Vision-related quality of life and locus of control in type 1 diabetes: a multicenter observational study

Abstract

Aims.Diabetic retinopathy remains asymptomatic until its late stages but remains a leading cause of vision impairment and blindness. We studied quality of life and the ability to deal with the discomfort deriving from the presence of a chronic disease in patients with Type 1 Diabetes and different stages of retinopathy. Methods.Multicenter collaborative observational study involving 9 centers screening for retinopathy in different areas of Italy. The National Eye Institute 25-item Visual Functioning Questionnaire and the Locus of Control tool were administered to 449 people with Type 1 diabetes between February 2016 and March 2018. Socio-demographic and clinical data were collected.

The impact of bilateral vision status on vision-related quality of life in people with diabetes mellitus

“…In contrast to many of the subscales, we found that there was no statistically significant difference in general health among patients with different bilateral vision statuses, which is similar to findings in previous studies. 6,7 This study has certain limitations. First, the community-based cohort may not offer direct evidence for clinical practice.…”

“…2 Diabetes can cause various eye problems including diabetic retinopathy, cataract, and glaucoma. These diseases can lead to low vision and blindness and reduce physical activity; the latter can reduce independence in daily life and increase social isolation, further reducing the visionrelated quality of life (VR-QOL) and general health of patients [3][4][5][6] In clinical practice, visual acuity measurement is an important examination that is used to determine the severity of disease and to evaluate treatment effects. However, it is also important to evaluate patients' VR-QOL, with the transformation of healthcare practice from "disease-based" to "patient-centered."…”

“…2 Diabetes can cause various eye problems including diabetic retinopathy, cataract, and glaucoma. These diseases can lead to low vision and blindness and reduce physical activity; the latter can reduce independence in daily life and increase social isolation, further reducing the vision-related quality of life (VR-QOL) and general health of patients 3–6…”

Review Literatur : Kualitas Hidup Penyandang Diabetes Mellitus Ditinjau Dari Health Locus Of Control

“…Wanita penyandang DM akan sangat terpengaruh terhadap dimensi kepercayaan orang lain, apalagi jika tidak ada dukungan dari lingkungan sekelilingnya.Hal ini karena wanita memiliki persepsi lebih buruk tentang kesehatannya dan merasa lebih tertekan, khususnya dalam pergaulan dibandingkan dengan pria (Trento et al, 2019). Kendatipun wanita memiliki persepsi dan kualitas hidup yang buruk, perempuan dinilai lebih patuh terhadap pengobatan daripada laki-laki dan responden yang belum menikah lebih patuh berolahraga daripada responden yang sudah menikah (Albargawi et al, 2016).…”

“…Program konseling dapat dipertimbangkan dalam pengelolaan Gestasional Diabetes Mellitus agar dapat memodifikasi aspek psikologis, yaitu untuk mengurangi kecemasan (Miazgowski et al, 2018). Penatalaksanaan perawatan yang berpusat pada pasien dengan pendekatan menarik ke dalam protokol perawatan dianggap jauh lebih efektif untuk dilakukan dengan assessment rutin HLOC sebagai kemajuan dalam mengelola Diabetesnya (Trento et al, 2019). Penatalaksanaan Diabetes dapat ditingkatkan dengan pelatihan dan kegiatan perencanaan tentang HLOC yaitu aktivitas perawatan diri yang meliputi diet, olahraga, dan pemantauan gula darah (Besen et al, 2016).…”