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Determinants of quality of life in elderly patients with type 2 diabetes treated in hospital and outpatient clinic: a comparative study

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Abstract

Quality-of-life measurement is used to assess the overall condition of the patient, giving more insight into complex medical problems in terms of physical, mental, and social health. It enables planning and organizing care and provides a holistic approach to the healing process. The aim of this study was to assess the quality of life (QoL) of hospitalized patients with type 2 diabetes (T2D) and diabetic outpatient clinic patients and to identify factors affecting quality of life of patients in the studied groups. The study included 226 patients with T2D, 100 diabetic outpatient clinic patients and 126 hospitalized patients. Quality of life was measured using the Quality of Life Index. We observed that the QoL of hospitalized patients is connected with education [p = 0.01 (β = 1.0; 95 % confidence interval (CI) 0.32–1.74), R 2 = 0.12 (95 % CI 0.10–0.34)]. However, the QoL of patients under the care of the diabetic outpatient clinic is affected by age [p = 0.02 (β = 0.07; 95 % CI 0.01–0.13)], diabetic retinopathy [p = 0.00 (β = −1.8; 95 % CI −2.87 to −0.72)], ischemic heart disease [p = 0.04 (β = −1.6; 95 % CI −3.16 to −0.11)], and education [p = 0.00 (β = 1.6; 95 % CI 1.11–2.12), R 2 = 0.40 (95 % CI 0.37–0.63)]. Differences in QoL between the two groups relate to the sociological, psychological, and family life aspects. Education level greatly determines QoL of patients with T2D treated at hospital and outpatient clinic.

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Authors and Affiliations

  1. Department of Integrated Medical Care, Medical University of Bialystok, 7A M. Skłodowskiej-Curie Str, 15-096, Bialystok, Poland

    Jolanta Lewko, Agnieszka Sycewicz, Katarzyna Van Damme Ostapowicz & Elżbieta Krajewska-Kułak

  2. Department of Surgical Nursing, Medical University of Bialystok, Bialystok, Poland

    Regina Sierżantowicz

Authors
  1. Jolanta Lewko
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  2. Agnieszka Sycewicz
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  3. Katarzyna Van Damme Ostapowicz
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  4. Regina Sierżantowicz
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  5. Elżbieta Krajewska-Kułak
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Correspondence to Jolanta Lewko.

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Lewko, J., Sycewicz, A., Van Damme Ostapowicz, K. et al. Determinants of quality of life in elderly patients with type 2 diabetes treated in hospital and outpatient clinic: a comparative study. Int J Diabetes Dev Ctries 35 (Suppl 2), 145–147 (2015). https://doi.org/10.1007/s13410-014-0280-1

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  • DOI: https://doi.org/10.1007/s13410-014-0280-1

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