Health Related Quality of Life of Patients with Diabetes in Romania

Open access

Abstract

Background and aims: This paper aims at understanding patient’s perspective in coping with diabetes in Romania. The study analyzes whether there are significant differences between health related quality of life (HRQL) of patients with diabetes, based on socio-demographic and disease-related characteristics.

Material and methods: The study included 128 patients aged ≥ 18 years, diagnosed with type 1 and 2 diabetes and was conducted in the period of November 2015 – July 2016. The project included two main research instruments – one questionnaire applied face-to-face to each patient and one questionnaire completed by the physicians including health data for each patient who agreed to participate in the study. The set of tested characteristics includes: (i) gender; (ii) place of residence; (iii) education level; (iv) marital status; (v) employment status; (vi) level of personal income; (vii) age; (viii) type of diabetes; (ix) duration of diabetes; (x) household composition (another person with diabetes); (xi) network support and (xii) patient’s access to information and communication technology (ICT).

Results: The mean age was 54.23±12.76 years, with three quarters of respondents above the age of 40 years and 68% married. More than half of participants have access to internet, either at home or at work.

Conclusions: The results indicate that gender, household’s composition, place of residence, access to ICT, employment status, type of diabetes, personal income level, the presence of a support network, age and diabetes duration differentiate between reported HRQL indicators. The study adds knowledge for understanding chronic disease patients’ self-assessment of HRQL in Romania.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. International Diabetes Federation. Diabetes Atlas. 7th ed. International Diabetes Federation Brussels Belgium 2015. https://www.idf.org/our-network/regions-members/europe/members/154-romania.html

  • 2. World Health Organization. Global Report on Diabetes. 2016. http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf

  • 3. Moța M Popa SG Moța E et al. Prevalence of diabetes mellitus and prediabetes in the adult Romanian population: PREDATORR study. J Diabetes 8: 336-344 2016.

  • 4. Moța M Dinu IR. The analysis of prevalence and incidence of diabetes mellitus in Romania. Rom J Diabetes Nutr Metab Dis 20: 135-139 2013.

  • 5. Koopmanschap M. Coping with Type II diabetes: the patient’s perspective. Diabetologia 45: S18–S22 2002.

  • 6. Testa MA Simonson DC. Assessment of quality-of life outcomes. N Engl J Med 334: 835–840 1996.

  • 7. Harris J McGee A Andrews F D’Souza J Sproston K. The national survey of people with diabetes. The HealthCare Commission 2007. http://www.nhssurveys.org/Filestore/documents/Diabetes_key_findings_rpt.pdf

  • 8. Anderson RM Fitzgerald JT Wisdom K Davis WK Hiss RG. A comparison of global versus disease-specific quality-of-life measures in patients with NIDDM. Diabetes Care 20: 299-305 1997.

  • 9. Bott W Muhlhauser I Overmann H Berger M. Validation of a diabetes-specific quality-of-life scale for patients with type 1 diabetes. Diabetes Care 21: 757-769 1998.

  • 10. Stanford University. [2016-08-09]. Research instruments developed adapted or used by the Stanford Patient Education Research Center. http://patienteducation.stanford.edu/research/webcite.

  • 11. AL-Aboudi IS Hassali MA Shafie AA Hassan A Alrasheedy A. A cross-sectional assessment of health-related quality of life among type 2 diabetes patients in Riyadh Saudi Arabia. SAGE Open Med 3: 1-6 2015.

  • 12. Coelho R Amorim I Prata J. Coping styles and quality of life in patients with non-insulin dependent diabetes mellitus. Psychosomatics 44: 312-318 2003.

  • 13. Lee WJ Song KH Noh JH Choi YJ Jo MW. Health-related quality of life using the EuroQol 5D questionnaire in Korean patients with type 2 diabetes. J Korean Med Sci 27: 255–260 2012.

  • 14. Passamonti M Pigni M Colombo L Sacchi E. The quality of life of patients with type 2 diabetes mellitus in general practice. Eur J Gen Pract 6: 93-97 2000.

  • 15. Redekop WK Koopmanschap MA Stolk RP Rutten GE Wolffenbuttel BH Niessen LW. Health-related quality of life and treatment satisfaction in Dutch patients with type 2 diabetes. Diabetes Care 25: 458-463 2002.

  • 16. Al-Shehri AH Taha AZ Bahnassy AA Salah M. Health-related quality of life in type 2 diabetic patients. Ann Saudi Med 28: 352–360 2008.

  • 17. Pickup J Harris A. Assessing quality of life for new diabetes treatments and technologies: a simple patient-centered score. J Diabetes Sci Technol 1: 394-399 2007.

  • 18. Gönen MS Güngör K Çilli AS et al. Comprehensive analysis of health related quality of life in patients with diabetes: A study from Konya Turkey. Turk J Endocrinol Metab 11: 81-88 2007.

  • 19. Trief PM Himes CL Orendorf R Weinstock RS. The marital relationship and psychosocial adaptation and glycemic control of individuals with diabetes. Diabetes Care 24: 1384-1389 2001.

  • 20. Connell CM Davis WK Gallant MP Sharpe PA. Impact of social support social cognitive variables and perceived threat on depression among adults with diabetes. Health Psychol 13: 263-273 1994.

  • 21. Ribu L Birkeland K Hanestad BR Moum T Rustoen T. A longitudinal study of patients with diabetes and foot ulcers and their health-related quality of life: wound healing and quality-of-life changes. J Diabetes Complications 22: 400-407 2008.

  • 22. Grimby A Svanborg A. Morbidity and health-related quality of life among ambulant elderly citizens. Aging (Milano) 9: 356–364 1997.

Search
Journal information
Impact Factor


CiteScore 2018: 0.19

SCImago Journal Rank (SJR) 2018: 0.128
Source Normalized Impact per Paper (SNIP) 2018: 0.229

Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 304 141 7
PDF Downloads 141 77 1