DOI QR코드

DOI QR Code

Quality of Life and Its Correlated Factors among Elderly People with Diabetes in a Community

지역사회 당뇨병 노인의 삶의 질 관련요인

  • Received : 2014.01.14
  • Accepted : 2014.02.21
  • Published : 2014.03.30

Abstract

The purpose of this study was to examine the factors affecting quality of life among elderly people with type 2 diabetes mellitus (DM) in a community. The design of this study was an exploratory survey. The subjects were 268 adults aged over 65 years with DM in a community. The data were collected from July to October, 2011 and analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 20.0 program. The quality of life was positively associated with self care behavior (r=.226, p<.001), self-efficacy (r=.323, p<.001), and social support (r=.345, p<.001). However, quality of life had moderately negative correlation with depression (r=-.445, p<.001). Among the variables, depression, social support, and self-efficacy were explanatory factors accounting for 23.9% of quality of life. These findings suggest that depression and self-efficacy are important factors affecting quality of life in the elderly with DM and it can be improved by strengthening social support.

Keywords

References

  1. J.W. Shin, Y.K. Park, S.R. Suh, J.E. Kim(2011), Factors Influencing Quality of Life in Elderly Diabetic Patients of Korea: Analysis from the Korea National Health and Nutrition Examination Survey in 2008, Journal of the Korean Gerontological Society, Vol.31(3);479-487.
  2. Korean National Health and Nutrition Survey(2013), Retrieved November 15, 2013 from http://knhanes.cdc.go.kr/knhanes/index.do
  3. J.O. Hornquist, A. Wikby, U. Stenstrom, P.O. Andersson, I. Akerlind(1995), Type II Diabetes and Quality of Life: A Review of the Literature, Pharmacoeconomics, Vol.8 Suppl 1:12-16. https://doi.org/10.2165/00019053-199500081-00004
  4. O.A. AL-Khawaldeh, M.A. Al-Hassan, E.S. Froelicher(2012), Self-efficacy, Self-management, and Glycemic Control in Adults with Type 2 Diabetes Mellitus, Journal of Diabetes and Its Complications, Vol.26;10-16. https://doi.org/10.1016/j.jdiacomp.2011.11.002
  5. A.S. Jahanlou, K.N. Alishan(2011), The Effect of Literacy Level on Health Related Quality of Life, Self-efficacy and Self-management Behaviors in Diabetic Patients, Acta Med Iran, Vol.49(3);153-158.
  6. H.R. Kim(2013), Health-Related Quality of Life and Its Affecting Factors among the Aged in one Korean Community, The Korean Journal of Health Service Management, Vol.7(4);167-178.
  7. W.H. Choi(2012), The Relationship of Depression, Fatigue and Quality of Life in Middle-Aged Adults, The Korean Journal of Health Service Management, Vol.6(2);91-99. https://doi.org/10.12811/kshsm.2012.6.2.091
  8. M. Mathew, A. Abish, A. Kuriakose, J.R. Isaiah(2013), Predictors of Depression among Patients with Diabetes Mellitus in Southern India, Asian Journal of Psychiatry, Vol.6(4);313-317. https://doi.org/10.1016/j.ajp.2013.01.012
  9. S.F. Wu, L.S. Young, F.C. Yeh, Y.M. Jian, K.C. Cheng, M.C. Lee(2013), Correlations among Social Support, Depression, and Anxiety in Patients with Type 2 Diabetes, Journal of Nursing Research, Vol.21(2);129-138. https://doi.org/10.1097/jnr.0b013e3182921fe1
  10. F. Goz, S. Karaoz, M. Goz, S. Ekiz, I. Cetin(2007), Effects of the Diabetic Patients' Perceived Social Support on Their Quality-of-life, Journal of Clinical Nursing, Vol.16(7);1353-1360. https://doi.org/10.1111/j.1365-2702.2007.01472.x
  11. K. Gallegos-Carrillo, C. Garcia-Pena, C.A. Duran-Munoz, Y.N. Flores, J. Salmeropn(2009), Relationship between Social Support and the Physical and Mental Wellbeing of Older Mexican Adults with Diabetes, Rev Invest Clin, Vol.61(5);383-391.
  12. D.B. Kim, S.J. Chae, W.K. Cho(2009), The Influence of the Health Promotion Behaviors on the Life Satisfaction of the Elderly with Diabetes, Journal of the Korean Gerontological Society, Vol.29(1);101-116.
  13. Y.E. Kwon, Y.S. Kim(2011), Factors Related to Self-Management the Elderly People with Diabetes Mellitus in a Community-Dwelling, Journal of Korean Society Living Environment System, Vol.18(1);92-100.
  14. O.S. Han(2011), Factors Affecting the Health-related Quality of Life of the Elderly Diabetic Patients, Gachon University Doctoral Dissertation.
  15. D.E. Orem(1985), Nursing: Concept of Practice(3rd ed), Mc Graw-Hill book.
  16. E.J. Choi, M.S. Nam, S.H. Kim, C.G. Park, D.J. Toobert, J.S. Yoo, S.H. Chu(2011), Psychometric Properties of a Korean Version of the Summary of Diabetes Self-care Activities Measure, International Journal of Nursing Studies, Vol.48(3);333-337. https://doi.org/10.1016/j.ijnurstu.2010.08.007
  17. A.A. Bandura(1986), Social Foundations of Thought and Action: A Social Cognitive Theory. NJ : Prentice-Hall.
  18. A.T. Beck, C.H. Ward, M. Meldelson, J. Mock, J. Erbaugh(1961), An Inventory for Measuring Depression, Arch Gen Psychiatry, Vol.4;561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  19. J.A. Yesavage, T.L. Brink, T.L. Rose, O. Lum, V. Huang, M. Adey, V.O. Leirer(1983), Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report, Journal of Psychiatric Research, Vol.17(1);37-49.
  20. J.S. Choi(2010), Factors Affecting the Depression and Quality of Life of Vulnerable Elderly Receiving Fitting Home Visiting Health Service, Doctoral Dissertation, Daegu Hanny University, Gyeongbuk.
  21. J.S. Norbeck, A.M. Linsey, V.L. Carrieri(1981), The Development of an Instrument to Measure Social Support, Nursing Research, Vol.30(5);264-269.
  22. J.E. Ware, S.D. Keller, B. Gandek, J.E. Brazier, M. Sullivan(1995), Evaluating Translations of Health Status Questionnaires. Methods from the IQOLA Project. International Quality of Life Assessment, International Journal of Technological Assessment Health Care, Vol.11(3);525-551. https://doi.org/10.1017/S0266462300008710
  23. M. Rose, H. Fliege, M. Hildebrandt, T. Schirop, B.F. Klapp(2002), The Network of Psychological Variables in Patients with Diabetes and Their Importance for Quality of Life and Metabolic Control, Diabetes Care, Vol.25(1);35-42. https://doi.org/10.2337/diacare.25.1.35
  24. W.P. Sacco, C.A. Bykowski(2010), Depression and Hemoglobin A1C in Type 1 and Type 2 Diabetes: the Role of Self-efficacy, Diabetes Research and Clinical Practice, Vol.90;141-146. doi.org/10.1016/j.diabres.2010.06.026
  25. H.L. Chan, C.K. Lin, Y.L. Chau, C.M. Chang(2012), The Impact of Depression on Self-care Activities and Health Care Utilization among People with Diabetes in Taiwan, Diabetes Research and Clinical Practice, Vol.98;e4-e7. http://dx.doi.org/10.1016/j.diabres.2012.06.003

Cited by

  1. Development of a scale to measure diabetes self-management behaviors among older Koreans with type 2 diabetes, based on the seven domains identified by the American Association of Diabetes Educators vol.14, pp.2, 2017, https://doi.org/10.1111/jjns.12145
  2. Gender-Specific Factors Influencing Diabetes Self-Care Behaviors and Health-Related Quality of Life Among Older Adults With Type 2 Diabetes in South Korea vol.8, pp.5, 2015, https://doi.org/10.3928/19404921-20150331-01
  3. The Comparison of Health Behaviors, Use of Health Services, and Health Expenditures among Diabetic Patients according to the Practice of Exercise vol.26, pp.1, 2015, https://doi.org/10.12799/jkachn.2015.26.1.31
  4. The Effects of a Health Mentoring Program in Community-dwelling Vulnerable Elderly Individuals with Diabetes vol.48, pp.2, 2018, https://doi.org/10.4040/jkan.2018.48.2.182