countries and cultures. [6] Poland, Czech Republic, and Slovakia are neighboring countries with similar economic status and cultural behavior patterns, which is why the authors decided to conduct this type of assessment in these countries.…”