Diabetes Metab J.  2017 Dec;41(6):449-456. 10.4093/dmj.2017.41.6.449.

Association of Self-Care Behaviors and Quality of Life among Patients with Type 2 Diabetes Mellitus: Chaldoran County, Iran

• Babazadeh
• Dianatinasab M
• Daemi A
• Nikbakht H
• Moradi F
• Ghaffari-fam S

• KMID: 2398085
• DOI: http://doi.org/10.4093/dmj.2017.41.6.449

Abstract

BACKGROUND
Self-care of diabetes is an essential part for controlling the disease and improvement of quality of life in type 2 diabetes mellitus (T2DM) patients. This study aimed to analyze the associated factors of quality of life in patients with T2DM in order to design effective interventions.
METHODS
This cross-sectional study was conducted on 120 T2DM patients referred to health centers of Chaldoran, West Azerbaijan Province, Iran. The quality of life's questionnaires from World Health Organization and the self-care behaviors' questionnaires were used for data collection.
RESULTS
The mean age of patients was 46.30% and 53.30% of them were male. Among demographic variables, gender (P=0.002), age groups (P=0.007), and household monthly income (P=0.009) were significantly associated with total quality of life. Also, self-care nutrition (odds ratio [OR], 1.47; P=0.001), self-management of blood glucose control (OR, 1.29; P=0.002), and self-medication behavior (OR, 1.18; P=0.030) were identified as factors significantly associated with quality of life.
CONCLUSION
Self-care behaviors were significantly associated with quality of life; among them, the greatest influence was observed in self-care nutrition behavior. According to the findings of this study, appropriate interventions on self-care behaviors about nutrition can improve the quality of life for T2DM patients.

Keyword

Diabetes mellitus, type 2; Quality of life; Self-care behavior

MeSH Terms

Azerbaijan
Blood Glucose
Cross-Sectional Studies
Data Collection
Diabetes Mellitus, Type 2*
Family Characteristics
Humans
Iran*
Male
Quality of Life*
Self Care*
World Health Organization
Blood Glucose

Reference

1. Ahmann AJ. Guidelines and performance measures for diabetes. Am J Manag Care. 2007; 13:Suppl 2. S41–S46.

2. Nagelkerk J, Reick K, Meengs L. Perceived barriers and effective strategies to diabetes self-management. J Adv Nurs. 2006; 54:151–158.

3. World Health Organization. Media centre: diabetes. cited 2017 Jul 18. Available from: http://www.who.int/mediacentre/factsheets/fs312/en.

4. Delavari AR, Mahdavihazaveh AR, Norozinejad A, Yarahmadi SH. Country programme of prevention and control of diabetes. 2nd ed. Tehran: Seda Publication;2004. p. 2.

5. Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes. 2008; 26:77–82.

6. Adachi M, Yamaoka K, Watanabe M, Nishikawa M, Hida E, Kobayashi I, Tango T. Effects of lifestyle education program for type 2 diabetes patients in clinics: study design of a cluster randomized trial. BMC Public Health. 2010; 10:742.

7. Chapter 6, The history and meaning of patient compliance as an ideology. In : Gochman DS, editor. Handbook of health behavior research. II. Provider determinants. New York: Plenum Press;1997. p. 109–124.

8. Rubin RR, Peyrot M. Quality of life and diabetes. Diabetes Metab Res Rev. 1999; 15:205–218.

9. Karlsson I, Berglin E, Larsson PA. Sense of coherence: quality of life before and after coronary artery bypass surgery: a longitudinal study. J Adv Nurs. 2000; 31:1383–1392.

10. Hall PA, Rodin GM, Vallis TM, Perkins BA. The consequences of anxious temperament for disease detection, self-management behavior, and quality of life in type 2 diabetes mellitus. J Psychosom Res. 2009; 67:297–305.

11. Shayeghian Z, Aguilar-Vafaie M, Besharat MA, Amiri P, Parvin M, Roohi-Gilani K. The association between self-care and control of blood sugar and health-related quality of life in type II diabetes patients. Iran J Endocrinol Metab. 2014; 15:545–551.

12. Lloyd CE, Orchard TJ. Physical and psychological well-being in adults with type 1 diabetes. Diabetes Res Clin Pract. 1999; 44:9–19.

13. AminiLari Z, Fararouei M, Amanat S, Sinaei E, Dianatinasab S, AminiLari M, Daneshi N, Dianatinasab M. The effect of 12 weeks aerobic, resistance, and combined exercises on omentin-1 levels and insulin resistance among type 2 diabetic middle-aged women. Diabetes Metab J. 2017; 41:205–212.

14. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh SR. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J Sch Public Health Inst Public Health Res. 2006; 4:1–12.

15. Nedjat S, Montazeri A, Holakouie K, Mohammad K, Majdzadeh R. Psychometric properties of the Iranian interview-administered version of the World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Serv Res. 2008; 8:61.

16. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes Care. 2000; 23:943–950.

17. Didarloo AR, Shojaeizadeh D, Gharaaghaji Asl R, Habibzadeh H, Niknami Sh, Pourali R. Prediction of self-management behavior among Iranian women with type 2 diabetes: application of the theory of reasoned action along with self-efficacy (ETRA). Iran Red Crescent Med J. 2012; 14:86–95.

18. Mohammad pour Y, Haririan HR, Moghaddasian S, Ebrahimi H. Surveying the quality of life and its dimensions among the type 2 diabetes patients referred to the Diabetes Center of Tabriz University of Medical Sciences: 1386. J Urmia Nurs Midwifery Fac. 2008; 6:26–37.

19. Wang W, Shi L, Wang K. Assessment of quality of life in patients with diabetes mellitus and impaired glucose tolerance. Zhonghua Yu Fang Yi Xue Za Zhi. 2001; 35:26–29.

20. Babazadeh T, Taghdisi MH, Sherizadeh Y, Mahmoodi H, Ezzati E, Rezakhanimoghaddam H, BanayeJeddi M. The survey of health-related quality of life and its effective factors on the intercity bus drivers of the west terminal of Tehran in 2015. Community Health J. 2015; 9:19–27.

21. Zagozdzon P, Kolarzyk E, Marcinkowski JT. Quality of life and rural place of residence in Polish women: population based study. Ann Agric Environ Med. 2011; 18:429–432.

22. Parvan K, Lakdizaji S, Roshangar F, Mostofi M. Assessment of quality of life in patients undergoing continuous hemodialysis in four hospitals of East Azarbayjan, in 2012. Razi J Med Sci. 2014; 21:19–28.

23. Arslantas D, Unsal A, Metintas S, Koc F, Arslantas A. Life quality and daily life activities of elderly people in rural areas, Eskisehir (Turkey). Arch Gerontol Geriatr. 2009; 48:127–131.

24. Genga EK, Otieno FC, Ogola EN, Maritim MC. Assessment of the perceived quality of life of non insulin dependent diabetic patients attending the Diabetes Clinic in Kenyatta National Hospital. IOSR J Pharm. 2014; 4:15–21.

25. Hatamloo Sadabadi M, Babapour Kheirodin J. Comparison of quality of life and coping strategies in diabetic and non diabetic people. J Shahid Sadoughi Univ Med Sci. 2013; 20:581–592.

26. Nadrian H, Morovati Sharifabad MA, Mirzaei A, Bahmanpur K, Moradzadeh R, Shariaty AM. Relationship between quality of life, health status and self-care behaviors in patients with rheumatoid arthritisi in yazd (central Iran). J Ilam Univ Med Sci. 2011; 19:15–25.

27. Naghibi F, Golmakani N, Ismaili H, Moharreri F. Studying the relationship between lifestyle and health-related quality of life among adolescent girls in Mashhad high schools. Iran J Obstet Gynecol Infertil. 2013; 16:9–19.

28. Kueh YC, Morris T, Borkoles E, Shee H. Modelling of diabetes knowledge, attitudes, self-management, and quality of life: a cross-sectional study with an Australian sample. Health Qual Life Outcomes. 2015; 13:129.

29. Lukacs A, Sasvari P, Torok A, Barkai L. Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers. J Pediatr Endocrinol Metab. 2016; 29:769–775.