Self-care, quality of life and clinical outcomes of type 2 diabetes patients: an observational cross-sectional study

Ausili, Davide; Bulgheroni, Monica; Ballatore, Paola; Specchia, Claudia; Ajdini, A; Bezze, S; Mauro, Stefania Di; Genovese, Stefano

doi:10.1007/s00592-017-1035-5

Cited by 58 publications

(49 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients with a more recent diagnosis of T2DM are more likely to perceive themselves as "moderately ill" because they have not experienced severe and long-term disease complications. Thus, consistent with previous studies [8,20,36,45], they seem to postpone persistent self-care monitoring activities.…”

Section: Discussionsupporting

confidence: 91%

“…Self-care of T2DM has proven to be cost effective for decreasing complications [8], reducing Hb1Ac [9,10], reducing hospital admissions [9,10] and therefore costs; it also positively affects quality of life [9,10], promotes empowerment [10] and improves other psychosocial and behavioural factors associated with diabetes [9,10]. Unfortunately, little is known about the characteristics of individuals least likely to engage in self-care.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…), and treatment modalities like insulin or exercise. 25 , 27 , 28 , 30 , 32 However, few evaluations of HRQoL in diabetic populations have been completed in resource-scarce settings like Vietnam. Therefore, the objective of this study was to measure the HRQoL of elderly patients with T2DM in Vietnam and identify its covariates.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in elderly diabetic outpatients in Vietnam

Nguyen¹,

Moir²,

Nguyễn³

et al. 2018

PPA

View full text Add to dashboard Cite

BackgroundHealth-related quality of life (HRQoL) is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. This study aimed to 1) measure the HRQoL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQoL.Patients and methodsA cross-sectional study was conducted. We recruited 171 patients aged ≥60 years with T2DM at the Outpatient Department, National Geriatric Hospital from June to November 2015. Patients were asked to evaluate their health status using the EuroQol Five Dimensions Three Levels (EQ-5D-3L) and the Visual Analog Scale (VAS). Sociodemographic, diabetic treatment, and management characteristics were collected. Multivariate Tobit regression was used to determine which factors were associated with HRQoL, and the strength of this relationship.ResultsPatients reported some problems in all areas of the EQ-5D: pain/discomfort (50.9%), mobility (33.3%), anxiety/depression (24.0%), usual activities (21.1%), and self-care (10.5%). The mean EQ-5D index score was 0.80 (SD=0.20), and the mean EQ-VAS was 57.5 (SD=14.4). Patients who were male, lived in an urban area, could afford treatment, were taking fewer medications, and monitored blood pressure often (1–4 times a week) had a higher EQ-5D index when compared to other groups. Meanwhile, a longer duration of diabetes and older age were negatively associated with the EQ-5D index. Patients with any comorbidity had lower VAS scores than their counterparts.ConclusionThe presence of diabetes and comorbidity were responsible for a significant decrease in HRQoL. Screening and identifying health problems, providing prompt treatment, and facilitating self-management among patients have the potential to increase diabetic patients’ HRQoL.

show abstract

“…Patients reporting the presence of other life stressors (any other life stressors unrelated to the patients’ illness, family situation and jobs) that made self-care of diabetes and CKD a lower priority was associated with low physical health status. Although not previously studied in patients with both diabetes and CKD, in patients with diabetes alone, lack of engagement in self-care is associated with poorer overall HRQoL [ 25 – 28 ]. Moreover, in patients with CKD alone, self-management programs have been reported to improve mental quality of life measures but not physical quality of life measures [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Patient reported barriers are associated with low physical and mental well-being in patients with co-morbid diabetes and chronic kidney disease

Zimbudzi¹,

Lo²,

Ranasinha³

et al. 2018

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundLittle is known about how patient reported barriers to health care impact the quality of life (HRQoL) of patients with comorbid disease. We investigated patient reported barriers to health care and low physical and mental well-being among people with diabetes and chronic kidney disease (CKD).MethodsAdults with diabetes and CKD (estimated Glomerular Filtration Rate < 60 ml/min/1.73m2) were recruited and completed a questionnaire on barriers to health care, the 12-Item HRQoL Short Form Survey and clinical assessment. Low physical and mental health status were defined as mean scores < 50. Logistic regression models were used.ResultsThree hundred eight participants (mean age 66.9 ± 11 years) were studied. Patient reported ‘impact of the disease on family and friends’ (OR 2.07; 95% CI 1.14 to 3.78), ‘feeling unwell’ (OR 4.23; 95% CI 1.45 to 12.3) and ‘having other life stressors that make self-care a low priority’ (OR 2.59; 95% CI 1.20 to 5.61), were all associated with higher odds of low physical health status. Patient reported ‘feeling unwell’ (OR 2.92; 95% CI 1.07 to 8.01), ‘low mood’ (OR 2.82; 95% CI 1.64 to 4.87) and ‘unavailability of home help’ (OR 1.91; 95% CI 1.57 to 2.33) were all associated with higher odds of low mental health status. The greater the number of patient reported barriers the higher the odds of low mental health but not physical health status.ConclusionsPatient reported barriers to health care were associated with lower physical and mental well-being. Interventions addressing these barriers may improve HRQoL among people with comorbid diabetes and CKD.Electronic supplementary materialThe online version of this article (10.1186/s12955-018-1044-2) contains supplementary material, which is available to authorized users.

show abstract

Self-care, quality of life and clinical outcomes of type 2 diabetes patients: an observational cross-sectional study

Cited by 58 publications

References 39 publications

Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

Socio-demographic and clinical determinants of self-care in adults with type 2 diabetes: a multicentre observational study

Health-related quality of life in elderly diabetic outpatients in Vietnam

Patient reported barriers are associated with low physical and mental well-being in patients with co-morbid diabetes and chronic kidney disease

Contact Info

Product

Resources

About