Abstract
The quality of life (QoL) describes the multidimensional self-perceived well-being of a person, which is an important diabetes outcome. This study aimed to measure the QoL scores among patients with type 2 diabetes mellitus (T2DM), as well as their clinical and sociodemographic predictors. This cross-sectional study involved 180 randomly sampled patients at a primary care clinic on the East Coast of Peninsular Malaysia. A self-administered questionnaire containing the Audit of Diabetes Dependent Quality of Life-18 (ADDQoL-18) was used. Most of the respondents (96.7%) were Malay, with a median (interquartile range, IQR) age of 54.0 (14.0) years old. The majority of them were females (60.0%), married (81.1%) and from low-income families (63.3%), who attained a secondary education or lower (75.6%). Only 49.4% of them were employed. The mean (standard deviation, SD) ADDQoL-18 average weighted impact score was -4.58 (2.21) and all 18 domains were negatively affected, particularly the living condition, family life and working life. The multiple linear regression analysis showed that the age (adjusted B = 0.05, P = 0.004) and insulin use (adjusted B = -0.84, P = 0.011) were QoL predictors. T2DM negatively impacts the patient's QoL in all aspects of their life. The QoL improvement with age suggests that the older patients had accepted and adapted to their illness. The need to improve the QoL among insulin users was also highlighted.
Highlights
The general aim of diabetes care is to achieve good biopsychosocial outcomes
The mean ADDQoL-18 average weighted impact (AWI) scores of the studies conducted in more developed countries, such as the USA and Ireland, were substantially higher than in the local studies, indicating better quality of life (QoL) among their patients when compared to the Malaysian patients [12, 15, 22, 23]
The patients’ QoLs improved as they aged, which suggests that adapting to life with diabetes may play an important role in maintaining their well-being
Summary
The general aim of diabetes care is to achieve good biopsychosocial outcomes. Having good glycaemic control and reducing the risk of diabetes complications must be achieved in tandem with preserving the patient’s quality of life (QoL) [1, 2]. The QoL describes the multidimensional self-perceived well-being of a person, and it includes the general well-being, physical health and functioning, mental health and emotional functioning, social functioning and satisfaction with treatment [1, 2, 4]. It is usually regarded as a synonym for the health status and satisfaction [4], and it reflects the patient’s satisfaction with. The quality of life (QoL) describes the multidimensional self-perceived well-being of a person, which is an important diabetes outcome. This study aimed to measure the QoL scores among patients with type 2 diabetes mellitus (T2DM), as well as their clinical and sociodemographic predictors
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