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Gepubliceerd in:

01-10-2018

Determinants for quality of life trajectory patterns in patients with type 2 diabetes

Auteurs: Ruey-Hsia Wang, Kuan-Chia Lin, Hui-Chun Hsu, Yau-Jiunn Lee, Shyi-Jang Shin

Gepubliceerd in: Quality of Life Research | Uitgave 2/2019

Abstract

Purpose

The purpose of the study was to identify quality of life (QoL) trajectory patterns and the determinants in patients with Type 2 diabetes (T2DM).

Methods

A longitudinal design was employed. Totally, 466 patients with T2DM recruited from five diabetic clinics in Taiwan were participants of this study. Demographic and disease characteristics, biomedical factors (HbA1c levels and body mass index), psychosocial factors (self-care behaviors, social support, resilience, diabetes distress), and QoL were collected at baseline. QoL was further measured every 6 months for four waves after baseline. Latent class growth analysis was used to identify QoL trajectory patterns. The multinomial logistic regression was further applied to explore the important determinants of different QoL trajectory patterns.

Results

The “steadily poor” (n = 27, 5.8%), “consistently moderate” (n = 174, 37.3%), and “consistently good” (n = 265, 56.9%) trajectory patterns were identified. The HbA1c levels (OR 2.16) and diabetes distress (OR 1.18) were important for determining participants in the “steadily poor” QoL trajectory pattern. HbA1c levels (OR 1.25) and diabetes distress (OR 1.14) were important for determining participants in the “consistently moderate” QoL trajectory pattern.

Conclusions

To prevent development of relatively worse QoL trajectory patterns in patients with T2DM in a timelier manner, healthcare providers could regularly assess the QoL and provide intervention, especially for those with high HbA1c levels and high diabetes distress. Meanwhile, early intervention for decreasing HbA1c levels and diabetes distress may improve the trajectory development of QoL in patients with T2DM.

vorige artikel Hemoglobin F as a predictor of health-related quality of life in children with sickle cell anemia

volgende artikel Risk factors and quality of life of patients with high diabetes-related distress in primary care: a cross-sectional, multicenter study

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Titel: Determinants for quality of life trajectory patterns in patients with type 2 diabetes
Auteurs: Ruey-Hsia Wang
Kuan-Chia Lin
Hui-Chun Hsu
Yau-Jiunn Lee
Shyi-Jang Shin
Publicatiedatum: 01-10-2018
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 2/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-2013-2

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Abstract

Purpose

Methods

Results

Conclusions

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