Araştırma Makalesi
BibTex RIS Kaynak Göster

Tip 2 Diyabeti Olan Yaşlı Bireylerde Yaşam Kalitesi ve Etkileyen Faktörler

Yıl 2022, Cilt: 6 Sayı: 2, 104 - 112, 31.08.2022
https://doi.org/10.25048/tudod.1129549

Öz

Amaç: Bu çalışma tip 2 diyabeti olan yaşlı bireylerin yaşam kalitesi ve fiziksel aktivite düzeyini belirlemek ve bireylerin yaşam kalitesini
etkileyen faktörleri incelemek amacıyla yapılmıştır.
Gereç ve Yöntemler: Araştırma, tanımlayıcı ilişkisel tiptedir. Araştırma Konya’da bir ilçe devlet hastanesinin dahiliye polikliniğine
başvuran yaşlı bireylerde yapılmıştır. Araştırmanın örnek büyüklüğü toplam 228 bireyden oluşmaktadır. Verilerin analizinde Mann
Whitney U, Kruskal-Wallis, çoklu regresyon analizi kullanılmıştır. p<0,05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Araştırma verilerine göre katılımcıların yaş ortalaması 71,81±6,62, %62,7’si kadındır. Regresyon analizine göre yaş, kullanılan
ilaç sayısı, fiziksel aktivite toplam, kiminle yaşadığı, düzenli egzersiz yapma, hekim kontrolünün yaşam kalitesinin fiziksel sağlık
bileşenini yordadığı belirlenmiştir (p<0,05). Etkili olan değişkenlerin yaşam kalitesinin fiziksel sağlık bileşeni üzerindeki değişimin
%70,4’ini açıkladığı belirlenmiştir. Yaş, fiziksel aktivite toplam, kiminle yaşadığı, hekim kontrolünün yaşam kalitesinin mental sağlık
bileşeni üzerinde etkili olduğu görülmüştür (p<0,05). Etkili olan değişkenlerin yaşam kalitesinin mental sağlık bileşeni üzerindeki
değişimin % 56,5’i açıkladığı saptanmıştır.
Sonuç: Araştırma sonuçlarına göre, tip 2 diyabeti olan yaşlı bireylerin yaşam kalitesinin orta, fiziksel aktivitelerinin ise düşük düzeyde
olduğu saptanmıştır. Yaşlı bireyleri fiziksel aktiviteye teşvik edecek ve yaşam kalitelerini artıracak destek programlarının planlanması
önerilebilir.

Kaynakça

  • Kalra S, Sharma SK. Diabetes in the elderly. Diabetes Ther. 2018; 9(2):493-500.
  • Veyhe AS, Andreassen J, Halling J, Grandjean P, Skaalum-Petersen M, Weihe P. Prevalence of prediabetes and type 2 diabetes in two non-random populations aged 44-77 years in the Faroe Islands. J Clin Transl Endocrinol. 2020; Dec 17(23):100242 .
  • International Diabetes Federation (IDF) Diabetes Atlas. 9th Edition, Brussels, Belgium. 2019, https://diabetesatlas.org/atlas/ninth-edition/
  • Satman I, Ömer B, Tutuncu Y et al. Twelve-year in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-180.
  • Thiel DM, Al Sayah F, Vallance JK, Johnson ST, Johnson JA. Association between physical activity and health-related quality of life in adults with type 2 diabetes. Can J Diabetes. 2017;41(1):58-63.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World Journal of Diabetes. 2017;8(4):120-129.
  • Al-Aboudi IS, Hassali MA, Shafie AA, Hassan A, Alrasheedy AA. A cross-sectional assessment of health-related quality of life among type 2 diabetes patients in Riyadh, Saudi Arabia. SAGE Open Med.2015; 9(3):2050312115610129.
  • John R, Pise S, Chaudhari L, Deshpande PR. Evaluation of Quality of Life in Type 2 Diabetes Mellitus Patients Using Quality of Life Instrument for Indian Diabetic Patients: A Cross-Sectional Study. J Midlife Health.2019;10(2):81-88.
  • Kien NT, Phuong Hoa N, Minh Duc D, Wens J. Health-related quality of life and associated factors among patients with type II diabetes mellitus: A study in the family medicine center (FMC) of Agricultural General Hospital in Hanoi, Vietnam. Health Psychol Open. 2021;8(1):2055102921996172.
  • Arifin B, Idrus LR, van Asselt A. et al. Health-related quality of life in Indonwesian type 2 diabetes mellitus outpatients measured with the Bahasa version of EQ-5D. Quality of Life Res. 2019;28(5):1179-1190.
  • Pan CW, Sun HP, Zhou HJ, Ma Q, Xu Y, Luo N, Wang P. Valuing health-related quality of life in type 2 diabetes patients in China. Med. Decis Making. 2016;36(2):234–241.
  • Reis A, Cunha MV, Bianchin MA, Freitas M, Castiglioni L. Comparison of quality of life and functionality in type 2 diabetics with and without insulin. Observational Study Rev Assoc Med Bras (1992). 2019;65(12):1464-1469.
  • Cai H, Li G, Zhang P, Xu D, Chen L. Effect of exercise on the quality of life in type 2 diabetes mellitus: a systematic review. Qual. Life Res. 2017;26(3):515-530.
  • American Diabetes Association (ADA) Standarts of medical care in diabetes. Diabetes Care. 2020;43(Supplement 1)1-211.
  • Sampath Kumar A, Maiya AG, et al. Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Ann. of Phys Rehabil Med. 2019;62(2):98-103.
  • Najafipour F, Mobasseri M, Yavari A, et al. Effect of regular exercise training on changes in HbA1c, BMI and VO2max among patients with type 2 diabetes mellitus: an 8-year trial. BMJ Open Diabetes Res Care. 2017;8:5(1)e000414.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med. Care. 1992;30(6):473-483.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Reliability and validity of the Turkish version of short form-36 (SF-36). Drug Therapy. 1999;12:102-106.
  • Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. The physical activity scale for the elderly (PASE): Evidence for validity. J Clin Epidemiol. 1999;52(7):643-651.
  • Ayvat E, Kilinç M, Kirdi N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci. 2017;47(3):908-915.
  • Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2019;157: 107843
  • Kanaley JA, Colberg SR, Corcoran MH, et al. Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Med Sci Sports Exerc. 2022;54(2):353-368.
  • Kuru Çolak T, Acar G, Dereli EE, et al. Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus. J Phys Ther Sci. 2016;28(1):142-147.
  • Indelicato L, Dauriz M, Bacchi E, et al. Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes. Acta Diabetol. 2018;55(6):627-635.
  • Nguyen HTT, Moir MP, Nguyen TX, Vu AP, Luong LH, Nguyen TN, Nguyen LH, Tran BX, Tran TT, Latkin CA, Zhang MW, Ho RC, Vu HTT. Health-related quality of life in elderly diabetic outpatients in Vietnam. Patient Prefer Adherence 2018;12:1347-1354.
  • O’Toole SM, Walker RJ, Garacci E. et al. Explanatory role of sociodemographic, clinical, behavioral, and social factors on cognitive decline in older adults with diabetes. BMC Geriatr 2022;22:39
  • Stojanović M, Cvetanović G, Anđelković Apostolović M, Stojanović D, Rančić N. Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus. Cent Eur J Public Health. 2018;26(2):104-110. doi:10.21101/cejph.a5022
  • Gálvez Galán I, Cáceres León MC, Guerrero-Martín J, López Jurado CF, Durán-Gómez N. Health-related quality of life in diabetes mellitus patients in primary health care. Enferm Clin (Engl Ed). 2021 Sep-Oct;31(5):313-322. doi: 10.1016/j.enfcle.2021.03.003.
  • Jing X, Chen J, Dong Y. et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018;16:189.
  • Al-Qerem W, Jarab AS, Badinjki M, Qarqaz R. Validating a tool to measure quality of life among type 2 diabetics and exploring variables associated with it. Diabetes Epidemiology and Management. 2022;5:100039.https://doi.org/10.1186/s12955-018-1021-9.
  • Önmez A, Gamsızkan Z, Özdemir Ş, et al. The effect of COVID-19 lockdown on glycemic control in patients with type 2 diabetes mellitus in Turkey. Diabetes Metab Syndr. 2020;14(6):1963-1966. doi:10.1016/j.dsx.2020.10.007.

Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes

Yıl 2022, Cilt: 6 Sayı: 2, 104 - 112, 31.08.2022
https://doi.org/10.25048/tudod.1129549

Öz

Aim: This study was conducted to determine the quality of life and physical activity level of elderly individuals with type 2 diabetes and
to examine the factors affecting the quality of life of individuals.
Material and Methods: This research is a descriptive relational study. The study was conducted with elderly individuals admitted to the internal
medicine outpatient clinic of a district state hospital in Konya. The sample size of the study consisted of a total of 228 individuals. Mann
Whitney U, Kruskal-Wallis, multiple regression analysis were used in the analysis of the data. p<0.05 was considered statistically significant.
Results: According to the data of the study, mean age of the participants was 71.81±6.62. According to the linear regression analysis, it
was determined that age, number of drugs used, total physical activity, with whom he/she lives, doing regular exercise, and physician
check were effective on predicting the physical health component of quality of life (p<0.05). It was determined that the effective variables
explained 70.4% of the change on the physical health component of quality of life. Age, total physical activity, with whom he/she lives
and physician check were found to be effective on the mental health component of quality of life (p<0.05). It was determined that the
effective variables explained 56.5% of the change on the mental health component of quality of life.
Conclusion: According to the results of the study, it was determined that elderly individuals with type 2 diabetes had a moderate quality
of life and a low level of physical activity. It may be recommended to plan support programs that will encourage elderly individuals to
engage in physical activity and increase their quality of life.

Kaynakça

  • Kalra S, Sharma SK. Diabetes in the elderly. Diabetes Ther. 2018; 9(2):493-500.
  • Veyhe AS, Andreassen J, Halling J, Grandjean P, Skaalum-Petersen M, Weihe P. Prevalence of prediabetes and type 2 diabetes in two non-random populations aged 44-77 years in the Faroe Islands. J Clin Transl Endocrinol. 2020; Dec 17(23):100242 .
  • International Diabetes Federation (IDF) Diabetes Atlas. 9th Edition, Brussels, Belgium. 2019, https://diabetesatlas.org/atlas/ninth-edition/
  • Satman I, Ömer B, Tutuncu Y et al. Twelve-year in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-180.
  • Thiel DM, Al Sayah F, Vallance JK, Johnson ST, Johnson JA. Association between physical activity and health-related quality of life in adults with type 2 diabetes. Can J Diabetes. 2017;41(1):58-63.
  • Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World Journal of Diabetes. 2017;8(4):120-129.
  • Al-Aboudi IS, Hassali MA, Shafie AA, Hassan A, Alrasheedy AA. A cross-sectional assessment of health-related quality of life among type 2 diabetes patients in Riyadh, Saudi Arabia. SAGE Open Med.2015; 9(3):2050312115610129.
  • John R, Pise S, Chaudhari L, Deshpande PR. Evaluation of Quality of Life in Type 2 Diabetes Mellitus Patients Using Quality of Life Instrument for Indian Diabetic Patients: A Cross-Sectional Study. J Midlife Health.2019;10(2):81-88.
  • Kien NT, Phuong Hoa N, Minh Duc D, Wens J. Health-related quality of life and associated factors among patients with type II diabetes mellitus: A study in the family medicine center (FMC) of Agricultural General Hospital in Hanoi, Vietnam. Health Psychol Open. 2021;8(1):2055102921996172.
  • Arifin B, Idrus LR, van Asselt A. et al. Health-related quality of life in Indonwesian type 2 diabetes mellitus outpatients measured with the Bahasa version of EQ-5D. Quality of Life Res. 2019;28(5):1179-1190.
  • Pan CW, Sun HP, Zhou HJ, Ma Q, Xu Y, Luo N, Wang P. Valuing health-related quality of life in type 2 diabetes patients in China. Med. Decis Making. 2016;36(2):234–241.
  • Reis A, Cunha MV, Bianchin MA, Freitas M, Castiglioni L. Comparison of quality of life and functionality in type 2 diabetics with and without insulin. Observational Study Rev Assoc Med Bras (1992). 2019;65(12):1464-1469.
  • Cai H, Li G, Zhang P, Xu D, Chen L. Effect of exercise on the quality of life in type 2 diabetes mellitus: a systematic review. Qual. Life Res. 2017;26(3):515-530.
  • American Diabetes Association (ADA) Standarts of medical care in diabetes. Diabetes Care. 2020;43(Supplement 1)1-211.
  • Sampath Kumar A, Maiya AG, et al. Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Ann. of Phys Rehabil Med. 2019;62(2):98-103.
  • Najafipour F, Mobasseri M, Yavari A, et al. Effect of regular exercise training on changes in HbA1c, BMI and VO2max among patients with type 2 diabetes mellitus: an 8-year trial. BMJ Open Diabetes Res Care. 2017;8:5(1)e000414.
  • Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med. Care. 1992;30(6):473-483.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Reliability and validity of the Turkish version of short form-36 (SF-36). Drug Therapy. 1999;12:102-106.
  • Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. The physical activity scale for the elderly (PASE): Evidence for validity. J Clin Epidemiol. 1999;52(7):643-651.
  • Ayvat E, Kilinç M, Kirdi N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci. 2017;47(3):908-915.
  • Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2019;157: 107843
  • Kanaley JA, Colberg SR, Corcoran MH, et al. Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Med Sci Sports Exerc. 2022;54(2):353-368.
  • Kuru Çolak T, Acar G, Dereli EE, et al. Association between the physical activity level and the quality of life of patients with type 2 diabetes mellitus. J Phys Ther Sci. 2016;28(1):142-147.
  • Indelicato L, Dauriz M, Bacchi E, et al. Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes. Acta Diabetol. 2018;55(6):627-635.
  • Nguyen HTT, Moir MP, Nguyen TX, Vu AP, Luong LH, Nguyen TN, Nguyen LH, Tran BX, Tran TT, Latkin CA, Zhang MW, Ho RC, Vu HTT. Health-related quality of life in elderly diabetic outpatients in Vietnam. Patient Prefer Adherence 2018;12:1347-1354.
  • O’Toole SM, Walker RJ, Garacci E. et al. Explanatory role of sociodemographic, clinical, behavioral, and social factors on cognitive decline in older adults with diabetes. BMC Geriatr 2022;22:39
  • Stojanović M, Cvetanović G, Anđelković Apostolović M, Stojanović D, Rančić N. Impact of socio-demographic characteristics and long-term complications on quality of life in patients with diabetes mellitus. Cent Eur J Public Health. 2018;26(2):104-110. doi:10.21101/cejph.a5022
  • Gálvez Galán I, Cáceres León MC, Guerrero-Martín J, López Jurado CF, Durán-Gómez N. Health-related quality of life in diabetes mellitus patients in primary health care. Enferm Clin (Engl Ed). 2021 Sep-Oct;31(5):313-322. doi: 10.1016/j.enfcle.2021.03.003.
  • Jing X, Chen J, Dong Y. et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018;16:189.
  • Al-Qerem W, Jarab AS, Badinjki M, Qarqaz R. Validating a tool to measure quality of life among type 2 diabetics and exploring variables associated with it. Diabetes Epidemiology and Management. 2022;5:100039.https://doi.org/10.1186/s12955-018-1021-9.
  • Önmez A, Gamsızkan Z, Özdemir Ş, et al. The effect of COVID-19 lockdown on glycemic control in patients with type 2 diabetes mellitus in Turkey. Diabetes Metab Syndr. 2020;14(6):1963-1966. doi:10.1016/j.dsx.2020.10.007.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Nurcan Akgül Gündoğdu 0000-0002-6446-730X

Alime Selçuk Tosun 0000-0002-4851-0910

Şeyma Balcı 0000-0001-5258-7278

Yayımlanma Tarihi 31 Ağustos 2022
Kabul Tarihi 11 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 6 Sayı: 2

Kaynak Göster

APA Akgül Gündoğdu, N., Selçuk Tosun, A., & Balcı, Ş. (2022). Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes. Turkish Journal of Diabetes and Obesity, 6(2), 104-112. https://doi.org/10.25048/tudod.1129549
AMA Akgül Gündoğdu N, Selçuk Tosun A, Balcı Ş. Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes. Turk J Diab Obes. Ağustos 2022;6(2):104-112. doi:10.25048/tudod.1129549
Chicago Akgül Gündoğdu, Nurcan, Alime Selçuk Tosun, ve Şeyma Balcı. “Quality of Life and Factors Affecting It in Elderly Individuals With Type 2 Diabetes”. Turkish Journal of Diabetes and Obesity 6, sy. 2 (Ağustos 2022): 104-12. https://doi.org/10.25048/tudod.1129549.
EndNote Akgül Gündoğdu N, Selçuk Tosun A, Balcı Ş (01 Ağustos 2022) Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes. Turkish Journal of Diabetes and Obesity 6 2 104–112.
IEEE N. Akgül Gündoğdu, A. Selçuk Tosun, ve Ş. Balcı, “Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes”, Turk J Diab Obes, c. 6, sy. 2, ss. 104–112, 2022, doi: 10.25048/tudod.1129549.
ISNAD Akgül Gündoğdu, Nurcan vd. “Quality of Life and Factors Affecting It in Elderly Individuals With Type 2 Diabetes”. Turkish Journal of Diabetes and Obesity 6/2 (Ağustos 2022), 104-112. https://doi.org/10.25048/tudod.1129549.
JAMA Akgül Gündoğdu N, Selçuk Tosun A, Balcı Ş. Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes. Turk J Diab Obes. 2022;6:104–112.
MLA Akgül Gündoğdu, Nurcan vd. “Quality of Life and Factors Affecting It in Elderly Individuals With Type 2 Diabetes”. Turkish Journal of Diabetes and Obesity, c. 6, sy. 2, 2022, ss. 104-12, doi:10.25048/tudod.1129549.
Vancouver Akgül Gündoğdu N, Selçuk Tosun A, Balcı Ş. Quality of Life and Factors Affecting it in Elderly Individuals with Type 2 Diabetes. Turk J Diab Obes. 2022;6(2):104-12.

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