Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes.

Objective: The aims of this study were to assess health-related quality of life (HRQOL) among adult patients with diabetes attending primary health care diabetes clinics in Kuwait and to examine the factors associated with the HRQOL of patients with diabetes.Methods: This cross-sectional study was c...

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Publicado en:Medical Principles & Practice Vol. 27; no. 4; pp. 323 - 332
Autores principales: Al-Khaledi, Maha, Al-Dousari, Hussah, Al-Dhufairi, Shaikhah, Al-Mousawi, Taiba, Al-Azemi, Rehab, Al-Azimi, Farah, Badr, Hanan E.
Formato: Journal Article
Publicado: Karger AG 2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes.
      aug:
        au:
          Al-Khaledi, Maha
          Al-Dousari, Hussah
          Al-Dhufairi, Shaikhah
          Al-Mousawi, Taiba
          Al-Azemi, Rehab
          Al-Azimi, Farah
          Badr, Hanan E.
        affil: Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
      sug:
        subj:
          Quality of Life
          Diabetes Mellitus Psychosocial Factors
          Young Adult
          Self Care
          Health Status Indicators
          Cross Sectional Studies
          Diabetes Mellitus Drug Therapy
          Female
          Kuwait
          Aged
          Diabetes Mellitus Complications
          Insulin Therapeutic Use
          Multivariate Analysis
          Male
          Adult
          Middle Age
          Mental Health
          Primary Health Care
          Scales
          Aged: 65+ years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: The aims of this study were to assess health-related quality of life (HRQOL) among adult patients with diabetes attending primary health care diabetes clinics in Kuwait and to examine the factors associated with the HRQOL of patients with diabetes.Methods: This cross-sectional study was conducted among 503 patients with diabetes attending 26 primary health care diabetes clinics in Kuwait. A self- administered questionnaire on participants' socio-demographic and clinical characteristics, in addition to the Diabetes Self-Management Questionnaire (DSMQ) to assess patients' diabetes self-management (DSM), was used. The SF-12 was employed to assess the HRQOL, producing the following 2 outcomes: physical health composite (PHC) and mental health composite (MHC).Results: The mean age of participants was 52 ± 0.8 years, and 53.1% were males and 49.0% were Kuwaitis. The median DSM sum score was 6.5. Male patients with diabetes showed a significantly better median DSM sum score than female patients with diabetes. The overall median score of HRQOL was 61.7/100, with a better median PHC versus MHC score of quality of life (66.7/100 and 56.7/100, respectively). Multivariate analysis revealed a significant direct association between DSM and better primary health composite and MHC scores. It also showed that female gender and reporting 2 or more diabetic complications were significantly associated with a poor PHC.Conclusions: Kuwaiti patients with diabetes showed a modest level of HRQOL. Patients' DSM, gender, and diabetes complications were significant independent correlates to HRQOL. Appraisal of the HRQOL of patients with diabetes as an essential component of diabetes management in clinical settings is suggested. Further studies to examine the impact of good DSM on HRQOL improvement are needed.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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