在奥孙州奥索博UNIOSUN教学医院内分泌诊所就诊的无并发症糖尿病患者生活质量的决定因素

O. O. Afolalu, O.D. Akinwale, S. O. Makinde, S. G. Olawale, R. O. Folami, B.T. Akinbowale, A. Kamoru, J.I. Orunmuyi
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摘要

糖尿病(DM)是一种慢性代谢性疾病,给患者带来了严重的问题。糖尿病患者的情绪痛苦和心理影响对患者的生活质量(QoL)造成不良预后。因此,本研究的目的是探讨心理体验和对糖尿病护理的满意度如何影响患者的生活质量。方法:对2020年6月至12月在尼日利亚奥松州UNIOSUN教学医院内分泌科门诊就诊的110例糖尿病患者进行描述性研究调查。采用改良的Kessler心理困扰量表和世界卫生组织生活质量量表(WHOQOL-BREF)收集数据。数据分析采用频率、百分比和表格的描述性统计,在0.05的显著性水平上采用卡方的推理统计。结果:超过四分之三的患者在糖尿病护理方面的社会体验为负83(75.5%),心理体验为负79(71.8%),但大多数患者的生活质量良好(61.8%)。结果还显示心理体验与生活质量呈正相关(x2=9.766;df = 1;p值=0.001),以及社会经验和生活质量(x2=4.576;df = 1;假定值= 0.032)。此外,年龄、性别、婚姻状况、教育程度、职业、收入等社会人口特征与糖尿病患者的生活质量有显著相关。结论:糖尿病患者总体生活质量较好,但大部分患者存在负面的社会和心理体验。因此,必须在临床环境中加强改善糖尿病护理的努力,以促进良好的健康结果,防止糖尿病的负面社会和心理影响。
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Determinants of quality of life of patients with uncomplicated diabetes mellitus attending endocrinology clinic, UNIOSUN Teaching Hospital, Osogbo, Osun State
Introduction: Diabetes Mellitus (DM) is a chronic metabolic disorder that poses significant problems to individuals living with it. The emotional anguish and psychological impact of DM on patients' quality of life (QoL) contribute to poor prognosis of the condition. Therefore, the goal of this study is to examine how psychological experiences and satisfaction with diabetic care affect patients' QoL.Methods: A descriptive research survey conducted among one hundred and ten (110) diabetes patients attending the UNIOSUN Teaching Hospital's endocrinology clinic in Osun State, Nigeria between June and December, 2020. Modified Kessler psychological distress scale and World Health Organization Quality of Life Instrument (WHOQOL-BREF) were used to collect data. Data were analyzed using descriptive statistics of frequencies, percentages and tables, while inferential statistics of chi-square was used to test the stated hypothesis at 0.05 level of significance.Results: The results showed that more than three-fourth of the patients had negative social 83(75.5%) and psychological 79 (71.8%) experiences with diabetic care, though majority 68(61.8%) demonstrated good quality of life. The result also showed a positive relationship between psychological experience and quality of life (x2=9.766; df=1; p-value=0.001) as well as social experiences and quality of life (x2=4.576; df=1; p-value=0.032). More so, socio-demographic characteristics of age, gender, marital status, level of education, occupation and income were significantly associated with quality of life of diabetes patients.Conclusion: Overall quality of life of diabetes patients was observed to be good, although majority of diabetes patient had negative social and psychological experiences. Therefore, efforts to improve diabetic care must be intensified in clinical settings to promote good health outcomes and prevent negative social and psychological impact of diabetes mellitus.
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