Application of the DQOL-8 quality of life questionnaire in individuals with diabetes Mellitus using the unique health system
DOI:
https://doi.org/10.24220/2318-0897v32a2023e5040Keywords:
Carbohydrate, Diabetes Mellitus, Quality of LifeAbstract
Objective
To evaluate information on the quality of life of people with Diabetes Mellitus in the city of Campina Grande, Paraíba of the Unified Health System.
Methods
Descriptive and exploratory cross-sectional study with a quantitative approach applying the Diabetes Quality of Life Questionnaire of the Brazil Measure -8.
Results
Of the 50 participating volunteers, in terms of age, the majority were over 65 years old, 34% of the total. Regarding the scores of the Diabetes Quality of Life Measure Brazil-8 questionnaire, the domains “Satisfaction” and “Impact” presented values close to 03 (3.02 and 3.11, respectively). The domain “Social vocational concerns” had a final value of 1.12 (close to 01) and the domain “Concerns related to diabetes” had a final value of 3.77.
Discussion
The interpretation of the results indicates a concern for the complications of DM, this being the main impact factor on the quality of life of the participants. The domains “Satisfaction” and “Impact” had medium results, which may indicate a lack of attention in these aspects and a possible worsening of conditions, since they include factors linked to complications.
Conclusion
Knowing and elucidating the aspects that impact the quality of life of patients with Diabetes Mellitus contributes to improving adherence to treatment.
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References
International Diabetes Federation. IDF Diabetes Atlas. 8th ed. Brusels: The Federation; 2017-2018.
Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes 2017-2018. São Paulo: Clannad; 2017. 383 p.
Kautzky-Willer A, Harreiter J, Pacini, G. Sex and Gender Differences in Risk, Pathophysiology and Complications of Type 2 Diabetes Mellitus. End Rev. 2016;37(3)278-316. https://doi.org/10.1210/er.2015- 1137
World Health Organization. The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med. 1998;46(12)1569-85. https://doi.org/10.1016/S0277-9536(98)00009-4
Polonsky WH. Understanding and Assessing Diabetes-Specific Quality of Life. Diabetes Spectr. 2000;13:36.
Anjana RM, Sudha V, Nair DH, Lakshmipriya N, Deepa M, Pradeepa R, et al. Diabetes in Asian Indians-How much is preventable? Ten-year follow-up of the Chennai Urban Rural Epidemiology Study (CURES-142). Diabetes Res Clin Pract. 2015;109(2):253-61. https://doi.org/10.1016/j.diabres.2015.05.039
American Diabetes Association. Standards of Medical Care in Diabetes-2018 Abridged for Primary Care Providers. Clin Diabetes. 2018;36(1):14-37. https://doi.org/10.2337/cd17-0119
Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4)120-9. https://doi.org/10.4239/wjd.v8.i4.120
Prajapati VB, Blake R, Acharya LD, Seshadri S. Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQoL)-17 questionnaire. Braz J Pharm Sci. 2017;53(4). https://doi. org/10.1590/s2175-97902017000417144
Correr CJ, Pontarolo R, Melchiors AC, Rossignoli P, Fernández-Llimós F, Radominski RB. Tradução para o português e validação do instrumento Diabetes Quality of Life Measure (DQOL-Brasil). Arq Bras Endocrinol Metab. 2008;52(3):515-22. https://doi.org/10.1590/S0004-27302008000300012
Lagana CCC, Salvatti NB, Zaions RM, Batista R, Schirr RA, Faria ACRA et al. Qualidade de vida, uso de insulina e Diabetes Mellitus tipo 2 na cidade de Curitiba – PR – Distrito Portão. Rev Med UFPR. 2014;1(4):150-5. https://doi.org/10.5380/rmu.v1i4.40691
Frota SS, Guedes MVC, Lopes LV. Factors related to the quality of life of diabetic patients. Rev Rene. 2015;16(5)639-48. https://doi.org/10.15253/2175-6783.2015000500004
Corrêa K, Gouvêa GR, Silva MAV da, Possobon R de F, Barbosa LF de LN, Pereira AC, et al. Qualidade de vida e características dos pacientes diabéticos. Ciênc saúde coletiva 2017 Mar;22(3):921-30. https://doi.org/10.1590/1413-81232017223.24452015
Bernini LS et al. O impacto do diabetes mellitus na qualidade de vida de pacientes da Unidade Básica de Saúde. Cad Bras Ter Ocup. 2017;25(3)533-41. https://doi.org/10.4322/2526-8910.ctoAO0899
World Health Organization. United Nations, Department of Economic and Social Affairs, Population Division. World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248. Geneva: OMS; 2017.
G1 PB. Expectativa de vida cresce e chega a 74,1 anos na Paraíba, segundo IBGE. G1. 26 de novembro de 2018. https://g1.globo.com/pb/paraiba/noticia/2020/11/26/expectativa-de-vida-cresce-e-chega-a-741-anos-na-paraiba-segundo-ibge.ghtml
Sousa NF da S, Lima MG, Cesar CLG, Barros MB de A. Envelhecimento ativo: prevalência e diferenças de gênero e idade em estudo de base populacional. Cad Saúde Pública. 2018;34(11):e00173317. https://doi.org/10.1590/0102-311x00173317
Mohr F, Pretto LM, Fontela PC, Winkelmann ER. Fatores de Risco Cardiovascular: comparação entre os gêneros em indivíduos com diabetes mellitus tipo 2. Rev Cont Saúde. 2013;11(20):267-72.
Marques, JVP. Qualidade de vida relacionada à saúde de pacientes com Diabetes Mellitus utilizando o Diabetes Quality of Life Measure (DQOL-Brasil). 2016. 106 f. Dissertação (Mestrado) - Curso de Enfermagem, Universidade de São Paulo, Ribeirão Preto, 2016.
Davies MJ, D’Alessio DA, Fradkin J, Kernan WN, Mathieu C, Mingrone G, Rossing P, Tsapas A, Wexler DJ, Buse JB. Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2018 Dec;61(12):2461-2498. doi: 10.1007/s00125-018-4729-5. Erratum in: Diabetologia. 2019 May;62(5):873. PMID: 30288571.
Zulian LR, Santos MA dos, Veras VS, Rodrigues FFL, Arrelias CCA, Zanetti ML. Qualidade de vida de pacientes com diabetes utilizando o instrumento Diabetes 39 (D-39). Rev Gaúcha Enferm. 2013 Sep;34(3):138-46. https://doi.org/10.1590/S1983-14472013000300018
Vluggen S, Hoving C, Schaper NC, Vries H de. Exploring beliefs on diabetes treatment adherence among Dutch type 2 diabetes patients and healthcare providers. Patient Educ Couns. 2018;101:92-8. https://doi.org/10.1016/j.pec.2017.07.009
Chatterjee S, Davies MJ, Heller S, Speight J, Snoek FJ, Khunti K. Diabetes structured self-management education programmes: a narrative review and current innovations. Lancet Diabetes Endocrinol. 2018;6(2):130-42. https://doi.org/10.1016/s2213-8587(17)30239-5
Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS Jr; American Diabetes Association. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care. 2013 Nov;36(11):3821-42. doi: 10.2337/dc13-2042. Epub 2013 Oct 9. PMID: 24107659; PMCID: PMC3816916.
Ortiz MR. Hypoglycemia in Diabetes. Nurs Clin North Am. 2017;52(4):565-74. https://doi.org/10.1016/j. cnur.2017.07.006
Ramachandran A, Snehalatha C, Mary S et al. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia. 2006;49:289-97. https://doi.org/10.1007/s00125-005-0097-z
Hamdy O, Barakatun-Nisak MY. Nutrition in Diabetes. Endocrinol Metab Clin North Am. 2016 Dec;45(4):799-817. doi: 10.1016/j.ecl.2016.06.010. PMID: 27823606..
Pozzo MJ, Mociulsky J, Martinez ET, Senatore G, Farias JM, Sapetti A, Sanzana MG, Gonzalez P, Cafferata A, Peloche A, Lemme L. Diabetes and Quality of Life: Initial Approach to Depression, Physical Activity, and Sexual Dysfunction. Am J Ther. 2016 Jan-Feb;23(1):e159-71. doi: 10.1097/01.mjt.0000433949.24277.19. PMID: 24858335.
Galaviz KI, Narayan KMV, Lobelo F, Weber MB. Lifestyle and the Prevention of Type 2 Diabetes: A Status Report. Am J Lifestyle Med. 2018;12(1):4-20. doi: 10.1177/1559827615619159
Brasil F, Brasil AMB, Souza RA de P e, Pontarolo R, Correr CJ. Desenvolvimento da versão brasileira resumida do Diabetes Quality of Life Measure (DQOL-Brasil-8). Rev Bras Epidemiol. 2015 Oct;18(4):943-52. doi: https://doi.org/10.1590/1980-5497201500040021
