比较 1 型和 2 型糖尿病对患者家属生活质量的影响:英国横断面研究。

IF 5.4 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes, Obesity & Metabolism Pub Date : 2025-02-01 Epub Date: 2024-11-24 DOI:10.1111/dom.16058
Rubina Shah, Andrew Y Finlay, Faraz M Ali, Kennedy Otwombe, Stuart J Nixon, Lindsay George, Marc Evans, John R Ingram, Sam Salek
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引用次数: 0

摘要

目的:测量 1 型和 2 型糖尿病(T1D 和 T2D)对患者家庭成员/伴侣生活质量的影响,并评估家庭影响是否存在差异:这是一项通过患者支持小组在线招募的横断面研究,英国糖尿病患者的家庭成员/伴侣参与了这项研究,并填写了 "家庭报告结果测量-16"(FROM-16):糖尿病患者(平均年龄 57.7 岁,SD=20.6;女性=38.3%;T1D=100;T2D=161)的 261 名家庭成员/伴侣(平均年龄 57.9 岁,SD=13.8;女性=68.2%)完成了 FROM-16。FROM-16 的总平均得分为 10.47,SD = 7.8,表明对糖尿病患者家庭成员的 QoL 有适度影响。四分之一(24.5%)的家庭成员的 QoL 受到了 "非常大的影响 "或 "极大的影响"。与T1D(RR 0.561,95% CI 0.371-0.849)相比,T1D(平均FROM-16 = 12.61,SD = 7.9)对家庭成员的影响大于T2D(平均 = 9.15,SD = 7.5,P 16):与 T2D 相比,T1D 患者家属的 QoL 受到的影响更大,尤其是那些照顾儿童和青少年的家属。这些发现对临床和资源都有影响,表明有必要将评估这种影响作为常规糖尿病护理的一部分,以支持受影响的家庭成员。FROM-16 可以在日常实践中评估这种影响,并进一步促进将家庭成员转介到适当的支持服务机构。
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Comparison of the impact of type 1 and type 2 diabetes on quality of life of families of patients: A UK cross-sectional study.

Aim: To measure the impact of type 1 and 2 diabetes mellitus (T1D and T2D) on the QoL of a person's family members/partner and assess if there is any difference in family impact.

Methods: A cross-sectional study, recruited online through patient support groups, involved UK family members/partners of people with diabetes completing the Family Reported Outcome Measure-16 (FROM-16).

Results: Two hundred and sixty-one family members/partners (mean age = 57.9 years, SD = 13.8; females = 68.2%) of people with diabetes (mean age = 57.7, SD = 20.6; females = 38.3%; T1D n = 100; T2D n = 161) completed the FROM-16. The overall FROM-16 mean score was 10.47, SD = 7.8, suggesting a moderate effect on the QoL of family members of people with diabetes. A quarter (24.5%) of family members experienced a 'very large effect' or 'extremely large effect' on their QoL. The family impact of T1D (mean FROM-16 = 12.61, SD = 7.9) was greater than that of T2D (mean = 9.15, SD = 7.5, p < 0.01), with being 'female' and 'parents of children and adolescents' rendered as significant predictors of greater impact. Family members of T2D had a lower risk of experiencing a high family impact (FROM-16 score >16) compared with T1D (RR 0.561, 95% CI 0.371-0.849).

Conclusions: Compared to T2D, family members of T1D experience a greater impact on their QoL, particularly those caring for children and adolescents. These findings have clinical and resource implications, indicating a need to assess this impact as a part of routine diabetes care to support impacted family members. The FROM-16 could assess this impact in routine practice and further facilitate referral of family members to appropriate support services.

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来源期刊
Diabetes, Obesity & Metabolism
Diabetes, Obesity & Metabolism 医学-内分泌学与代谢
CiteScore
10.90
自引率
6.90%
发文量
319
审稿时长
3-8 weeks
期刊介绍: Diabetes, Obesity and Metabolism is primarily a journal of clinical and experimental pharmacology and therapeutics covering the interrelated areas of diabetes, obesity and metabolism. The journal prioritises high-quality original research that reports on the effects of new or existing therapies, including dietary, exercise and lifestyle (non-pharmacological) interventions, in any aspect of metabolic and endocrine disease, either in humans or animal and cellular systems. ‘Metabolism’ may relate to lipids, bone and drug metabolism, or broader aspects of endocrine dysfunction. Preclinical pharmacology, pharmacokinetic studies, meta-analyses and those addressing drug safety and tolerability are also highly suitable for publication in this journal. Original research may be published as a main paper or as a research letter.
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