Factors influencing health-related quality of life among people with uncontrolled type II diabetes mellitus in Wenzhou, China: A cross-sectional study.

IF 1.4 Q3 NURSING
Belitung Nursing Journal Pub Date : 2025-05-27 eCollection Date: 2025-01-01 DOI:10.33546/bnj.3785
Huiwei Li, Saifone Moungkum, Pornchai Jullamate
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Abstract

Background: China has a high prevalence of Type 2 Diabetes Mellitus (T2DM), and more than half of the population has uncontrolled blood sugar levels. As a result, this leads to a reduction in health-related quality of life (HRQOL). Therefore, identifying the factors that influence HRQOL in individuals with uncontrolled T2DM is a clinical priority.

Objectives: This study aimed to describe the level of HRQOL among people with uncontrolled T2DM in Wenzhou, China, and to examine the predictive factors, including social support, diabetes distress, self-efficacy, and health literacy, in relation to HRQOL among these individuals.

Methods: This predictive correlational study used a simple random sampling technique to recruit 107 adults with uncontrolled T2DM from the Endocrinology outpatient department at the First Affiliated Hospital of Wenzhou Medical University in Wenzhou, China, between August and September 2024. Data were collected through questionnaires and standardized tools to assess the correlation between HRQOL, social support, health literacy, self-efficacy, and diabetes distress. Data were analyzed using descriptive statistics and multiple regression analysis.

Results: The HRQOL in this study was moderate (Mean = 3.34, SD = 0.31). Significant factors associated with HRQOL were health literacy (r = 0.819, p <0.01), self-efficacy (r = 0.825, p <0.01), and social support (r = 0.477, p <0.01). All predictor variables in the regression model collectively explained 79.8% of the variance in HRQOL among individuals with uncontrolled T2DM. Furthermore, health literacy (β = 0.426, p <0.001), self-efficacy (β = 0.463, p <0.001), and social support (β = 0.130, p = 0.009) were significant predictors of HRQOL.

Conclusion: Enhancing health literacy, self-efficacy, and social support is crucial for improving HRQOL. Healthcare professionals and nurses should develop and implement intervention programs that help individuals and families enhance their critical thinking abilities and adopt lifestyles that support disease management and improve HRQOL.

影响中国温州未控制II型糖尿病患者健康相关生活质量的因素:一项横断面研究
背景:中国2型糖尿病(T2DM)的患病率很高,超过一半的人口血糖水平不受控制。因此,这导致与健康有关的生活质量(HRQOL)下降。因此,确定影响未控制T2DM患者HRQOL的因素是临床优先考虑的问题。目的:本研究旨在描述中国温州市未控制T2DM患者的HRQOL水平,并检查与这些个体HRQOL相关的预测因素,包括社会支持、糖尿病困扰、自我效能感和健康素养。方法:本预测相关性研究采用简单随机抽样技术,于2024年8月至9月在中国温州医科大学第一附属医院内分泌科门诊招募107例未控制T2DM的成人患者。通过问卷调查和标准化工具收集数据,评估HRQOL、社会支持、健康素养、自我效能感和糖尿病困扰之间的相关性。数据分析采用描述性统计和多元回归分析。结果:本组患者HRQOL为中等水平(Mean = 3.34, SD = 0.31)。健康素养(r = 0.819, pr = 0.825, pr = 0.477, p β = 0.426, p β = 0.463, p β = 0.130, p = 0.009)是HRQOL的显著预测因子。结论:提高健康素养、自我效能感和社会支持对改善HRQOL至关重要。医疗保健专业人员和护士应该制定和实施干预方案,帮助个人和家庭提高他们的批判性思维能力,并采用有利于疾病管理和改善HRQOL的生活方式。
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
CiteScore
1.90
自引率
42.90%
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0
审稿时长
12 weeks
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