Assessing the life quality in a Moroccan population of diabetics by the General Quality of Life Questionnaire SF36
Abstract
Background: The quality of life assessment reflects the impact of chronic diseases on patients. The objective of our study is to assess the life quality of diabetic patients and to determine the factors that affect it.
Methods: A cross-sectional study was conducted in 2019 in the Hygiene Service of the Sidi-Othmane district (Casablanca) in 526 diabetic patients. Quality of life was estimated using the SF-36 questionnaire to determine factors that affect mental or physical health. We used Pearson's correlation test for continuous variables and ANOVA for discontinuous variables.
Results: Our patients have an average of life quality considering PCS and MCS respectively (38.47 ± 9.28; 41.15 ± 10.55). Association analyses showed on the one hand associations between the PCS and the gender (p = 0.0001), professional activity (p = 0.0001), marital status (p = 0.0001) and with chronic complications (p = 0.0001). On the other hand, between physical activity and PCS (p = 0.0001) and with MCS (p = 0.0001), between the level of instruction and the PCS and MCS dimensions respectively (p = 0.0001; p = 0.011) between acute complications and PCS and MCS dimensions respectively (p = 0.0001; p = 0.001). The correlation study showed inverse correlations between PCS and age (p = 0.0001), the diabetes duration (p = 0.0001), HbA1c (p = 0.037), and BMI (p = 0.008), and between MCS, and BMI (p = 0.0001).
Conclusion: The presence of one of these factors (female, advanced age, high diabetes duration, complications, and unbalanced diabetes, low level of education, physical inactivity, and professional inactivity) leads to poor life quality.
Keywords: Diabetes; Life quality; Physical health; Mental health
Full Text:
PDFReferences
World Health Organization WHO. Global report on diabetes, (2016) [Online]. Available: https://apps.who.int/iris/handle/10665/204871
Atlas Diabetes. International Diabetes Federation IDF, 9th edn. Brussels, Belgium, (2019) [Online]. Available: https://www.diabetesatlas.org/
Ministry of health. Communiqué: Célébration de la journée mondiale du diabète, Morocco, (2016) [Online]. Available: https://www.sante.gov.ma/Pages/Communiques.aspx?IDCom=165
Atlas Diabetes. International Diabetes Federation IDF, 8th edn. Brussels, Belgium, (2017) [Online]. Available: https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/134-idf-diabetes-atlas-8th-edition.html
Lyhyaoui O (2011) Evaluation de la qualité de vie liée à la santé chez les diabétiques de type 2: University Sidi Mohammed Ben Abdellah. Faculty of Medicine and Pharmacy, Fes, Morocco
Azanmasso H, Tchonda E, Alagnide E, Lahrabli S, Diagne N-S, et al. Qualité de vie des patients diabétiques en Afrique : à propos d’une étude bi-centrique. Médecine des Maladies Métaboliques, (2015); 9(6): 603-609.
Group W. Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of
Life Research, (1993); 2(2): 153-159.
Ware JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. Journal of Clinical Epidemiology, (1998); 51(11): 903-912.
Alonso J, Ferrer M, Gandek B, Ware JE, Aaronson NK, et al. Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research, (2004); 13(2): 283-298.
El Emrani L, Bendriss A, M S. Assessment of health-related quality of life in the population of Tetouan (Morocco) using the SF-36: the influence of level of education and marital status. International Journal of Innovation and Applied Studies. International Journal of Innovation and Applied Studies (2014); 7(2): 815-822.
Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, et al. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, (1992); 305(6846): 160-164.
Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, (1992); 30(6): 473-483.
Ware JE, Jr., Gandek B, Kosinski M, Aaronson NK, Apolone G, et al. The equivalence of SF-36 summary health scores estimated using standard and country-specific algorithms in 10 countries: results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, (1998); 51(11): 1167-1170.
Office of the High Commissioner of the plan (HCP). General population and Habitat census note of presentation of the first results., greater Casablanca region, Kingdom of Morocco, (2014). [Online]. Available: https://www.HCP.Ma/reg-Casablanca/attachment/673642/.
National Fund of social welfare agencies (Cnops).Etude surla population diabétique assurée par la CNOPS(2008-2013) Kingdom of Morocco, Department of studies and Actuariate, (2014). [Online]. Available: http://www.cnops.org.ma/sites/default/files/Etude_Diabete_periode_2008_2013_CNOPS.pdf.
Ware JE, Snow KK, Kosinski M, Gandek B, New England Medical Center H, et al. SF-36 health survey : manual and interpretation guide. Health Institute, New England Medical Center, Boston. (1993).
Cohen J. Statistical Power Analysis for the Behavioral Sciences (2e édition). Hillsdale, New Jersey : Lawrence Erlbaum Associates. (1988). .
Abouothman S (2014) Évaluation de la qualité de vie des patients diabétiques de type 2 au niveau de la région de Marrakech: University Cadi Ayyad, Faculty of Medicine and Pharmacy, Marrakech, Morocco.
Isabelle Bourdel-Marchasson, Aurore Tulon, Marie-Line Erpelding, Pierre Lecomte, Patrick Vexiau, et al. Quality of life in type 2 diabetic patients living in metropolitan France: multiple factors associated. ENTRED 2007. Bulletin Epidémiologique Hebdomadaire, (2001); 2(25): 15-20.
Papadopoulos AA, Kontodimopoulos N, Frydas A, Ikonomakis E, Niakas D. Predictors of health-related quality of life in type II diabetic patients in Greece. BMC Public Health, (2007); 7186.
Svedbo Engström M, Leksell J, Johansson U-B, Borg S, Palaszewski B, et al. Health-related quality of life and glycaemic control among adults with type 1 and type 2 diabetes – a nationwide cross-sectional study. Health and Quality of Life Outcomes, (2019); 17(1): 141.
Al-Shehri AH, Taha AZ, Bahnassy AA, Salah M. Health-related quality of life in type 2 diabetic patients. Annals of Saudi Medicine, (2008); 28(5): 352-360.
Hänninen J, Takala J, Keinänen-Kiukaanniemi S. Quality of life in NIDDM patients assessed with the SF-20 questionnaire. Diabetes Research and Clinical Practice, (1998); 42(1): 17-27.
Senez B, Felicioli P, Moreau A, Goaziou M-FL. Quality of life assessment of type 2 diabetic patients in general medicin. Presse Médicale, (2004); 33(3): 161-166.
Kazemi-Galougahi MH, Ghaziani HN, Ardebili HE, Mahmoudi M. Quality of life in type 2 diabetic patients and related effective factors. Indian Journal of Medical Sciences (2012); 66(9-10): 230-237.
Shaheen F, Basit A, Riaz M, Fawwad A, Hakeem R, et al. Assessing health related quality of life in diabetic subjects by SF 36 questionnaire in a tertiary care diabetes unit of Karachi, Pakistan. . International Journal of Advanced Research, (2014); 6(6): 13-17.
Moreau A, Senez B, Felicioli P, Goaziou M-FL. Évaluation de la qualité de vie des patients diabétiques de type 2 en médecine générale. Presse Médicale, (2003); 17(608): 1-5.
Finkelstein MM. Body mass index and quality of life in a survey of primary care patients. Journal of Family Practice, (2000); 49(8): 734-737.
Eckert K. Impact of physical activity and bodyweight on health-related quality of life in people with type 2 diabetes. Diabetes, Metabolic Syndrome and Obesity, (2012); 5303-311.
Woodcock AJ, Julious SA, Kinmonth AL, Campbell MJ. Problems with the performance of the SF-36 among people with type 2 diabetes in general practice. Quality of Life Research, (2001); 10(8): 661-670.
Gulliford MC, Mahabir D. Relationship of health-related quality of life to symptom severity in diabetes mellitus: a study in Trinidad and Tobago. Journal of Clinical Epidemiology, (1999); 52(8): 773-780.
Larsson D, Lager I, Nilsson PM. Socio-economic characteristics and quality of life in diabetes mellitus–relation to metabolic control. Scandinavian Journal of Public Health, (1999); 27(2): 101-105.
Clouet F, Excler-Cavailher G, Christophe B, Masson F, Fasquel D. [Type 2 Diabetes and Short Form 36-items Health Survey]. Diabetes & Metabolism, (2001); 27(6): 711-717.
Ikeda A, Iso H, Toyoshima H, Fujino Y, Mizoue T, et al. Marital status and mortality among Japanese men and women: the Japan Collaborative Cohort Study. BMC Public Health, (2007); 773.
Liu H. Till Death Do Us Part: Marital Status and U.S. Mortality Trends, 1986 – 2000. Journal of Marriage and Family, (2009); 71(5): 1158-1173.
Wee HL, Cheung YB, Li SC, Fong KY, Thumboo J. The impact of diabetes mellitus and other chronic medical conditions on health-related Quality of Life: is the whole greater than the sum of its parts? Health Qual Life Outcomes, (2005); 32.
Poljicanin T, Ajduković D, Sekerija M, Pibernik-Okanović M, Metelko Z, et al. Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life. BMC Public Health, (2010); 1012.
Lloyd A, Sawyer W, Hopkinson P. Impact of long-term complications on quality of life in patients with type 2 diabetes not using insulin. Value Health, (2001); 4(5): 392-400.
DOI: http://dx.doi.org/10.62940/als.v7i4.980
Refbacks
- There are currently no refbacks.