Buscar en
Enfermería Clínica (English Edition)
Toda la web
Inicio Enfermería Clínica (English Edition) Health-related quality of life in diabetes mellitus patients in primary health c...
Journal Information
Vol. 31. Issue 5.
Pages 313-322 (September - October 2021)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 31. Issue 5.
Pages 313-322 (September - October 2021)
Original Article
DOI: 10.1016/j.enfcle.2021.03.003
Health-related quality of life in diabetes mellitus patients in primary health care
Calidad de vida relacionada con la salud en pacientes con diabetes mellitus en una zona básica de salud
Visits
...
Isabel Gálvez Galán, Macarena Celina Cáceres León, Jorge Guerrero-Martín, Casimiro Fermín López Jurado, Noelia Durán-Gómez
Corresponding author
nduran@unex.es

Corresponding author.
Departamento de Enfermería, Facultad de Medicina, Universidad de Extremadura, Badajoz, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (4)
Show moreShow less
Tables (4)
Table 1. Socio-demographic and clinical parameters of patients with diabetes mellitus.
Table 2. Correlation between socio-demographic variables and the physical function (PF), physical role (RP), bodily pain (BP), general health (GS), social function (SF), emotional role (RE), mental health (MH), and vitality (VT) domains.
Table 3. Reference population score on the SF-36 questionnaire by age and sex (taken from Alonso et al., 1998) and scores of the study population with diabetes mellitus (DM), in the physical function (PF), physical role (RP), bodily pain (BP), general health (GH), social function (SF), emotional role (RE), mental health (MH), and vitality (VT) domains.
Table 4. Correlation between clinical variables and the physical function (PF), physical role (RP), bodily pain (BP), general health (GH), social function (SF), emotional role (RE), mental health (MH), and vitality (VT) domains in patients with diabetes mellitus.
Show moreShow less
Abstract
Objective

To analyse the relationship between health-related quality of life (HRQoL) and sociodemographic and clinical factors in patients with diabetes mellitus, also comparing with Spanish population-based reference values.

Method

Cross-sectional descriptive-analytical observational study through nonprobability sampling on diabetic patients from San Roque Primary Health Centre (Badajoz, Spain), using a questionnaire regarding sociodemographic and diabetes care data, SF-36 and Duke-UNC questionnaires, and clinical history data.

Results

Sixty patients (55% women) fundamentally with type 2 diabetes and a mean age of 68.67 ± 11.09 years were studied. Women older than 75 presented poorer HRQoL than their reference group. Women showed worse HRQoL than men. Age, evolution of diabetes, presence of acute and chronic complications, and comorbidities, pharmacological treatment, and glycaemic control affect HRQoL in these patients. Living alone, having a low socioeconomic status, and needing help with diabetes-related self-care can negatively affect quality of life.

Conclusions

HRQoL assessment allows us to detect alterations in the different domains and perform an early intervention. This way, we can incorporate these aspects into the nursing evaluation and interventions in the nursing care plan; allowing us to develop individualized care strategies and diabetes education programmes that contribute to improving HRQoL in patients with diabetes.

Keywords:
Diabetes mellitus
Quality of life
Diabetes complications
Comorbidity
Polypharmacy
Resumen
Objetivo

Analizar la relación entre la calidad de vida relacionada con la salud (CVRS) y variables sociodemográficas y clínicas de pacientes diagnosticados de diabetes mellitus, comparando además con los valores de referencia para la población española.

Método

Estudio descriptivo-analítico observacional trasversal por muestreo no probabilístico intencional en pacientes con diabetes mellitus del Centro de Salud San Roque (Badajoz, España), usando cuestionarios de datos sociodemográficos y de cuidado de la diabetes, los cuestionarios SF-36 y Duke-UNC, y datos de la historia clínica.

Resultados

Se estudiaron 60 pacientes (55% mujeres) fundamentalmente con diabetes tipo 2 (90%) y una edad media de 68,67 ± 11,09 años. Las mujeres mayores de 75 años presentaron valores de CVRS significativamente inferiores a los de su grupo poblacional de referencia. Las mujeres mostraron una peor CVRS que los hombres. La edad, los años de evolución de la diabetes, la presencia de complicaciones agudas y crónicas, así como de comorbilidades, el régimen farmacológico, y el control glucémico afectan a la CVRS. Vivir solo, tener un nivel socioeconómico bajo, un apoyo social percibido bajo y necesitar ayuda para el cuidado de la diabetes están relacionados con una deficiente CVRS.

Conclusiones

La evaluación de la CVRS permite detectar alteraciones en sus diferentes dominios e intervenir precozmente, pudiendo incorporar estos aspectos a la valoración e intervención enfermera en el plan de cuidados; lo que permite establecer estrategias individualizadas de atención y programas de educación diabetológica que contribuyan a la mejora de la calidad de vida en pacientes con diabetes.

Palabras clave:
Diabetes mellitus
Calidad de vida
Complicaciones de la diabetes
Comorbilidad
Polifarmacia

Article

These are the options to access the full texts of the publication Enfermería Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Enfermería Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos