Health-related quality of life in Chinese individuals with type 2 diabetes mellitus: a multicenter cross-sectional study

作者全名："Zeng, Zihuan; Wang, Xingli; Chen, Yanhan; Zhou, Hengyu; Zhu, Wenfen; Xiong, Xiu; Tang, Jiao; Zhao, Qinghua"

作者地址："[Zeng, Zihuan; Wang, Xingli] Army Med Univ, Affiliated Hosp 1, Inst Burn Res, Chongqing 400038, Peoples R China; [Zeng, Zihuan; Chen, Yanhan; Zhou, Hengyu; Zhu, Wenfen; Tang, Jiao] Chongqing Med Univ, Sch Nursing, Chongqing 400016, Peoples R China; [Xiong, Xiu] Chongqing Med Univ, Univ Town Hosp, Dept Dermatol, Chongqing, Peoples R China; [Tang, Jiao; Zhao, Qinghua] Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, Chongqing 400016, Peoples R China"

通信作者："Tang, J (通讯作者)，Chongqing Med Univ, Sch Nursing, Chongqing 400016, Peoples R China.; Tang, J; Zhao, QH (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Nursing, Chongqing 400016, Peoples R China."

来源：HEALTH AND QUALITY OF LIFE OUTCOMES

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001054738400001

JCR分区：Q1

影响因子：3.2

年份：2023

卷号：21

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Type 2 diabetes mellitus; Health-related quality of life; Fear of hypoglycemia; Fear of progression; Self-efficacy

摘要："Background Type 2 diabetes mellitus (T2DM) is a chronic and life-threatening disease. Health-related quality of life (HRQoL) is vital for individuals with T2DM. However, little is known about the impact of psychological stability factors on HRQoL among individuals with T2DM in mainland China. Methods This multicenter cross-sectional study was conducted in five tertiary grade-A hospitals in Chongqing, China, from January to December 2019. A total of 385 individuals with T2DM were included by the convenient sample method. Fear of Progression (FOP) Questionnaire-short Form, Hypoglycemia Fear Survey II, diabetes-management self-efficacy scale, and EuroQol-5 Dimensions were used for data collection. Results The mean age of the 385 individuals was 57.65 (SD = 15.15) years, three-quarters of whom had a high school or above education level. The participants in our study had moderate HRQoL and were more likely to have poor scores in the pain/discomfort dimension. The FOP level was moderate on average, and 23.1% of individuals suffered from psychological dysfunction. The participants had higher levels of fear of hypoglycemia (FOH) and self-efficacy (SE). Multiple steppage-regression analysis predicted that higher levels of FOP and FOH, reduced SE, older age, longer duration since diagnosis, lower educational attainment, higher levels of HbA1c, and living with comorbid conditions were related to lower HRQoL. Conclusion This study showed that the HRQoL among Chinese T2DM patients may be impaired by increased FOP and FOH, decreased SE, and poor glycemic control. In addition, as the patient's age and duration since diagnosis increase, their HRQoL further declines. We recommend improving HRQoL by encouraging individuals to attain more health education and resilience skills to enhance SE and reduce negative emotions among individuals with T2DM."

基金机构："Our heartfelt thanks go out to all the participants in this study, as well as to other colleagues and experts who have helped us with our program."

基金资助正文："Our heartfelt thanks go out to all the participants in this study, as well as to other colleagues and experts who have helped us with our program."