The objectives of this study were to determine Health Related Quality Of Life (HRQOL)and the factors affecting it in type 2 diabetic patients and to determine whether controlled and uncontrolled diabetic patients differ with respect to HRQOL.
This cross-sectional study was conducted in five PHC centers in Al-Khobar area during the period between 5th May – 20th December 2002 G. A random sample of 225 type 2 diabetic patients and 225 non diabetic controls was selected from these five PHC Centers. The controls were matched for age , sex and number from each PHC center.
The mean age of cases was 50.0 ± 10.0 years and controls 49.3±10.3 respectively. There was no statistically significant difference between them (P = 0.526). There was low socioeconomic status and educational level in type 2 diabetic patients. Obesity was significantly higher in diabetics than controls. HRQOL of type 2 diabetic patients was significantly lower than controls. Physical Component Health Summary Scale (PCS) mean score was 41.0±9.0 and Mental Component Health Summary Scale (MCS) was 47.8±9.1 in type 2 diabetics, while PCS mean score was 47.5±9.5 and MCS was 51.5±9.4 in controls, respectively. HRQOL was significantly lower in the females , than, the males. It was also impaired in uncontrolled patients (FBS>130 mg/dl) in comparison with controlled patients (FBS≤130 mg/dl). The factors that significantly affected HRQOL in the PCS in type 2 diabetic patients were being a male, exercise less than 30 min., increased frequency of hospital admissions and increased number of complications. The factors that were associated with low HRQOL in MSC scores were family history of diabetes and uncontrolled FBS.
HRQOL was lower in type 2 diabetic patients than controls and it was affected by many factors. Uncontrolled diabetic patients had a lower HRQOL than controlled diabetics. Based on the findings of this study, it is strongly recommended that the diabetic patients should comply to diabetic diet and to exercise, reduce body weight and monitor FBS and HbA1c regularly. The Arabic version of the SF-12 was shown to have an acceptable level of reliability and could be used as a valid instrument for assessing HRQOL in type 2 diabetic patients. Health education programs are needed for diabetic patients.
Inhaltsverzeichnis (Table of Contents)
- Chapter 1 Introduction, Rationale and Objectives.
- Introduction
- Statement of the Problem
- Rationale
- Aim
- Specific Objectives
- Chapter 2 Literature Review.
- What is diabetes?
- Magnitude of the problem:
- Health Related Quality of life (HRQOL):
- HRQOL studies in type 2 diabetes and Factors Affecting Quality of life in Diabetes
- The concept of measuring health outcome:
- Review of studies using SF-12 in Diabetes and HRQOL
- Chapter 3 Methodology
- Study Type
- Study Area
- study population
- Sampling technique
- Selection Criteria of diabetic Patients and controls
- Interviewers
- Pilot study
- Methods used for data collection
- The SF-12 validity:
- Reliability of the Interviewers
- Patient Interviews
- Interviews of Controls
- Data Processing and Analysis
- Ethical Considerations
- Limitations of the Study
- Chapter 4 Results
- sample size and response rate
- Demographic and social characteristics of cases and controls
- Clinical characteristics of the cases
- Total HRQOL
- Quality of Life Measures
- Multiple Linear Regression to predict HRQOL from SF-12
- Demographic and clinical characteristics of controlled and uncontrolled patients
- Chapter 5 Discussion
- Sociodemographic characteristics of Cases and Controls
- Clinical Characteristics of Cases and Controls
- Clinical Characteristics of Cases
- HRQOL
- Factors affecting HRQOL
- Demographic Characteristics of Controlled and Uncontrolled diabetic Patients
- Factors that predict poor metabolic control
- Factors that affect HRQOL in type 2 diabetes
- CHAPTER 6 CONCLUSIONS AND RECOMMENDATIONS...
- CONCLUSIONS
- RECOMMENDATIONS
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
This dissertation aims to explore the health-related quality of life (HRQOL) of type 2 diabetic patients in primary healthcare centers in Al-Khobar, Saudi Arabia. The study specifically examines factors associated with HRQOL in this population, aiming to identify potential areas for improvement in the management of diabetes and enhancement of patient well-being. The key themes explored in the dissertation include:- Health-related quality of life in type 2 diabetic patients
- Factors influencing HRQOL in this population
- The impact of sociodemographic characteristics on HRQOL
- The role of clinical factors in HRQOL
- Potential interventions for improving HRQOL in type 2 diabetes
Zusammenfassung der Kapitel (Chapter Summaries)
- Chapter 1 introduces the topic of HRQOL in type 2 diabetic patients, outlining the rationale for the study and specific objectives. It highlights the prevalence of diabetes and the need for a comprehensive understanding of its impact on patient well-being.
- Chapter 2 provides a comprehensive literature review on diabetes, HRQOL, and factors affecting quality of life in diabetic individuals. It reviews relevant studies using the SF-12 questionnaire to measure HRQOL in various populations, including those with diabetes.
- Chapter 3 details the methodology employed in the study, including the study type, area, population, sampling techniques, data collection methods, and ethical considerations. It also discusses the reliability and validity of the SF-12 questionnaire and the data analysis methods used.
- Chapter 4 presents the results of the study, analyzing demographic and clinical characteristics of the participants, HRQOL scores, and factors influencing HRQOL. It explores the relationship between sociodemographic variables, clinical parameters, and HRQOL in the study population.
- Chapter 5 discusses the findings of the study, drawing comparisons with existing literature and exploring the implications of the results. It examines the factors contributing to HRQOL in type 2 diabetic patients and identifies potential areas for intervention and improvement.
Schlüsselwörter (Keywords)
This dissertation focuses on the concept of health-related quality of life in the context of type 2 diabetes. Key themes include HRQOL, diabetes management, patient well-being, sociodemographic factors, clinical factors, and potential interventions for enhancing quality of life in diabetic patients. The study utilizes the SF-12 questionnaire to assess HRQOL, highlighting its significance in the field of diabetes research. The study is situated in a primary healthcare setting in Al-Khobar, Saudi Arabia, emphasizing the importance of understanding the specific needs of the population in this region.- Quote paper
- Amer H. Al-Shehri (Author), 2002, Health Related Quality of Life and associated factors in type 2 diabetic patients in PHC centers, Munich, GRIN Verlag, https://www.grin.com/document/494273
