Health-related quality of life and factors affecting it in type-2 diabetic nephropathy patients: a cross sectional observational study

Kumar, Rohit; Krishan, Pawan; Jhajj, Roopkamal

doi:10.18203/2320-6012.ijrms20161220

Cited by 14 publications

(10 citation statements)

References 21 publications

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“…Sebagian besar klien juga merasakan kepuasan pada kesehatan fisik, psikologis, serta hubungan sosial yang ada. Selain itu faktor lain yang bisa mempengaruhi kualitas hidup klien DM tipe 2 seperti kecemasan, depresi, kepatuhan diet, aktivitas fisik, kontrol gula darah, kelelahan, dan stress [29,30,31]. Faktor-faktor tersebut perlu untuk dikaji dengan tujuan untuk membuat kualitas hidup pada klien DM tipe 2 semakin mengalami peningkatan.…”

Section: Hubungan Mekanisme Koping Dengan Kualitas Hidup Pada Klien Dunclassified

Hubungan Mekanisme Koping dengan Kualitas Hidup pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates-Jember

Rochmah

Rasni

Nur

2019

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Type 2 Diabetes Mellitus (T2DM) is one of the progressive chronic diseases that cause various complications. Complications that are often experienced by T2DM clients such as foot injuries can affect the quality of life. One of the factors influencing the quality of life is a coping mechanism. This study aimed to analyze the relationship between coping mechanisms and the quality of life of clients of T2DM in the working area of Kaliwates Primary Health Center, Jember. The design of this research was analytical with a cross-sectional approach. Respondents in this study were 84 and obtained by a purposive sampling technique. The data collection method used the Cope Inventory and DQOL (Diabetes Quality of Life) questionnaire. The data analysis used Spearman correlation test with a significance level of 0.05. The results of the study showed that the most used coping was emotional-focused coping with an average value was 3.02 and the majority of respondents had a high quality of life of 67 respondents (79.8%). There is no correlation between coping mechanisms and the quality of life of clients of T2DM in the work area of Kaliwates Primary Health Center, Jember (p-value = 0.273). Other factors such as anxiety, depression, physical activity, control of blood sugar, fatigue, and stress need to be assessed to improve the quality of life for clients of T2DM.

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Section: Hubungan Mekanisme Koping Dengan Kualitas Hidup Pada Klien Dunclassified

Hubungan Mekanisme Koping dengan Kualitas Hidup pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates-Jember

Rochmah

Rasni

Nur

2019

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“…Among patients with CKD, HRQOL gradually declines as the disease progresses10 with the worst scores reported by those with advanced renal disease 11. When CKD coexists with diabetes, a marked deterioration in HRQOL is expected 12. The objective of this study was to evaluate the impact of an integrated diabetes and kidney disease model of care13 on HRQOL of patients with comorbid diabetes and CKD.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life among patients with comorbid diabetes and kidney disease attending a codesigned integrated model of care: a longitudinal study

Zimbudzi

Ranasinha

et al. 2020

BMJ Open Diab Res Care

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ObjectiveTo evaluate the impact of an integrated diabetes and kidney disease model of care on health-related quality of life (HRQOL) of patients with comorbid diabetes and chronic kidney disease (CKD).Research design and methodsA longitudinal study of adult patients (over 18 years) with comorbid diabetes and CKD (stage 3a or worse) who attended a new diabetes kidney disease service was conducted at a tertiary hospital. A questionnaire consisting of demographics, clinical data, and the Kidney Disease Quality of Life (KDQOL-36) was administered at baseline and after 12 months. Paired t-tests were used to compare baseline and 12-month scores. A subgroup analysis examined the effects by patient gender. Multiple regression analysis examined the factors associated with changes in scores.Results179 patients, 36% of whom were female, with baseline mean±SD age of 65.9±11.3 years, were studied. Across all subscales, HRQOL did not significantly change over time (p value for all mean differences >0.05). However, on subgroup analysis, symptom problem list and physical composite summary scores increased among women (MD=9.0, 95% CI 1.25 to 16.67; p=0.02 and MD=4.5, 95% CI 0.57 to 8.42; p=0.03 respectively) and physical composite scores decreased among men (MD=−3.35, 95% CI −6.26 to −0.44; p=0.03).ConclusionThe HRQOL of patients with comorbid diabetes and CKD attending a new codesigned, integrated diabetes and kidney disease model of care was maintained over 12 months. Given that HRQOL is known to deteriorate over time in this high-risk population, the impact of these findings on clinical outcomes warrants further investigation.

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“…Based on the final fitted model, age had indirect and direct effects on QoL through BMI in women with GD. The significant negative effects of age on QoL in patients with diabetes are also shown in other studies [36][37][38]. Evidence shows an increase in undesirable side effects and improper pregnancy outcomes with increasing age which can affect QoL [39][40][41].…”

Section: Discussionmentioning

confidence: 54%

Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model

Ansarzadeh

Salehi

Mahmoodi

et al. 2020

Health Qual Life Outcomes

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Background: Quality of life (QoL) is the most important indicator for assessing the status of health care in chronic diseases. The present study aimed to determine the pathway determinants model of QoL in patients with gestational diabetes mellitus (GDM). Methods: This cross-sectional study was conducted on 329 women with GM referred to health care centers in Qom, Iran during 2018. Convenience sampling methods was used. Inclusion criteria were: afflicted by GM and received pregnancy care services from health center. Several questionnaires (Knowledge, attitude, self-efficacy (SE), social support (SS), pregnancy distress, self-management(SM) and QoL) were used for data collection. Data were analyzed with SPSS-21 and Lisrel-8.8 software using statistical path analysis. Results: The mean age of participants was 30.93 ± 5.42 years. The final path model fitted well (CFI =1, RMSEA = 0.0003) and showed that, only age variable from both direct and indirect path had an impact on QoL (B = 0.51). Among variables that directly affected the QoL, SS had the highest effect (B = 1.02) and SE (B = 0.01) had the lowest effect. In the indirect path, only the knowledge variable by affecting the SE had an impact on the QoL (B = 0.0045). Conclusion: SS had the greatest impact on the QoL. Obviously, providing all the requirements to support patients can help them overcome problems and improve their QoL. Distress negatively affects the QoL through SM and it should be noticed in interventional studies.

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Health-related quality of life and factors affecting it in type-2 diabetic nephropathy patients: a cross sectional observational study

Cited by 14 publications

References 21 publications

Hubungan Mekanisme Koping dengan Kualitas Hidup pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates-Jember

Hubungan Mekanisme Koping dengan Kualitas Hidup pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates-Jember

Health-related quality of life among patients with comorbid diabetes and kidney disease attending a codesigned integrated model of care: a longitudinal study

Factors affecting the quality of life in women with gestational diabetes mellitus: a path analysis model

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