Diabetes quality of life among elderly diabetic patients and its association

Shalihin, Mohd Shaiful Ehsan and Mukhali, Hassan Basri and Ahmad Zubaidi, Zati Sabrina and Md Aris, Mohd Aznan and Omar, Ahmad Marzuki and Mohammad Aidid, Edre and Fauzi, Abdullah and Zulkifli, Nurul Afiqah and Abdul Aziz, Azrul Aziz (2021) Diabetes quality of life among elderly diabetic patients and its association. Malaysian Journal of Medicine and Health Sciences, 17 (Supplement 5). p. 8. E-ISSN 2636-9346

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Abstract

Elderly diabetic patients are increasing worldwide due to improvement in healthcare services provided by most countries. Diabetes comes with morbidities and complications in which the quality of life of geriatric patients should be measured, and the associated factors should be determined. A cross-sectional study was conducted among 269 elderly diabetic patients from all government health clinics of Kuantan. Their ociodemographic data were recorded, and quality of life was measured using validated Diabetes Quality of Life Instrument. Mann Whitney U test and Krus�kal Wallis tests were used to identify the issociation between domains of quality of life and variables. The predictors were identified via logistic regression analysis. The majority of patients were female (61%), had a primary level of education (52%), and financial income falls within B40 groups (97.4%). The majority of the clinics were located in rural (61.3%), without the presence of Family Medicine Specialist (77.7%) and managed mainly by medical officers and diabetic educators only (55.8%). Most patients had uncontrolled diabetes (71.7%), uncontrolled blood pressure readings (63.2%) and lipid levels (74.2%). Clinic location, diabetes control status and geriatric age were statistically significant for predicting patients’ diabetes quality of life. This study proved that geriatric patients had a better quality of life by lowering the HbA1c target despite the misconception of the high likelihood of complications among the el�derly. Social support and financial status of patients determined the quality of life in the elderly that should be incor�porated as assessment parameters of each geriatric visit. Each clinic had its unique management strategy. Those led by family medicine specialists and other major supporting staff usually present in central city provided the best qual�ity of life for patients. Therefore, more primary care physician and local management strategy should be produced.

Item Type:	Article (other)
Uncontrolled Keywords:	Elderly, Diabetes, Quality of life, Geriatrics, Kuantan
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011) Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	SR NUR FARHANA LATFI
Date Deposited:	24 Aug 2021 16:58
Last Modified:	24 Aug 2021 16:58
URI:	http://irep.iium.edu.my/id/eprint/91711

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