Demographic and clinical predictors of health-related quality of life among people with type 2 diabetes mellitus living in northern Thailand: A cross-sectional study

Abstract

BackgroundType 2 Diabetes Mellitus (T2DM) is a chronic disease which is growing global health problems. However, research on such prediction of health-related quality of life (HRQOL) in Thailand is limited, in particular on the demographic and clinical characteristic in each HRQOL domains. Therefore, the aim of the present study was to determine the demographic and clinical predictors of health-related quality of life among people with type 2 diabetes mellitus (T2DM) in Northern Thailand.MethodsA cross-sectional study of people with T2DM at a large teaching hospital in Northern Thailand was conducted. The HRQOL was evaluated using the Thai version of Diabetes-39. Descriptive analysis was used to summarize the demographic and HRQOL scores. Multiple regression analysis was used to determine the predictors of overall HRQOL and the predictors of each D-39 dimension.ResultsA total of 502 people with T2DM were recruited. Forty-one were identified as having diabetic foot ulcers. The mean score for perception of overall HRQOL was 61.18 (SD 18.74). Scores in the D-39 questionnaire showed a poor HRQOL among people with T2DM. The predictors of demographic and clinical characteristics of people with T2DM were calculated for overall HRQOL and all six domains.ConclusionThese results demonstrate that people with T2DM have a poor HRQOL. The presence of diabetic foot ulcers and smoking status were identified as significant predictors of low HRQOL in the domains relating to diabetes control, social burden and energy and mobility presence of obesity, receiving insulin injection or a combination of insulin and oral medication were predictors of poor HRQOL in the domain of other health problems and diabetes complications. These findings allow for a nursing care plan for diabetes management to achieve optimal glycaemic control and improve their HRQOL.

Assessing the use of telemedicine among people with diabetes: A Danish translation and cross-cultural adaptation of the Telemedicine Usability Questionnaire

“…Finally, the study was limited by the fact that the included participants were not a representative sample of people with diabetes compared to the future users of the Danish TUQ. However, when observing the basic demographics in Table 2 and Table 3, it is evident that they represent the typical patient with diabetes in accordance with the characteristics given by the World Health Organization and several other studies describing the typical characteristics of people with diabetes [29][30][31][32][33].…”

Associations between depressive symptoms, anxiety symptoms, their comorbidity and health-related quality of life: a large-scale cross-sectional study

“…Health related quality of life (HRQoL) was a multidimensional concept contented by physical health status and subjective satisfaction with health, which was a reliable indicator to assess health status [ 8 ]. Most previous studies have focused on the effect of physical diseases on HRQoL [ 9 – 11 ], but ignored the effect of mental disorders. Previous studies have explored the associations between depression, anxiety and HRQoL in specific populations [ 12 – 14 ], which indicated that depression and anxiety were associated with low HRQoL.…”

Adaptation and Validation of the Diabetes-39 Quality-of-Life Questionnaire for the Moroccan Population

“…Previous literature suggests interesting psychometric properties for the diabetes-39 scale [13,14,16,17]. This questionnaire was used to assess the quality of life among patients with diabetes in different contexts [18][19][20].…”