Predicting Factors of Health-Related Quality of Life Among Adults With Type 2 Diabetes: A Systematic Review

Abstract

Introduction One of the most important outcomes of diabetes care and treatment is an improvement in patients’ health-related quality of life (HRQoL). Objective This study aimed to review the empirical evidence regarding the predictors of HRQoL among adults with type 2 diabetes mellitus (T2DM). Methods To find all English-language articles published between 2012 and 2022, a comprehensive literature search was conducted using ProQuest, Scopus, PubMed, Science Direct, and CORE. Cross-sectional studies were the focus of this analysis. Search terms included “type 2 diabetes” OR “T2DM” AND “health-related quality of life” OR “HRQoL” AND (“predicting factors” OR “influencing factors” OR “associated factors”). The original search yielded a total of 1,089 studies, from which 35 met the review's inclusion criteria. The systematic review protocol was registered with PROSPERO CRD42023431229. Results The final analysis comprised 24,346 people with type 2 diabetes and used data from 35 cross-sectional studies conducted during the preceding decade. Socio-demographic factors (age, marital status, gender, monthly income, education, area of residence, and religiosity), patient-centered factors (diabetes knowledge and self-efficacy), disease characteristics (comorbidities, duration of diabetes, and insulin treatment), self-management behaviors (physical activity, medication adherence, and frequent glucose checks), and family support were found to be predictors of HRQoL. Conclusion A diabetes program to enhance the HRQoL among people with T2DM is highly encouraged to address these factors, which can be focused on promoting self-management behaviors, diabetes distress management, and encourage family support.

Percepción de la calidad de vida relacionada con la salud en adultos con Diabetes Mellitus tipo 2 de Sinaloa, México.

“…En estudios previos se ha encontrado que los factores sociodemográficos (edad, estado civil, sexo, ingresos mensuales, educación, área de residencia y religiosidad), factores centrados en la persona (conocimiento sobre la diabetes y autoeficacia), características de la enfermedad (comorbilidades, duración de la diabetes y tratamiento con insulina), complicaciones (retinopatía diabética, las amputaciones), las conductas de autocuidado (actividad física, cumplimiento de la medicación y controles frecuentes de glucosa), el apoyo familiar y depresión son predictores de la CVRS y que los resultados más importantes de la atención y el tratamiento de la diabetes es una mejora en la CVRS de las personas que viven con DMT2 (Teli et Dado que las personas que viven con DMT2 identifican los dominios comprometidos de su CVRS como la salud general, el rol físico y la función física, se sugiere que las políticas de atención para estos individuos se centren en un manejo integral (Teli et al, 2023). Al respecto, conviene mencionar, que en el contexto local, no se han encontrado estudios previos de CVRS que dé cuenta de la percepción de esta en la población adulta que vive con DMT2.…”