QUALITY OF LIFE AND GLYCAEMIC CONTROL AMONG OLDER POPULATION WITH DIABETES IN THREE DISTRICTS OF PENINSULAR MALAYSIA

Malaysian Journal of Public Health Medicine Pub Date : 2023-08-28 DOI:10.37268/mjphm/vol.23/no.2/art.2162

Mohd Shaiful Ehsan Shalihin, Zati Sabrina Zubaidi, Hassan Basri Mukhali, Mohd Aznan Md Aris, Ahmad Marzuki Omar, Edre Mohammad Aidid, Abdullah Fauzi, Nurul Afiqah Fauzi, Azrul Aziz Abdul Aziz

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引用次数: 0

Abstract

The older population is increasing in numbers worldwide. Most of them have multiple comorbidities including diabetes. The diabetic control in elderly is usually challenging. Their quality of life and socioeconomic condition either in rural or urban area could affect their disease progress. This study aims to measure the diabetic control and its associated factors, including quality of life among the older population with diabetes in three different districts of Malaysia. The patients’ health and background details were recorded. Validated Malay version of diabetes quality of life questionnaire was used. 485 elderly diabetic patients were recruited based on two proportion formula comprising all clinics in those districts representing urban vs rural area. Data were analyzed using simple and multiple logistic regression for the association. Only 30.5% of the patients have good diabetic control with patients in Kuala Terengganu district achieved better sugar control (p < 0.001). However, the only significant diabetic control predictor is the quality of life of the elderly patients (OR = 1.32, CI 1.047 – 1.224). Level of diabetes control in these three districts are poor, concomitant with the poor control of the elderly non-communicable disease profiles. It is essential to embark on holistic approach in dealing with the elderly diabetic management and identify measures to improve quality of life in those with poor glycaemic control in order to have better disease outcome.

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马来西亚半岛三个地区老年糖尿病患者的生活质量和血糖控制

世界范围内老年人口的数量正在增加。他们中的大多数都有多种合并症，包括糖尿病。老年人糖尿病的控制通常具有挑战性。他们在农村或城市地区的生活质量和社会经济状况可能影响其疾病进展。本研究旨在测量糖尿病控制及其相关因素，包括马来西亚三个不同地区老年糖尿病患者的生活质量。记录了患者的健康状况和背景细节。采用马来文版糖尿病生活质量问卷。根据两种比例公式，选取城区与农村各区所有诊所，招募老年糖尿病患者485例。使用简单和多元逻辑回归对数据进行分析。只有30.5%的患者糖尿病控制良好，瓜拉登嘉楼地区患者血糖控制较好(p <0.001)。然而，唯一有意义的糖尿病控制预测因子是老年患者的生活质量(OR = 1.32, CI 1.047 - 1.224)。这三个地区对糖尿病的控制水平很差，同时对老年人非传染性疾病的控制也很差。在处理老年糖尿病的管理和确定措施，以改善生活质量的血糖控制不良，以获得更好的疾病结局是至关重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malaysian Journal of Public Health Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Malaysian Journal of Public Health Medicine (MJPHM) is the official Journal of Malaysian Public Health Physicians’ Association. This is an Open-Access and peer-reviewed Journal founded in 2001 with the main objective of providing a platform for publication of scientific articles in the areas of public health medicine. . The Journal is published in two volumes per year. Contributors are welcome to send their articles in all sub-discipline of public health including epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, public health policy and management, health economics, occupational health and environmental health.