Volume 27, Issue 90 And 91 (October ِDecember 2014 2014)
IJN 2014, 27(90 And 91): 73-82 |
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Ebrahimi H, Sadeghi M, Bazghaleh M, Shaker S, Ghasemi M. Relationship between Metabolic Control Indexes and Quality of Life in Patients with Type II Diabetes Mellitus. IJN 2014; 27 (90 and 91) :73-82
URL: http://ijn.iums.ac.ir/article-1-1903-en.html
URL: http://ijn.iums.ac.ir/article-1-1903-en.html
1- Assistant professor, Vice-chancellery of Treatment, Shahroud University of Medical Sciences, Shahroud, Iran
2- Master degree, Medical Emergency Center, Shahroud University of Medical Sciences, Shahroud, Iran (٭Corresponding author). Tel: (023) 32395054 Email: mahdisadeghi@shmu.ac.ir
3- Master degree, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
4- Staff nurse, Emam Hosein hospital, Shahroud University of Medical Sciences, Shahroud, Iran
2- Master degree, Medical Emergency Center, Shahroud University of Medical Sciences, Shahroud, Iran (٭Corresponding author). Tel: (023) 32395054 Email: mahdisadeghi@shmu.ac.ir
3- Master degree, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
4- Staff nurse, Emam Hosein hospital, Shahroud University of Medical Sciences, Shahroud, Iran
Abstract: (7370 Views)
Abstract
Background & Aim: Diabetes because of its numerous complications has an extensive effect on patients’ quality of life. This study was conducted with the aim of determining the relationship between metabolic control indexes and quality of life of patients with type II diabetes in Shahroud-Iran.
Material & Methods: It was a descriptive-correlational study. A total of 156 patients with type II diabetes were recruited by convenience sampling in 2013. Data was collected by diabetes-specific quality of life questionnaire. Indexes of metabolic control (hemoglobin A1C, fasting and non-fasting blood glucose, triglycerides, cholesterol, LDL and HDL) were also controlled. Data was analyzed by Pearson correlation coefficient and chi-square tests using SPSS-PC (v.16).
Results: In this study the mean score of quality of life was 164.53±63.21 and the mean score of HgA1C was 8.65±1.55. A significant relationship was found between quality of life and all indicators except LDL (p<0.05). There was no significant relationship between the mental aspect of quality of life and triglycerides (p=0.06), cholesterol (p=0.06) and LDL cholesterol (p=0.13) indexes and also social aspect of quality of life and cholesterol (p=0.07) and LDL (p=0.09) indexes.
Conclusion: According to the findings, better control of metabolic indexes is associated with higher quality of life. Accordingly, approaches to control metabolic indexes would lead to improvements in different dimensions of quality of life in patients with diabetes.
Type of Study: Research |
Subject:
nursing
Received: 2014/07/16 | Accepted: 2014/10/20 | Published: 2014/10/20
Received: 2014/07/16 | Accepted: 2014/10/20 | Published: 2014/10/20
References
1. Zimmet P. Nauru and Mauritius: barometers of a global diabetes epidemic. J Med Sci. 2010;3(2):78-81.
2. Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, et al. [prevalence of diabetes and impaired fasting glucose in the adult population of Iran national survey of risk factors for non-communicable diseases of Iran]. Diabetes care. 2008;31(1):96-8. [DOI:10.2337/dc07-0959] [PMID]
3. Zhang P, Zhang X, Brown J, Vistisen D, Sicree R, Shaw J, et al. Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(3):293-301. [DOI:10.1016/j.diabres.2010.01.026] [PMID]
4. site IDFW. One adult in ten will have diabetes by 2030. http:// www.idf.org/media-events/press-releases/2011/diabetes-atlas-5th-edition. Accessed November 17, 2011. 2011.
5. Standards of medical care in diabetes-2007. Diabetes Care. 2007;30 (Supplement 1):4-103. [DOI:10.2337/dc07-S004] [PMID]
6. Nagelkerk J, Reick K, Meengs L. Perceived barriers and effective strategies to diabetes self‐management. J Adv Nurs. 2006;54(2):151-8. [DOI:10.1111/j.1365-2648.2006.03799.x] [PMID]
7. Speight J, Reaney M, Barnard K. Not all roads lead to Rome; a review of quality of life measurement in adults with diabetes. Diabetic Med. 2009;26(4):315-27. [DOI:10.1111/j.1464-5491.2009.02682.x] [PMID]
8. Massi-Benedetti M. The cost of diabetes in Europe-Type II: the CODE-2 study. Diabetologia. 2002;45(7):S1-S4. [DOI:10.1007/s00125-002-0860-3] [PMID]
9. Yousefipoor P, Tadibi V, Behpoor N, Parnow A, Delbari M, Rashidi S. [Effects of aerobic exercise on glucose control and cardiovascular risk factor in type 2 diabetes patients]. Medical Journal of Mashhad. 2015;57(9):976-84.
10. Matz R. The target for good glysemic control should be an HbA(1C) concentration of less than 0.07. West J Med. 2000;173(3):179-80. [DOI:10.1136/ewjm.173.3.179] [PMID] [PMCID]
11. Özmen B, Boyvada S. The relationship between self-monitoring of blood glucose control and glycosylated haemoglobin in patients with type 2 diabetes with and without diabetic retinopathy. J Diabetes Complications. 2003;17(3):128-34. [DOI:10.1016/S1056-8727(02)00200-3]
12. Morris NS, MacLean CD, Littenberg B. Literacy and health outcomes: a cross-sectional study in 1002 adults with diabetes. BMC Family Practice. 2006;7(1):49. [DOI:10.1186/1471-2296-7-49] [PMID] [PMCID]
13. Fenton JJ, Von Korff M, Lin EH, Ciechanowski P, Young BA. Quality of preventive care for diabetes: effects of visit frequency and competing demands. Ann Fam Med. 2006;4(1):32-9. [DOI:10.1370/afm.421] [PMID] [PMCID]
14. Wan Q, Pennock R, Powell Davies G, Taggart J, Snow J, Ruscoe W, et al. Quality of diabetes care: a comparison of division diabetes registers. Aust Fam Physician. 2008;37(6):490-2. [PMID]
15. Patel A, MacMahon S, Chalmers J, Billot L, Woodward M, Marre M, et al. Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med. 2008;358:2560-72. [DOI:10.1056/NEJMoa0802987] [PMID]
16. Christos ZE, Tokmakidis SP, Volaklis KA, Kotsa K, Touvra A-M, Douda E, et al. Lipoprotein profile, glycemic control and physical fitness after strength and aerobic training in post-menopausal women with type 2 diabetes. Eur J Appl Physiol. 2009;106(6):901-7. [DOI:10.1007/s00421-009-1078-6] [PMID]
17. Guglani R, Shenoy S, Sandhu JS. Effect of progressive pedometer based walking intervention on quality of life and general well being among patients with type 2 diabetes. J Diabetes Metab Disord. 2014;13(1):110. [DOI:10.1186/s40200-014-0110-5] [PMID] [PMCID]
18. Casillas A, Iglesias K, Flatz A, Burnand B, Peytremann-Bridevaux I. No consistent association between processes-of-care and health-related quality of life among patients with diabetes: a missing link? BMJ Open Diabetes Res Care. 2015;3(1):42. [DOI:10.1136/bmjdrc-2014-000042] [PMID] [PMCID]
19. Bourdel-Marchasson I, Druet C, Helmer C, Eschwege E, Lecomte P, Le-Goff M, et al. Correlates of health-related quality of life in French people with type 2 diabetes. Diabetes Res Clin Pract. 2013;101(2):226-35. [DOI:10.1016/j.diabres.2013.05.011] [PMID]
20. McGlynn EA, Cassel CK, Leatherman ST, DeCristofaro A, Smits HL. Establishing national goals for quality improvement. Med Care. 2003:I16-I29. [DOI:10.1097/00005650-200301001-00003]
21. Association AD. Standards of medical care for patients with diabetes mellitus. Diabetes Care. 2002;25(1):213. [DOI:10.2337/diacare.25.1.213]
22. Lau C-Y, Qureshi A, Scott S. Association between glycaemic control and quality of life in diabetes mellitus. J Postgrad Med. 2004;50(3):189. [PMID]
23. Glasgow RE, Ruggiero L, Eakin EG, Dryfoos J, Chobanian L. Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care. 1997;20(4):562-7. [DOI:10.2337/diacare.20.4.562] [PMID]
24. Hoey H, Aanstoot H-J, Chiarelli F, Daneman D, Danne T, Dorchy H, et al. Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes. Diabetes Care. 2001;24(11):1923-8. [DOI:10.2337/diacare.24.11.1923] [PMID]
25. Testa MA, Simonson DC. Health economic benefits and quality of life during improved glycemic control in patients with type 2 diabetes mellitus: a randomized, controlled, double-blind trial. Jama. 1998;280(17):1490-6. [DOI:10.1001/jama.280.17.1490] [PMID]
26. Weinberger M, Kirkman MS, Samsa GP, Cowper PA, Shortliffe EA, Simel DL, et al. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care. 1994:1173-81. [DOI:10.1097/00005650-199412000-00002] [PMID]
27. Aalto A-M, Uutela A, Aro AR. Health related quality of life among insulin-dependent diabetics: disease-related and psychosocial correlates. Patient Educ Couns. 1997;30(3):215-25. [DOI:10.1016/S0738-3991(96)00963-9]
28. Darvishpoor Kakhaki A, Abed Saeedi Z, Yaghmaie F, Alavi Majd H. [Instrument development to measure diabetic clients quality of life (DCQOL)]. Iranian Journal of Endocrinology and Metabolism. 2005;7(2):149-55.
29. Hesketh KD, Wake MA, Cameron FJ. Health-related quality of life and metabolic control in children with type 1 diabetes a prospective cohort study. Diabetes Care. 2004;27(2):415-20. [DOI:10.2337/diacare.27.2.415] [PMID]
30. Sutton M, McGrath C, Brady L, Ward J. Diabetic foot care: assessing the impact of care on the whole patient. Practical Diabetes International. 2000;17(5):147-51.
https://doi.org/10.1002/1528-252X(200007/08)17:5<147::AID-PDI57>3.0.CO;2-8 [DOI:10.1002/1528-252X(200007/08)17:53.0.CO;2-8]
31. Sarani H, Ebrahimitabass E, Arbabisarjou A, Mehdipour S. [The quality of life in the diabetic patients of Zahedan's Ali Asghar Hospital affiliated to Zahedan University of Medical Sciences, Iran (2011)]. World of Sciences Journal. 2011;1(6):54-64.
32. Sadeghi Ahari S, Arshi S, Iran Parvar M, Amani F, Siah Poosh H. [The effect of complications of diabetes Type II on the quality of life in diabetic patients]. Journal of Ardebil University of medical Sciences. 2008;8(4):394-402.
33. Yaghoobi M, Taheri N, Raoof Saeb A, Shirzaei K, Kazemi S. [Study quality of life in patients referring ti Mashhad Parsian Clinic (Summer 2009)]. Modern Care, Scientific Quarterly Of Birjand Nursing and Midwifery Faculty. 2011;7(3,4):15-21.
34. Baghianimoghadam M, Ardekani M, Baghianimoghadam B. [Effect of education on improvement of quality of life by SF-20 in type 2 diabetic patients]. Acta Medica Indonesiana. 2009;41(4):175-80. [PMID]
35. Peymani M, Monjemed Z, Asghar Poor A, al e. [The study of life quality in the diabetic patients with cardiovascular complications in Noode Clinic of Selected hospitals of Tehran University of Medical Sciences; 2004]. Journal of medical rule organization of Islamic republic of Iran. 2007;25(2):142-8.
36. Thommasen H, Zhang W. Impact of chronic disease on quality of life in the Bella Coola Valley. Rural Remote Health. 2006;6(2):528. [PMID]
37. Wändell PE, Tovi J. The quality of life of elderly diabetic patients. J Diabetes Complications. 2000;14(1):25-30. [DOI:10.1016/S1056-8727(99)00066-5]
38. Johnson JA, Nowatzki TE, Coons SJ. Health-related quality of life of diabetic Pima Indians. Med Care. 1996;34(2):97-102. [DOI:10.1097/00005650-199602000-00001] [PMID]
39. Amini M, Mehr Mohamadi N, Aminoroaya A. [Incidence of type 2 diabetes in 25-75 years without diabetes symptom refered to Diabetes Research Center in Isfahan, during 1997-2002]. Journal of Zanjan University of Medical Science. 2003;12:33-40.
40. Kartal A, İnci FH. A cross-sectional survey of self-perceived health status and metabolic control values in patients with type 2 diabetes. Int J Nurs Stud. 2011;48(2):227-34. [DOI:10.1016/j.ijnurstu.2010.07.004] [PMID]
41. Pibernik-Okanovic M, Prasek M, Poljicanin-Filipovic T, Pavlic-Renar I, Metelko Z. Effects of an empowerment-based psychosocial intervention on quality of life and metabolic control in type 2 diabetic patients. Patient Edu Couns. 2004;52(2):193-9. [DOI:10.1016/S0738-3991(03)00038-7]
42. Shani M, Taylor TR, Vinker S, Lustman A, Erez R, Elhayany A, et al. Characteristics of diabetics with poor glycemic control who achieve good control. Journal Am Board Fam Med. 2008;21(6):490-6. [DOI:10.3122/jabfm.2008.06.070267] [PMID]
43. Maney M, Tseng C-L, Safford MM, Miller DR, Pogach LM. Impact of self-reported patient characteristics upon assessment of glycemic control in the Veterans Health Administration. Diabetes Care. 2007;30(2):245-51. [DOI:10.2337/dc06-0771] [PMID]
44. Benoit SR, Fleming R, Philis-Tsimikas A, Ji M. Predictors of glycemic control among patients with Type 2 diabetes: a longitudinal study. BMC Public Health. 2005;5(1):36. [DOI:10.1186/1471-2458-5-36] [PMID] [PMCID]
45. Ramchurn, NC. Mashamba, Leitch, E. Arutchelvam, V. Narayanan, K, Weaver, J. et al. Upper limb musculoskeletal abnormalities and poor metabolic control in diabetes. Eur J Intern Med. 2009؛20(7): 718-721.
46. ِDiabetes control and complications trial research group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes. N Engl J Med. 1993;329:977-86. [DOI:10.1056/NEJM199309303291401] [PMID]
47. DCCT B. Lifetime benefits and costs of intensive therapy as practiced in the diabetes control and complications trial. Jama. 1996;276:1409-15.
https://doi.org/10.1001/jama.1996.03540170053032 [DOI:10.1001/jama.276.17.1409]
48. The DCCT Research Group. Influence of intensive diabetes treatment on qol outcomes in the diabetes control and complications trial. Diabets Care. 1996;19:195-203. [DOI:10.2337/diacare.19.3.195]
49. Guttmann-Bauman I, Flaherty BP, Strugger M, McEvoy RC. Metabolic control and quality-of-life self-assessment in adolescents with IDDM. Diabetes Care. 1998;21(6):915-8. [DOI:10.2337/diacare.21.6.915] [PMID]
50. Grey M, Boland EA, Yu C, Sullivan-Bolyai S, Tamborlane WV. Personal and family factors associated with quality of life in adolescents with diabetes. Diabetes Care. 1998;21(6):909-14. [DOI:10.2337/diacare.21.6.909] [PMID]
51. Undén A-L, Elofsson S, Andréasson A, Hillered E, Eriksson I, Brismar K. Gender differences in self-rated health, quality of life, quality of care, and metabolic control in patients with diabetes. Gender Med. 2008;5(2):162-80. [DOI:10.1016/j.genm.2008.05.003] [PMID]
52. Mazze RS, Lucido D, Shamoon H. Psychological and social correlates of glycemic control. Diabetes Care. 1984;7(4):360-6. [DOI:10.2337/diacare.7.4.360] [PMID]
53. Mayou R, Bryant B, Turner R. Quality of life in non-insulin-dependent diabetes and a comparison with insulin-dependent diabetes. J Psychosom Res. 1990;34(1):1-11.
https://doi.org/10.1016/S0022-3999(96)90093-8 [DOI:10.1016/0022-3999(90)90002-L]
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