Kerkük Şehrindeki Tip-2 Diabetes Mellitus Hastalarında Yaşam Kalitesi: Kesitsel Bir Çalışma

Yıl 2023, Cilt: 3 Sayı: 3, 533 - 543, 21.12.2023

Ahmed Juneed Mohialdeen Mohıaldeen , Jenan Akbar Shakoor , Ertan Taşkınsel , Fatih Karayürek

Öz

Amaç: Kerkük'te yaşayan tip-2 diabetes mellitus hastalarının yaşam kalitesini ve bunu etkileyen faktörleri değerlendirmektir. Gereç ve Yöntem: Bu kesitsel çalışma, Eylül 2021'den Mart 2022'ye kadar Irak'ın Kerkük kentindeki birinci basamak bakım merkezlerinde gerçekleştirildi. Çalışma örneklemini çalışmaya katılma kriterlerini yerine getiren 150 adet katılımcı oluşturmuştur. Katılımcılardan sosyodemografik ve klinik veriler ile Dünya Sağlık Örgütü Kısa Yaşam Kalitesi Ölçeği toplanmıştır. Çalışmanın istatistiksel analizinde tanımlayıcı analizler, Kolmogorov-Smirnov ve Ki-kare testi kullanıldı. Bulgular: Hastaların çoğunluğu 59 yaş üstündeydi (%38,7), en yüksek mesafe psikolojik ve sosyal göstergeleri ile 52,7±13,8, ortalama bağımlılık boyutu puanı 41,7±11,8, ortalama fiziksel gösterge boyutu 38,1±12,1, ortalama boyut çevresel gösterge 14,8±3,8, en düşük ortalama manevi boyut 8,7±6,2 idi. Yaş ve yaşam kalitesi arasında (p=0,001), medeni hal ile yaşam kalitesi arasında (p=0,001), gelir ile yaşam kalitesi arasında (p=0,039), eğitim düzeyi ile yaşam kalitesi arasında (p= 0,001) istatistiksel olarak anlamlı ilişkiler saptandı. Sonuç: Hastanın yaşam kalitesini artırmak amacıyla aile bilincinin artırılması ve hastanın bakım ve tedavisinde aile ile iş birliği içinde uygun aile desteğinin sağlanması yaşam kalitesinin artırılması sağlayabilir.

Anahtar Kelimeler

Yaşam kalitesi, Tip-2 diabetes mellitus, Irak.

Quality of Life for Type 2 Diabetes Mellitus Patients in Kirkuk City: A Cross-Sectional Study

Öz

Objectives: This study aims to assess the quality of life of diabetics living in Kirkuk and the factors affecting it. Methods: This cross-sectional study was carried out in primary care centers in Kirkuk, Iraq, from September 2021 to March 2022. The participants consisted of 150 participants who fulfilled the criteria for participation in the study. Clinical, and sociodemographic data and WHO Brief Quality of Life Scale format were collected from participants. Descriptive analysis, Kolmogorov-Smirnov, and Chi-square tests were used in the study's statistical analysis. Results: The majority of patients were over 59 years, psychological and social indicators scores were found as 52.7±13.8, the mean independence dimension scores were 41.7±11.8, the physical indicator scores were 38.1±12.1, the environmental indicator scores were 14.8±3.8, and finally the spiritual dimension was found as 8.7±6.2. Age, marital status, and quality of life were statistically significant (p=0.001), between income levels and quality of life were significant as p=0.03, and educational levels and quality of life were statistically significant (p=0.001). In addition, there was a statistical correlation between occupation, residence, family type, and smoking with quality of life. Conclusion: To improve the patient's quality of life, it is important to increase family awareness and provide appropriate family support in collaboration with the family in the care and treatment of the patient.

Anahtar Kelimeler

Quality of life, Type-2 diabetes mellitus, Iraq

Etik Beyan

The ethical approval required for the current study was obtained from the Health Department of Kirkuk province, Republic of Iraq (2021021, 10/17/2021).

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

• Abedini, M. R., Bijari, B., Miri, Z., Emampour, F. S., & Abbasi, A. (2020). The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand. Health Qual Life Outcomes, 18(1), 18. https://doi.org/10.1186/s12955-020-1277-8
• Al Hayek, A.A., Robert, A.A., Al Saeed, A., Alzaid, A.A., & Al Sabaan, F.S. (2014). Factors associated with health-related quality of life among saudi patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Metab J, 38(3), 220–229. https://doi.org/10.4093/dmj.2014.38.3.220
• Alsuwayt, S., Almesned, M., Alhajri, S., Alomari, N., Alhadlaq, R., & Alotaibi, A. (2021). Quality of life among type II diabetic patients attending the primary health centers of King Saud Medical City in Riyadh, Saudi Arabia. J Family Med Prim Care, 10(8), 3040–3046. https://doi.org/10.4103/jfmpc.jfmpc_175_21
• American Diabetes Association. (2009). Diagnosis and classification of diabetes mellitus. Diabetes Care, 32 Suppl 1(Suppl 1), 62-67. https://doi.org/10.2337/dc09-S062
• American Diabetes Association. (2020). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care, 43(Suppl 1), S14–S31. https://doi.org/10.2337/dc20-S002
• American Diabetes Association (1997). Clinical practice recommendations 1997. Diabetes Care, 20 Suppl 1, S1-70. Baghianimoghadam, M.H., Afkhami, Ardekani, M., & Baghianimoghadam, B. (2009). Effect of education on improvement of quality of life by SF-20 in type 2 diabetic patients. Acta Med Indones, 41(4), 175–180.
• Barua, L., Faruque, M., Chowdhury, H.A., Banik, P.C., & Ali, L. (2021). Health-related quality of life and its predictors among the type 2 diabetes population of Bangladesh: A nation-wide cross-sectional study. J Diabetes Investig, 12(2), 277–285. https://doi.org/10.1111/jdi.13331
• Chan, S. W.-C. (2021). Chronic disease management, self-efficacy and quality of life. J Nurs Res, 29(1), e129. https://doi.org/10.1097/JNR.0000000000000422
• Chatterjee, S., Khunti, K., & Davies, M.J. (2017). Type 2 diabetes. Lancet (London, England), 389(10085), 2239–2251. https://doi.org/10.1016/S0140-6736(17)30058-2
• García-Chapa, E.G., Leal-Ugarte, E., Peralta-Leal, V., Durán-González, J., & Meza-Espinoza, J.P. (2017). Genetic epidemiology of type 2 diabetes in Mexican mestizos. BioMed Res Int, 2017, 3937893. https://doi.org/10.1155/2017/3937893
• Jing, X., Chen, J., Dong, Y., Han, D., Zhao, H., Wang, X., ……., Ma, J. (2018). Related factors of quality of life of type 2 diabetes patients: A systematic review and meta-analysis. Health Qual Life Outcomes, 16(1), 189. https://doi.org/10.1186/s12955-018-1021-9
• Kiadaliri, A.A., Najafi, B., & Mirmalek-Sani, M. (2013). Quality of life in people with diabetes: A systematic review of studies in Iran. J Diabetes Metab Disord, 12(1), 54. https://doi.org/10.1186/2251-6581-12-54
• Merlotti, C., Morabito, A., & Pontiroli, A.E. (2014). Prevention of type 2 diabetes; a systematic review and meta-analysis of different intervention strategies. Diabetes Obes Metab, 16(8), 719–727. https://doi.org/10.1111/dom.12270
• Mokhtari, Z., Gheshlagh, R.G., & Kurdi, A. (2019). Health-related quality of life in Iranian patients with type 2 diabetes: An updated meta-analysis. Diabetes Metab Syndr, 13(1), 402–407. https://doi.org/10.1016/j.dsx.2018.10.007
• Moons, P., Budts, W., & De Geest, S. (2006). Critique on the conceptualisation of quality of life: A review and evaluation of different conceptual approaches. Int J Nurs Stud, 43(7), 891–901. https://doi.org/10.1016/j.ijnurstu.2006.03.015
• Ohaeri, J.U., & Awadalla, A.W. (2009). The reliability and validity of the short version of the WHO Quality of Life Instrument in an Arab general population. Ann Saudi Med, 29(2), 98–104. https://doi.org/10.4103/0256-4947.51790
• Qin, J., Chen, Y., Guo, S., You, Y., Xu, Y., Wu, J., …..., Tao, J. (2020). Effect of tai chi on quality of life, body mass index, and waist-hip ratio in patients with type 2 diabetes mellitus: A systematic review and meta-analysis. Front Endocrinol, 11, 543627. https://doi.org/10.3389/fendo.2020.543627
• Riandini, T., Wee, H.L., Khoo, E.Y.H., Tai, B.C., Wang, W., Koh, G.C.H., ……, Venkataraman, K. (2018). Functional status mediates the association between peripheral neuropathy and health-related quality of life in individuals with diabetes. Acta Diabetol, 55(2), 155–164. https://doi.org/10.1007/s00592-017-1077-8
• Rubin, R.R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes Metab Res Rev, 15(3), 205–218. https://doi.org/10.1002/(sici)1520-7560(199905/06)15:3<205::aid-dmrr29>3.0.co;2-o
• Thommasen, H.V., Berkowitz, J., Thommasen, A.T., & Michalos, A.C. (2005). Understanding relationships between diabetes mellitus and health-related quality of life in a rural community. Rural Remote Health, 5(3), 441. https://doi.org/10.22605/RRH441
• Wubben, D.P., & Porterfield, D. (2005). Health-related quality of life among North Carolina adults with diabetes mellitus. N C Med J, 66(3), 179–185.
• Zurita-Cruz, J.N., Manuel-Apolinar, L., Arellano-Flores, M.L., Gutierrez-Gonzalez, A., Najera-Ahumada, A.G., & Cisneros-González, N. (2018). Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: A cross-sectional study. Health Qual Life Outcomes, 16(1), 94. https://doi.org/10.1186/s12955-018-0906-y