Health-related quality of life in patients with type 2 diabetes mellitus in Iran: a national survey

Javanbakht, Mohammad Hassan; Abolhasani, F; Mashayekhi, Atefeh; Baradaran, Hamid Reza

doi:10.1016/j.pcd.2012.10.046

Cited by 35 publications

(76 citation statements)

References 25 publications

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“…A higher education level was associated with better QoL. This result is consistent with data obtained in a previous Iranian study [51]. A study in the United Arab Emirates, which used another score for QoL measurement, matches our result [53].…”

Section: Discussionsupporting

confidence: 93%

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Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

et al. 2018

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Background: Chronic kidney disease (CKD) is one of the main public health issues. It increases the morbidity and mortality of patients. Treatment includes multiple aspects such as dialysis and lifestyle modifications. The primary goal of this study was to determine factors associated with self-efficacy and health-related quality of life (HRQoL) among haemodialysis (HD) patients. Methods: A cross-sectional descriptive correlation study was conducted on CKD patients undergoing HD at 12 different dialysis centres in Palestine. Self-efficacy was assessed by the Self-Efficacy for Managing Chronic Disease Six-Item Scale (SEMCD-6), and HRQoL was assessed using the Five-level EuroQol Five-Dimensions (EQ-5D-5L) tool. Multiple linear regression analysis was carried out to assess the association of factors with each of the SEMCD-6 and HRQoL scale scores. Results: A total of 283 HD patients were included in the study. A correlation test revealed moderately positive association between the EQ-5D and SEMCD-6 scores (r = 0.497, p value < 0.001). In multiple linear regression analysis, age, living status, and number of co-morbid diseases were negatively associated with SEMCD-6 scores (β = − 2.66, p = 0.016; β = − 5.71, p = 0.033; β = − 1.84, p = 0.006, respectively). Furthermore, there is a positive association between educational level and SEMCD-6 score with QoL score (β = 0.05, p = 0.017; β = 0.01, p < 0.001, respectively), while there is a negative association between the number of co-morbid diseases and QoL score (β = − 0.07, p = 0.001).Conclusions: This study assessed factors associated with impaired self-efficacy and HRQoL in HD patients. The results show that impaired self-efficacy was associated with the elderly, patients living with family, and patients with a high number of co-morbid diseases. Furthermore, this study found that the worst HRQoL was associated with patients with a low education level, lower levels of self-efficacy, and a high number of co-morbid diseases.

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Section: Discussionsupporting

confidence: 93%

“…In the present study, we found a significant association between higher QoL and younger age. This finding is in agreement with that obtained by an Iranian study [51]. This contrasts with the study of O'Reilly et al, which explained that HRQoL gets better when the patient is older in age [52].…”

Section: Discussionsupporting

confidence: 90%

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

et al. 2018

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“…Instead, the EQ-5D score was slightly lower (0.87) in OHA group compared to the other group (0.89) (p=0.17, ns). These findings are in agreement with the previous literature [21,22,36,37] that reported no significant association between HRQoL and treatment type using EQ-5D scores. Among the other substantial differences that were non-significant, patients with healthy weights reported a lower VAS scores than the pre-obese or obese patients; a higher VAS mean value was recorded in the non-adherent patients than the medium or adherent patients.…”

Section: Butt Et Alsupporting

confidence: 93%

Health-Related Quality of Life in Poorly Controlled Type 2 Diabetes Patients - Association of Patients’ Characteristics With Eq-5d Domains, Mean Eq-5d Scores, and Visaul Analog Scale Score

Butt

Ali

Makmor‐Bakry

2018

Asian J Pharm Clin Res

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Objective: High prevalence of diabetes mellitus in Malaysia demands the appropriate interventions to alleviate or postpone its burden on patients' health-related quality of life (HRQoL). The studies which provide useful knowledge about the components of such interventions are important. The aim of this study was to describe how demographic and clinical characteristics of diabetes patients influence their HRQoL using EQ-5D. Methods:This study used the baseline data of a randomized controlled study carried out to examine the impact of a pharmacist intervention on poorly controlled diabetes patients. A generic HRQoL tool EQ-5D was used to report the data. Logistic regression was used to identify the predictors of problems in individual EQ-5D domains, and ANCOVA was undertaken to examine the effect of patients' characteristic on EQ-5D mean scores and visual analog scale (VAS) mean scores.Results: Pain discomfort was reported to be significantly predicted by high HbA1c levels. Increasing age (OR =1.04; CI 1.01, 1.16) and increasing body mass index (OR = 1.15; CI 1.01, 1.30) were significant predictors of reduced mobility. The presence of complications (OR = 8.03; CI 1.34-48.02) and (5-10 years) diabetes duration predicted the reduced score in anxiety domain (OR = 7.05; CI 1.03, 48.04). Problems in usual activities were significantly predicted by age (OR = 1.4; CI 1.01, 1.18). Self-care was not affected by any of the model covariates. Mean EQ-5D score was (0.89; CI 0.85, 0.92) significantly predicted by HbA1c values (p=0.04). Mean VAS score (70.54) was significantly lower in the group receiving insulin (69.46; CI 73.74, 84.02) than the oral diabetes medication (78.88; CI 64.94, 73.98) (p=0.009). Conclusion:Patients' characteristics were significantly associated with the HRQoL in type 2 diabetes. There was a significant and inverse association of HRQoL with medication group (insulin use), high HbA1c, obesity, and presence of complications.

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“…21 While the HRQOL of diabetic patients in Iran is one of the most important outcome measures, there are limited studies that evaluated the quality of people with diabetes in southwest of Iran. 22,23 In order to fill the gap in this area, this study was carried out to assess the QOL among type 2 diabetes patients in southwest of Iran and to determine which socio-demographic and clinical characteristics are related with better QOL.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life among type 2 diabetes patients

Mohammadi

Karim

Talib

et al. 2016

Int J Community Med Public Health

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Health-related quality of life in patients with type 2 diabetes mellitus in Iran: a national survey

Cited by 35 publications

References 25 publications

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: a cross-sectional study from Palestine

Health-Related Quality of Life in Poorly Controlled Type 2 Diabetes Patients - Association of Patients’ Characteristics With Eq-5d Domains, Mean Eq-5d Scores, and Visaul Analog Scale Score

Evaluation of quality of life among type 2 diabetes patients

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