Geriatrik Diyabetik Hastalarda Yaşam Kalitesinin Değerlendirilmesi

Amaç: Tip 2 Diabetes Mellitus ileri yaşla artan bir insidansa sahiptir. Geriatrik diyabetik hastaların yaşam kalitelerini birçok faktör etkilemektedir.Bu çalışma ile diyabetik hastalarda yaşam kalitesinin değerlendirilmesi ve diyabetik komplikasyonlar, biyokimyasal parametreler ve sosyodemografiközelliklerin yaşam kalitesine olan etkilerinin incelenmesi amaçlandı.Gereç ve Yöntem: Erzurum Bölge Eğitim ve Araştırma Hastanesi, İç Hastalıkları Kliniği’ne 1 Ocak 2018 ile 31 Aralık 2018 tarihleri arasında başvurmuş65 yaş ve üstü 208 diyabetik hastanın, biyokimyasal parametreleri, sosyodemografik özellikleri ve klinik özellikleri, Dünya Sağlık Örgütü Yaşam KaliteÖlçeği (WHOQOL-BREF) yaşam kalite ölçeği kullanılarak değerlendirildi.Bulgular: Bu çalışmaya, %50’si (n=104) erkek ve %50’si (n=104) kadın toplam 208 olgu dahil edildi. Çalışmaya katılan olguların yaşları 65 ile 88arasında değişmekte olup, ortalama 70,82±5,25 yaş olarak saptanmıştır. Olguların glikozile hemoglobin (HbA1C) ölçümleri 5,9 ile 14,5 arasında,ortalama 8,33±1,86 idi. Olguların WHOQOL-BREF (TR) Yaşam Kalite Ölçeği “Genel Sağlık Durumu” alt boyutundan aldıkları puanlar 2 ile 9, ortalama5,52±1,75, “Fiziksel Sağlık” alt boyutundan aldıkları puanlar 7 ile 28, ortalama 16,63±4,52, “Psikolojik” alt boyutundan aldıkları puanlar 6 ile 26,ortalama 15,26±4,08, “Sosyal İlişkiler” alt boyutundan aldıkları puanlar 3 ile 13, ortalama 6,40±1,94, “Çevre” alt boyutundan aldıkları puanlar 9ile 31 ortalama 19,55±4,58 ve ölçek toplamından aldıkları puanlar 34 ile 97, ortalama 63,56±15,23 saptanmıştır. Diyabetik komplikasyonu olanolguların WHOQOL-BREF (TR) Yaşam Kalitesi Ölçeği “Genel Sağlık Durumu”, “Fiziksel Sağlık”, “Psikolojik”, “Sosyal İlişkiler” ve “Çevre” alt boyutundanaldıkları puanlar, komplikasyon olmayan olgulara göre istatistiksel olarak anlamlı düzeyde düşük saptanmıştır (sırasıyla p=0,001; p=0,001; p=0,001;p=0,001; p=0,001; p

Objectives: Type 2 diabetes mellitus has an incidence that increases with age. Many factors affect the life qualities of geriatric diabetic patients. The aim of this study was to evaluate the quality of life in diabetic patients and to examine the effects of diabetic complications, biochemical parameters, and socio-demographic features on the quality of life. Materials and Methods: Biochemical parameters, socio-demographic features, and clinical characteristics of 208 diabetic patients at or above 65 years of age who were admitted to the Department of Internal Medicine of Erzurum Regional Research and Education Hospital between January 1st 2018 and December 31st 2018 were evaluated with the short version of the World Health Organization Quality of Life Scale (WHOQOL-BREF). Results: This study included 208 subjects; 50% (n=104) of them were male and 50% (n=104) were female. The ages of the cases included in this study were between 65 and 88, and the mean age was 70.82±5.25 years. The mean glycosylated hemoglobin (HbA1C) of the subjects was 8.33±1.86 (range: 5.9-14.5). The mean score of the cases from the General Health dimension of WHOQOL-BREF (TR) was 5.52±1.75 (range: 2-9), from Physical Health dimension was 16.63±4.52 (range: 7-28), from Psychological Health dimension was 15.26±4.08 (range: 6-26), from Social Relations dimension was6.40±1.94 (range: 3-13), from environmental quality of life was 19.55±4.58 (range: 9-31), and from the total scale was 63.56±15.23 (range: 34-97). The mean scores of the subjects that have diabetic complications from general health, physical health, psychological health, social relations, and environmental quality of health were higher than cases without complications (p=0.001, p=0.001, p=0.001, p=0.001, p=0.001, respectively). Conclusion: In geriatric diabetic patients, diabetic complications, age, body mass index, level of education, marital status, duration of diabetes, treatment type, comorbid systemic illness, HbA1C, fasting and postprandial plasma glucose level, glomerular filtration rate, low serum albümin level, and low hemoglobin levels are the factors that affect the quality of life. We believe that effective treatment and close follow up of the patients with geriatric diabetes will increase the quality of life of geriatric diabetic patients

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