Diabetes Specific Quality Of Life Scale Research Articles

Factors associated with quality of life among elderly patients with type 2 diabetes mellitus: the role of family caregivers.

As a long-term chronic disease, Type 2 diabetes mellitus (T2DM) patients' quality of life is affected by both themselves and his/ her close relatives, requiring comprehensive support from family members to ensure that patients are able to manage disease. The objective of this study is to investigate the relationship between caregivers' sense of coherence, caregiver competence, and T2DM patients' quality of life, as well as to explore the factors affecting patients with T2DM patients. This investigation was a cross-sectional study. Between October 2022 and July 2023, 392 participant-caregiver dyads from two hospitals in Jinzhou City, Liaoning Province, were researched. Participants were investigated by General Characteristics Questionnaire, Modified Barthel Index (MBI), Diabetes Specific Quality of Life Scale (DSQLS), Sense of Coherence scale-13 (SOC-13), and Family Caregiver Task Inventory (FCTI). Data were statistically analyzed using SPSS 25. Univariate and multivariate linear regression analyses were used to identify the independent factors associated with the quality of life of elderly patients with T2DM. The average score of T2DM quality of life was 61.14 (SD = 7.37), quality of life was negatively correlated with sense of coherence (r=-0.344, P<0.01) and positively correlated with caregiver competence (r = 0.522, P<0.01). Furthermore, we found that age, disease duration, activities of daily living scores, sense of coherence, and caregiver competence scores were the main predictors of quality of life (R2 = 0.375, P < 0.001). This study found that high levels of sense of coherence and caregiver competence in family caregivers were associated with better quality of life for patients. Furthermore, we also found that good quality of life was also related to younger age, shorter disease duration, and less dependence. This study offers a feasible example for policymakers to improve the quality of life from the perspective of T2DM patients' family caregivers.

Serial mediation roles of empowerment and self-care activities connecting health literacy, quality of life, and glycemic control in people with type 2 diabetes.

Health literacy, empowerment, and self-care activities are likely the crucial concepts affecting the quality of life and glycemic control in people with type 2 diabetes (T2D). However, evidence demonstrating the mechanisms underlying these concepts is scarce. The aim of this study was to test the serial mediation roles of empowerment and self-care activities on the relationships between health literacy and quality of life and between health literacy and hemoglobin A1c (HbA1c) in people with T2D. A cross-sectional study was conducted among 319 people with T2D in Guangzhou, China, from July 2019 to January 2020. Data were collected using the Health Literacy Scale, the Diabetes Empowerment Scale-Short Form, the Summary of Diabetes Self-Care Activities Measure, and the Adjusted Diabetes-Specific Quality of Life Scale. RStudio 4.2.1 was used for serial mediation analysis. The dimension of communicative health literacy accounted for the most total variance (β = 0.810, p < .001) in the construct of health literacy. The serial multiple mediation of empowerment and self-care activities in the associations between health literacy and quality of life (β = -.046, p = .019) and between health literacy and HbA1c (β = -.045, p = .005) were statistically significant. This study emphasized the vital role of communicative health literacy when improving health literacy in people with T2D. Diabetes care and education specialists could implement empowerment approaches and flexible self-care strategies to improve the quality of life and glycemic control in people with T2D. Enhancing health literacy was suggested as a favorable strategy for promoting empowerment and self-care activities in people with T2D.

Diabetes-specific quality of life scale (DSQOL): Translation and validation of Urdu short version

ABSTRACT&#x0D; BACKGROUND &amp; OBJECTIVE: Quality of life has been affected by numerous psychosocial factors. Thus, for diabetic patients, it was necessary to identify the underlying factors, keeping in view the cultural norms. The objective of the current study was to validate the cultural norms of DSQOL (Diabetes-Specific Quality of Life Scale) through translation into "Urdu" language.&#x0D; METHODOLOGY: A correlational research design was used in the study. Initially, the forward and backward translation method was followed to translate DSQOL. Afterward, the final Urdu translated version (20 items) was tested on a representative sample of 200 diabetic patients to establish its psychometric properties.&#x0D; RESULTS: Internal consistency and correlational matrix of original, Urdu, and English scales yielded reliable results. In the main study, 200 male and female diabetic patients with an age range of 30-70 years and an average of (M±SD;45±8.25) participated. The reliability analysis showed a significant alpha coefficient for five subscales; "Social relations (α= .80), Physical complaints (α=.90), Worries about the future (α= .88), Daily hassles (α= .88), and Emotional worries (α=.87)". The item analysis of Urdu version confirmed the item total correlation of all subscales except three items. Further, CFA confirmed the factor structure of the newly translated Urdu version of DSQOL through AMOS (Analysis of Moment Structure), and the model yielded acceptable model fit indices (CFI=.90; NFI= .90). The Final Urdu version of DSQOL had 20 items.&#x0D; CONCLUSION: The Urdu version of DSQOL is a valid and reliable measure for assessing the diabetics-specific quality of life. This translated tool overcame the cultural barrier with respect to language and norms.

Quality of Life and Treatment Satisfaction In Type I Diabetic Patients Treated with Subcutaneous Insulin Multiple Daily Injections

Background: Diabetes represents a major health problem because of its high prevalence, morbidity and mortality, its influence on patient quality of life and its impact on the health system. This impact involves the physical and emotional overload of diabetes, a disease that requires life-long treatment, including lifestyle and pharmacological measures, often with multiple drugs. Quality of life QOL is regarded as a subjective measure of health and well-being related to a disease. Treatment satisfaction is a subjective measure that evaluates the patient's experience of the processes and results of treatment. Furthermore, it is understood that poor satisfaction with treatment compromises treatment adherence. Aim: The aim of this case-control study was to determine and explore the quality of life QOL and treatment satisfaction in patients with Type 1 diabetes (T1DM) treated with subcutaneous insulin multiple daily injections (MDI). Subjects and Method: Consecutive patients aged between 18 and 55 years, and attending diabetes clinics for a routine visit, completed a pre-validated questionnaire created from the Diabetes-Specific Quality-of-Life Scale (DSQOLS), the Diabetes Treatment Satisfaction Questionnaire (DTSQ) and the SF-36 Health Survey (SF-36). Results: The result of this study shows that there is no difference in distribution between genders; 53.3% males and 46.7 females. Moreover, the largest percentage of age was between 46-55 (50%). Patient satisfaction presented at a higher percentage in males 81.3%, graduates 40% and patients aged 26-35 (80.0%). Conclusion: To conclude, diabetes Type 1 is a common condition and is considered a significant public health concern that significantly increases the risk of health problems. Health-related quality of life (HRQOL) is considered a multi-dimensional concept that includes domains related to the effect of both physical and mental health perception and their correlates such as the health risks and conditions.

Aerobic exercise combined with memory strategy training improve the cognitive function.

Type 2 diabetes mellitus (T2DM) is closely associated with the occurrence of cognitive impairment, imposing a heavy burden on the patient's family and society. Aerobic exercise and targeted memory strategies have been widely reported to improve cognitive function. A total of 122 T2DM patients with Montreal Cognitive Assessment Scale (MoCA) test scores of less than 26 received the aerobic exercise combined with memory strategy training. After 6 months of intervention, a final group of 113 patients entered the final evaluation and analysis. Diabetes-specific quality of life scale (DSQL) and activities of daily living (ADL) assessments were performed to evaluate the life quality of the patients. The scores of MoCA and ADL were significantly upregulated, and the scores of DSQL were significantly reduced after the 6-month intervention of T2DM patients. The levels of fasting plasma glucose (FPG), hemoglobin A1c, total cholesterol (TC), and triglyceride (TG) levels of T2DM patients with cognitive impairment significantly decreased post intervention. A significant decrease in low density lipoprotein cholesterol (LDL-C) and an increase in high density lipoprotein cholesterol (HDL-C) were observed. The FPG, HbA1, TC, TG, and LDL-C levels were significantly lower, and the HDL-C levels were significantly higher in patients with normal cognitive function than in patients with abnormal cognitive function. Aerobic exercise combined with memory strategy training effectively improved the memory and cognitive function in patients with T2DM.

Application of TELSA structured education program in adults with type 1 diabetes mellitus

Objective: To evaluate the effect of TELSA structured education program in adults with type 1 diabetes mellitus (T1DM) in China. Methods: From January 2019 to January 2020, 64 adult T1DM patients who met the standard of entry and had the intention to participate in TELSA structured education program were selected from the outpatient of type 1 diabetes comprehensive management in the Second Xiangya Hospital as intervention group. A total of 64 patients matched by age and sex were enrolled as the control group. During the program, the intervention group lost 3 cases and the control group lost 4 cases. Finally, there were 61 effective samples in the intervention group and 60 effective samples in the control group. The patients in the control group were given face-to-face education by a T1DM educator for about 2 hours. The patients in the intervention group were intervened according to TELSA structured education program. The level of glycosylated hemoglobin, the frequency of hypoglycemia, self-management ability and quality of life were evaluated before intervention, 6 months after intervention and 12 months after intervention. Results: The ages of the intervention group and the control group were 30.0(22.0,43.5) and 29.5(22.3,42.5) (P>0.05), and the proportions of males were 47.54%(29 cases) and 45.00%(27 cases), respectively (P>0.05). There were interaction effects (P<0.05) on the level of glycosylated hemoglobin, self-management ability and quality of life in the two groups. At 6 and 12 months after intervention of TELSA structured education program, the level of glycosylated hemoglobin in the intervention group decreased from the baseline level (7.87±1.45)% to (7.23±1.06)% and (7.28±0.93)%, respectively, which was significantly lower than that in the control group at 6 months (7.72±1.20)% and at 12 months(7.76±1.24)% (all P<0.05). After TELSA structured education intervention, the scores of self-management scale for adult type 1 diabetes mellitus (SMOD-CA) in the intervention group showed an upward trend (P<0.001), and the scores of diabetes-specific quality of life scale (A-DQOL) showed a downward trend (P<0.001). In contrast, there was no statistically significant difference in the trend of scores in the control group (P=0.853 and 0.227). The comparison between groups at different time points showed that at 6 and 12 months after the intervention, the SMOD-CA scores of the patients in the intervention group were higher than those in the control group (P<0.001), and the A-DQOL scores were lower than those in the control group (P<0.001). Conclusions: The TELSA structured education program can effectively ameliorate glycemic control, with the improvement of self-management ability and quality of life in adult T1DM patients.

Effect of Group Continuous Nursing Intervention Model on Serum Biochemical Parameters, GSES Assessment, DSQL Assessment and Satisfaction of Diabetic Patients

Objective: To assess effect of group continuous nursing intervention model on serum biochemical parameters, general self-efficacy scale (GSES) assessment, Diabetes Specific Quality of Life Scale (DSQL) assessment and satisfaction of diabetic patients. Methods: A total of 150 patients with type 2 diabetes who were admitted from June 2017 to October 2019 at the First Affiliated Hospital of Jinan University were randomly selected as the research subjects. They were divided into intervention group and control group (75 cases each group) according to the mode of health nursing intervention. Control group patients received common nursing intervention, and intervention group patients received group continuous nursing intervention. We collected the valid data from the changes of serum biochemical level, self-efficacy, diabetes specific quality of life and clinical nursing satisfaction were observed before and after the intervention. Result: In serum indicators, the results were not significantly different before nursing intervention (P> 0.05), and these indicators of the intervention group were significantly lower compare with the control group (P 0.05), and the GSES assessment of the two groups of patients were significantly increased after nursing intervention, but the GSES assessments of the patients in the intervention group were significantly higher than those of the control group (P < 0.05). In diabetes specific quality of life assessment, The DSQL evaluation of the patients in the intervention group after nursing intervention was significantly higher than the control group (P < 0.05). After nursing intervention, the clinical nursing satisfaction of patients in the intervention group reached 98.67%, which was significantly higher than that in the control group (81.33%), and the comparison between groups was statistically significant (P < 0.05). Conclusion: group continuous nursing intervention can significantly improve serum indicators, diabetes specific quality of life, self-efficacy, and clinical nursing satisfaction.

Relationship between family support and quality of life in individuals with diabetes

Amaç: Bu çalışmada diyabetli bireylerde aile desteği ile yaşam kalitesi arasındaki ilişkinin incelenmesi amaçlanmıştır.&#x0D; Gereç ve Yöntem: Araştırmanın evrenini, Balıkesir Devlet Hastanesi Endokrinoloji Kliniği’nde tedavi gören bireyler; araştırmanın örneklemini ise araştırmaya dahil edilme kriterlerine uyan ve araştırmaya katılmaya gönüllü olan 260 diyabetli birey oluşturmuştur. Veri toplama formları olarak; Anket Formu, Hensarling’in Aile desteği ölçeği, Diyabete Özgü Yaşam Kalitesi Ölçeği kullanılmıştır. &#x0D; Bulgular: Yaşam Kalitesinin alt boyutu olan aile durumu puanı ile Hensarling’in Diyabet Aile Destek Ölçeği toplam puanı ve alt boyut puanlarıyla arasında istatistiksel olarak anlamlı ilişki vardır. Aile durumu puanı arttıkça Hensarling’ in Diyabet Aile Destek Ölçeği toplam puanı da artmaktadır. Diğer alt boyut puanlar arasında istatistiksel olarak anlamlı ilişki bulunmamaktadır. &#x0D; Sonuç: Diyabetli bireylerin Yaşam Kalitesi alt boyut puanı olan aile durumu puanı arttıkça Aile Desteği Ölçeği toplam puanı ve alt boyut puanları artmaktadır.

P43 Funcionalidad familiar y diabetes tipo 1

Introducción: la diabetes concierne a la familia, ya que los cambios en el estilo de vida de la persona diagnosticada demandan apoyo familiar, acompañamiento en la toma de decisiones, habilidades y destrezas para el adecuado manejo de la enfermedad.El cuestionario APGAR familiar es útil en la identificación de familias en riesgo y refleja la percepción del paciente sobre el estado funcional de su familia.Objetivos: evaluar la funcionalidad familiar mediante el APGAR familiar y su relación con el control metabólico y la calidad de vida en personas con diabetes tipo1.Materiales y métodos: personas con diabetes tipo 1 entre 16 y 65 años de edad atendidas por médicos diabetólogos en consultorios privados o servicios hospitalarios de la provincia de Corrientes. Cuestionario APGAR familiar validado y auto administrado, con 5 preguntas en una escala tipo Likert de 0 a 4. Escala de Calidad de Vida Específica para Diabéticos (DSQOLS).Hemoglobina glicosilada del último año. Análisis estadístico: medidas de posición y dispersión. Test de Chi 2. Coeficiente de correlación lineal de Pearson y correlación de Spearman. Coeficiente alfa de Cronbach y coeficiente de correlación intraclase.

Acupuncture for diabetic peripheral neuropathy: study protocol for a randomized, placebo-controlled trial

BackgroundDiabetic peripheral neuropathy (DPN) is the most common chronic complication of diabetes mellitus that has a considerable impact on quality of life, but there are few effective therapeutic strategies. The aim of this trial is to determine the efficacy and safety of manual acupuncture (MA) versus sham acupuncture (SA) for DPN.Methods/designThis is a study protocol for a randomized, placebo-controlled clinical trial. A total of 118 patients with DPN will be recruited and randomly assigned in a 1:1 ratio to either the MA group or SA group. All patients will receive 24 sessions over 12 weeks. Participants will complete the trial by visiting the research center at month 6 for a follow-up assessment. The primary outcome is peroneal motor nerve conduction velocity (peroneal MNCV) at week 12 compared with baseline. Secondary outcomes include peroneal motor nerve action potential amplitude (peroneal MNAP) and latent period (peroneal MNLP), sural sensory nerve conduction velocity (sural SNCV), action potential amplitude (sural SNAP) and latent period (sural SNLP), fasting plasma glucose (FPG), 2-h postprandial blood glucose (2hPG), glycated hemoglobin (HbAlc) at week 12 compared with baseline, Michigan Neuropathy Screening Instrument (MNSI) score and Diabetes Specific Quality of Life scale (DSQL) at week 12 and month 6 compared with baseline. Safety will be assessed during the whole trial. Masking effectiveness will be assessed by patients.DiscussionThis trial may provide high-quality evidence for evaluating the efficacy and safety of MA treatment for DPN compared with SA treatment. Results of this study will be published in peer-reviewed journals.Trial registrationChinese Clinical Trials Registry ChiCTR1800020444. First registered on 29 December 2018, retrospectively registered, http://www.chictr.org.cn/showproj.aspx?Proj=31063.

Effects of cognitive behavioral therapy on sleep disturbances and quality of life among adults with type 2 diabetes mellitus: A randomized controlled trial

Background and aimsCognitive behavioral therapy (CBT) is recommended as the first-line nonpharmacotherapy for sleep complaints. However, there are no studies that tested CBT for improving sleep quality and increasing quality of life (QOL) in patients with type 2 diabetes mellitus (T2DM). Therefore, this study aims to test the effect of CBT on sleep disturbances and QOL in patients with T2DM. Methods and resultsIn total, 187 participants with T2DM and comorbid poor sleep quality were included in the analysis with the control group of 93 receiving usual care (UC) only and the intervention group of 94 receiving CBT with aerobic exercise plus UC, The Pittsburgh Sleep Quality Index (PSQI), the Diabetes-Specific Quality of Life Scale (DSQLS) and the glycated hemoglobin (HbA1C) values were collected at baseline, after the 2-month intervention, and 6 months of follow-up. The CBT group had 3.03 points lower PSQI scores (95% confidence interval [CI]: 2.07–4.00, P < 0.001) and 7.92 points lower total DSQLS scores (95% CI: 4.98–10.87, P < 0.001) than the control group after 6-month follow-up. No difference was found in HbAlc between the two groups (t = −0.47, P = 0.64) after 2-month intervention, while the CBT group had 0.89 units lower HbAlc (95% CI: 0.49–1.28, P < 0.001) than the control group after 6-month follow-up. ConclusionCBT is effective for sleep disturbances and can also improve sleep quality, increase QOL, and decrease glycemic levels in participants with T2DM. Trial registrationChinese Clinical Trials Registration (Practical study of the appropriate technique for improvement of quality of life of the patients with type 2 diabetes in communities: ChiCTR-IOP-16008045).

Application of tertiary hospital and community health integrated management model in foot care of patients with diabetes mellitus

Objective To analyze the application value of tertiary hospital and community health integrated management model in the foot care of diabetic patients. Methods A total of 180 cases of patients with diabetes mellitus admitted to the First Affiliated Hospital of Henan University from January 2018 to June 2018 were selected for the study and were divided into observation group and control group according to the random number table method, with 90 cases in each group.Control group was given routine management, and observation group adopted tertiary hospital and community health integrated management model, and they were intervened for 6 months.The episode frequency, hospitalization frequency, hospital stay, hospitalization expenses, and fasting blood glucose(FBG), postprandial 2 h blood glucose(P2BG) and glycosylated hemoglobin(HbA1c), foot care effects [Chinese version of Nottingham assessment of functional foot-care(CNAFF)], self-management ability scale(SDSCA) score, diabetes specific quality of life scale(DSQL) score before and after intervention were recorded in the two groups. Results The episode frequency, hospitalization frequency, hospital stay and hospitalization expenses in observation group were lower than those in control group.The FBG, P2BG, and HbA1c in observation group after intervention were lower than those in control group, and the differences were statistically significant(P<0.05). The good foot care rate at 6 months after intervention in observation group was higher than that in control group, and the difference was statistically significant(P<0.05). The SDSCA scores in observation group were higher than those in control group at 1 month, 3 months and 6 months after intervention, while the DSQL score was lower than that in control group, and the differences were statistically significant(P<0.05). Conclusions Tertiary hospital and community health integrated management model for patients with diabetes mellitus, and it can significantly improve the blood glucose level, improve the quality of foot care, quality of life and self-management ability.Therefore it is worthy of clinical promotion and practice. Key words: Community health; Integrated management model; Diabetes mellitus; Foot nursing

Effect of Danzhi Jiangtang capsule on quality of life in elderly patients with type 2 diabetes mellitus

Objective To observe the effect of Danzhi Jiangtang capsule on quality of life in elderly patients with type 2 diabetes mellitus. Methods 60 elderly patients with type 2 diabetes mellitus were randomly divided into control group and observation group, 30 cases in each group. The two groups were given comprehensive treatment measures. The observation group was treated with Danzhi Jiangtang capsule for 3 months. Fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c) were detected before treatment and 3 months after treatment, respectively, and tranditional chinese medcine (TCM) syndrome scores were filled in. The Diabetes Specific Quality of Life Scale (DSQL) was evaluated. Results After treatment, FPG and HbA1c in the two groups decreased significantly, and the treatment group was better than the control group (P<0.05). The curative effect of TCM syndromes in observation group was 93.3%, better than that of the control group (63.6%, P<0.05). The observation group was better than the control group in terms of physiological function, treatment effect on patients and total score (P<0.05). Conclusions Danzhi Jiangtang capsule can significantly improve the quality of life in elderly patients with type 2 diabetes mellitus. Key words: HYPOGLYCEMIC AGENTS (TCD); CAPSULES; Diabetes mellitus, type 2; Quality of life; Aged

Effect of Self-Acupoint Massage on Blood Glucose Level and Quality of Life in Older Adults With Type 2 Diabetes Mellitus: A Randomized Controlled Trial.

The current study aimed to explore the effect of self-acupoint massage (SEAM) on blood glucose level and quality of life in community-dwelling older adults with type 2 diabetes mellitus (T2DM). Sixty-six older adults with T2DM were enrolled and randomly divided into observation and control groups. Participants in the control group received routine nursing interventions, whereas participants in the observation group received a SEAM intervention in addition to routine nursing interventions. After 12 weeks of SEAM, glycosylated hemoglobin (HbA1c) levels in the observation group decreased from 8.35% (SD = 1.84%) at baseline to 7.29% (SD = 1.38%) (p < 0.01). Total score of the Diabetes-Specific Quality of Life Scale (DSQLS) in the observation group improved from 45.96 (SD = 4.29) at baseline to 41.3 (SD = 3.89) (p < 0.01). The physiological dimension of the DSQLS in the observation group improved from 49.65 (SD = 7.33) at baseline to 38.54 (SD = 4.68) (p < 0.01). As SEAM effectively decreased older adults' HbA1c level and improved their quality of life, it can be used as a complementary approach to routine nursing interventions for community-dwelling older adults with T2DM. [Journal of Gerontological Nursing, 45(8), 43-48.].

Application of Trinity new model home nursing on continuous control of blood sugar in type 2 diabetes mellitus patients

Objective To explore the application of Trinity new model home nursing on continuous control of blood sugar in patients with type 2 diabetes mellitus. Methods Totally 98 patients with type 2 diabetes were selected from January 2016 to December 2017 in our hospital, who were divided into study group and control group by random number table, and there were 49 cases in each group. The control group was given conventional nursing until the hospital was discharged, and the routine follow-up was given after discharge. The study group was given conventional nursing until the hospital was discharged, and the new type of new home nursing mode was given after discharge. The levels of fasting blood glucose (FBG), postprandial 2h blood glucose (2h PBG) and glycated hemoglobin (HbAc1) were compared between the 2 groups at 1d before discharge, 1 months and 3 months after discharge, and the patients compliance were compared, then the quality of life of patients at discharge and 3 months after discharge were assessed by the diabetes specific quality of life scale (DSQL). Results The levels of FBG, 2h PBG and HbAc1respectively were(7.08±0.58) mmol/L, (10.06±0.72) mmol/L, (6.11±0.40)% of the study group at 1d before discharge, of which the control group respectively were(7.07±0.61) mmol/L, (10.07±0.74) mmol/L, (6.10±0.42)%. The levels of FBG, 2h PBG and HbAc1respectively were(6.13±0.44) mmol/L, (9.51±0.55) mmol/L, (5.51±0.30)% of the study group at 1 months after discharge, of which the control group respectively were (6.58±0.56) mmol/L, (9.75±0.53) mmol/L, (5.82±0.34)%. The levels of FBG, 2h PBG and HbAc1 respectively were(5.69±0.42) mmol/L, (9.03±0.44) mmol/L, (5.22±0.23)% of the study group at 3 months after discharge, of which the control group respectively were (6.17±0.40) mmol/L, (9.46±0.48) mmol/L, (5.51±0.20)%. The levels of FBG, 2h PBG and HbAc1 had significant differences in the interaction between groups and time (F=2.892-5.749, P<0.05). The complete compliance rate of the study group(79.59%, 39/49) was significantly higher than that of the control group (61.22%, 30/49) (χ2=3.967, P=0.046), and then on-compliance rate of the study group (2.04%) was significantly lower than that of the control group (14.29%) (χ2=4.900, P=0.027).The scores of the physiological function, psychology or spirit, social relationship, treatment and DSQL total score of the study group at discharge respectively were (26.62±4.35), (20.21±3.19), (10.36±2.32), (7.42±0.54), (64.61±9.27),of which the control group respectively were(26.49±4.18), (20.17±3.25), (10.45±2.44,(7.35±0.57), (64.46±10.38).The scores of the physiological function, psychology or spirit, social relationship, treatment and DSQL total score of the study group at3 months after discharge respectively were (17.33±3.96), (11.97±2.84), (5.01±1.14), (4.25±0.49), (38.07±7.12), of which the control group respectively were (21.72±3.51), (15.46±3.08), (7.18±1.85), (5.13±0.48), (49.49±8.74).The scores of the physiological function, psychology or spirit, social relationship, treatment and DSQL total score of the 2 groups at 3 months after discharge were significantly lower than those at discharge (t = 6.117-30.432, all P<0.01), and the scores of each dimension and total score of the study group were significantly lower than those of the control group at 3 months after discharge (t=5.087-8.981, 7.091, all P<0.01). Conclusion The Trinity new model home nursing can obviously improve the blood sugar indexes of patients with type 2 diabetes after discharge, improve the compliance and the quality of life, which has the value of popularization and application. Key words: Diabetes mellitus, type 2; Quality of life; Blood glucose; Trinity; New model home nursing

Correlation analysis between pain score and quality of life in patients with diabetic foot

Objective To explore the status quo of pain and quality of life in patients with diabetic foot and to discuss the correlation between pain score and quality of life. Methods Totally 115 patients with diabetic foot treated in the Department of Endocrinology of a military Class III Grade A hospital in Beijing between January and November 2017 were selected by convenient sampling, and investigated with the general information questionnaire, Numerical Pain Rating Scale (NPRS) and Diabetes Specific Quality of Life Scale (DSQL) . Pearson correlation analysis was used for the quantitative data which conformed to normal distribution, while Spearman correlation analysis was used for the quantitative data which did not conform to normal distribution. Results The total pain score of the 115 patients with diabetic foot was (5.29±1.86) , and the total DSQL score was (53.69±16.78) ; the pain score, the total score of quality of life and the score in the psychological dimension in the patients aged 60 or above were higher than those in the patients aged under 60 (P<0.05) ; pain score was positively correlated with the total score of quality of life and the scores in different dimensions (P<0.01) . Conclusions Diabetic foot specific pain is an important factor reducing the patients' quality of life. The pain factor shall be treated positively with nursing interventions to improve the quality of life in patients with diabetic foot. Key words: Diabetic foot; Pain; Quality of life; Correlation

Adaptation of Diabetes-Specific Quality-of-Life Scale for patients with type 1 diabetes

The diabetes-specific quality-of-life scale (DSQOLS) addresses accurately the differences between various forms of therapy in diabetes mellitus (DM) 1 and investigates the level of patient satisfaction with their current treatment in relation to their individual goals. The aim of this work is to adapt the DSQOLS to the population from Argentine. The 64-item questionnaire was administered online. The 223 people took part voluntarily (75.3% were female), ranging between 18 and 85 years of age, giving their informed consent. A confirmatory factor analysis was performed to evaluate the internal structure of the questionnaire. Indexes of Cronbach’s alpha were also obtained, and the scales scores were compared in relation to gender, use of insulin pump, physical activity, and participation in support groups. The results showed that the model fits properly to the data. The reliability of the scales was satisfactory. The DSQOLS is a reliable and valid measure of specific health-related quality-of-life in people with DM1. It allows to distinguish between patients with different treatment regimens as well as to detect social inequalities. It can also be helpful to identify motivational deficits and to adapt strategies of individual treatments

The Effects of Aerobic, Resistance and Combined Training on Health-Related Quality of Life (HRQOL) in Previously-sedentary People with Type 1 Diabetes: The T1-DARE Trial

We undertook this study to assess the effects of aerobic, resistance, or combined aerobic+resistance training on health-related quality of life (HRQOL) in previously-sedentary people with type 1 diabetes (T1DM). After a 5-week run-in period, 66 participants were randomized to 22 weeks of aerobic training (n=17), resistance training (n=16), combined training (n=16) or non-exercising control group (n=15). Participants completed the Medical Outcomes Study Short-form 36 (SF-36; assessing generic HRQOL) and the Diabetes-Specific Quality of Life Scale (DSQOLS; assessing disease-specific HRQOL) at baseline, 3 and 6 months. We used repeated measures, mixed models analyses. Results: In the SF-36 (higher scores represent higher HRQOL) we found significant (p<0.05) within-group increases in the “Energy/Fatigue” subscale for the Aerobic (Δ=6.8), Resistance (Δ=9.3), and Combined groups (Δ=7), and significant between-group differences for Aerobic (Δ=9.8), Resistance (Δ=12.4), and Combined groups (Δ=10) versus Control at 3 months only. In the “Physical Functioning” subscale, the Resistance group had significant within-group increases at 3 (Δ=8.7) and 6 months (Δ=7.8). In the DSQOLS (lower scores represent better HRQOL) there were significant within-group improvements of “Total Score” for the Aerobic group at 6 months (Δ=−6.5), and in the “Daily Hassles” subscale at 6 months for both Aerobic (Δ=−8.9) and Resistance (Δ=−6.7) groups. Therefore, in previously-sedentary individuals with T1DM, aerobic, resistance, or combined exercise training each improved several aspects of generic and disease-specific HRQOL in patients with T1DM.

Effects of roy's adaptation model in nursing practice on the quality of life in patients with type II diabetes

Background and Purpose: Diabetes has adverse effects on the quality of life of patients. Roy's adaptation model could be used to enhance quality of life among diabetic patients. This study aimed to evaluate the effects of Roy's adaptation model in nursing practice on the quality of life in patients with type II diabetes. Methods: This quasi-experimental study was conducted on 60 diabetic patients randomly divided into two groups of experiment and control (N=30) at Hamadan Diabetes Research Center. Data were collected using Diabetes-Specific Quality of Life Scale (D-39) in five dimensions, which was completed before and after intervention in both groups. Educational care programs were executed based on Roy's adaptation model only for experimental subjects in five sessions during one month. Data analysis was performed using independent and paired t-test in SPSS. Results: At the beginning of the study, both groups were matched in terms of demographic characteristics and quality of life dimensions (P>0.05). Comparison of mean scores of quality of life areas between the two groups before and after intervention was indicative of a significant difference in the aspects of diabetes control, energy and mobility and social support (P 0.05). Conclusion: According to the results of this study, use of Roy's adaptation model has positive effects on some dimensions of quality of life in patients with type 2 diabetes; these domains were diabetes control, energy and mobility, and social support. However, further studies with longer durations are required as to investigate the efficacy of this model in the areas of anxiety and sexual activity.

A study on the relationship between the quality of life and community health care demands of the diabetes patients in Nanchang

Objective To investigate the status and influencing factors of quality of life among diabetes patients in Nanchang,and to explore the relationships between the quality of life and community health care demands.Methods Totally 292 diabetes patients were recruited by multi-stage sampling method from thee community health service centers in Nanchang city.They were investigated with Diabetes-specific Quality of Life Scale(DSQL) and a self-designed questionnaire of community health care demands.The results underwent analysis.Results The total score of the DSQL in Nanchang was(66.88±15.44) points,which was relatively poor.The main factors affected patients' quality of life were the complications of diabetes,diabetic macroangiopathy,diabetic foot,hypertension and patients' career.The total and the every dimension of the scores of the DSQL were positively correlated with the scores of disease nursing needs and community health care demands.Conclusions To improve diabetes patients' quality of life,community diabetic care should focus on the different affected factors of patients' quality of life and the demands of patients. Key words: Diabetes mellitus; Quality of life; Community health nursing; Health services needs; Pearson correlations