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Psychosocial factors not metabolic control impact the quality of life among patients with type 2 diabetes in China

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Abstract

Aims

Quality of life is a major focus of health care today. In published studies on patients with type 2 diabetes, findings on quality of life are mixed. Those with diabetes have chronic illness and must adhere to a complicated care regimen daily, which for many patients is challenging. This study analyzed psychosocial factors and metabolic control as potential predictors of quality of life among these patients.

Methods

A cross-sectional study of 397 patients with type 2 diabetes was conducted in a hospital in Nanjing, China. Demographic information and clinical characteristics were collected from the medical record. The World Health Organization Quality of Life-BREF, General Self-Efficacy Scale, Diabetes Distress Scale, and Diabetes Empowerment Scale-Short Form were administered.

Results

The mean score of quality of life was 67.80 ± 13.44 on a 100-point scale. General self-efficacy (β = 0.340, P < 0.001), diabetes distress (β = −0.266, P < 0.001), and diabetes empowerment ability (β = 0.207, P < 0.001) were predictors of quality of life. In contrast, other factors including HbA1c, diabetes complications, and the duration of diabetes were not associated with quality of life (P > 0.05).

Conclusions

Our study indicated that psychosocial factors such as self-efficacy, diabetes distress, and diabetes empowerment ability are related to quality of life. Assessment and interventions aimed at reducing psychosocial problems should be applied in diabetes care.

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Author information

Authors and Affiliations

  1. Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China

    Yuanyuan Zhu, Fan Li, Lin Liu & Qingqing Lou

  2. Jiangsu Province Academy of Traditional Chinese Medicine, Nanjing, Jiangsu Province, China

    Yuanyuan Zhu, Fan Li, Lin Liu & Qingqing Lou

  3. Nursing College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China

    Yuanyuan Zhu

  4. College of Nursing, University of Missouri-St. Louis, Affiliated with the ISP Fellowship Support Program, St. Louis, MO, USA

    Anne F. Fish

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  1. Yuanyuan Zhu
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  2. Anne F. Fish
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  3. Fan Li
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  4. Lin Liu
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  5. Qingqing Lou
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Corresponding author

Correspondence to Qingqing Lou.

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Conflict of interest

All the authors declare that they have no conflict of interest.

Ethical standard

The study protocol was reviewed by the ethics committee of Jiangsu Province Hospital on Integration of Chinese and Western Medicine affiliated with Nanjing University of Chinese Medicine.

Human and animal rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

Informed consent

Informed consent was obtained from all patients before they were included in the study.

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Managed by Massimo Porta.

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Cite this article

Zhu, Y., Fish, A.F., Li, F. et al. Psychosocial factors not metabolic control impact the quality of life among patients with type 2 diabetes in China. Acta Diabetol 53, 535–541 (2016). https://doi.org/10.1007/s00592-015-0832-y

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  • DOI: https://doi.org/10.1007/s00592-015-0832-y

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